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Adherence & Retention

To count lost to-follow-up (LTFU) as part of adherence denominator?

Started by Ziad El-Khatib on 21 Aug 2008
Last edited by Robert Szypko on 01 Aug 2011

Hi! We know already that LTFU is a problem, and adherence level has been reported to be high. My question ...

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Discussion Brief

Frequently used to describe patients who stop coming to appointments and cannot be located, loss-to-follow-up (LTFU) is a critical issue for HIV care. Data from a diverse range of HIV treatment programs in resource limited settings show LTFU rates ranging from 5% to 40% within 6 month of antiretroviral therapy (ART) initiation, with extensive clinical impact and associated costs (Losina 2009).

In this discussion, members debate how to define LTFU in program evaluations and analyses of adherence. Practitioners and researchers share their experiences in the field and key references on LTFU, patient retention, and adherence.

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