%0 Journal Article %9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES %A Bartlett, A. W. %A Lumbiganon, P. %A Mohamed, T. A. J. %A Lapphra, K. %A Muktiarti, D. %A Du, Q. T. %A Hansudewechakul, R. %A Ly, P. S. %A Truong, K. H. %A Nguyen, L. V. %A Puthanakit, T. %A Sudjaritruk, T. %A Chokephaibulkit, K. %A Do, V. C. %A Kumarasamy, N. %A Yusoff, N. K. N. %A Kurniati, N. %A Fong, M. S. %A Wati, D. K. %A Nallusamy, R. %A Sohn, A. H. %A Kariminia, A. %A Khol, V. %A Tucker, J. %A Ezhilarasi, C. %A Kinikar, A. %A Mave, V. %A Nimkar, S. %A Vedaswari, D. %A Ramajaya, I. B. %A Fong, S. M. %A Lim, M. %A Daut, F. %A Mohamad, P. %A Mohamed, T. J. %A Drawis, M. R. %A Chan, K. C. %A Sirisanthana, V. %A Aurpibul, L. %A Ounchanum, P. %A Denjanta, S. %A Kongphonoi, A. %A Kosalaraksa, P. %A Tharnprisan, P. %A Udomphanit, T. %A Jourdain, Gonzague %A Anugulruengkit, S. %A Jantarabenjakul, W. %A Nadsasarn, R. %A Phongsamart, W. %A Sricharoenchai, S. %A Nguyen, C. H. %A Ha, T. M. %A Khu, D. T. K. %A Pham, A. N. %A Nguyen, L. T. %A Le, O. N. %A Ross, J. L. %A Suwanlerk, T. %A Law, M. G. %A TREAT Asia Pediatric HIV Observational Database of IeDEA Asia-Pacific %T Dual analysis of loss to follow-up for perinatally HIV-infected adolescents receiving combination antiretroviral therapy in Asia %D 2019 %L fdi:010077837 %G ENG %J JAIDS %@ 1525-4135 %K HIV ; adolescent ; loss to follow-up %K CAMBODGE ; INDE ; INDONESIE ; MALAISIE ; THAILANDE ; VIET NAM %M ISI:000509686000004 %N 5 %P 431-438 %R 10.1097/qai.0000000000002184 %U https://www.documentation.ird.fr/hor/fdi:010077837 %> https://www.documentation.ird.fr/intranet/publi/2020/02/010077837.pdf %V 82 %W Horizon (IRD) %X Background: Perinatally HIV-infected adolescents (PHIVA) are an expanding population vulnerable to loss to follow-up (LTFU). Understanding the epidemiology and factors for LTFU is complicated by varying LTFU definitions. Setting: Asian regional cohort incorporating 16 pediatric HIV services across 6 countries. Methods: Data from PHIVA (aged 10-19 years) who received combination antiretroviral therapy 2007-2016 were used to analyze LTFU through (1) an International epidemiology Databases to Evaluate AIDS (IeDEA) method that determined LTFU as >90 days late for an estimated next scheduled appointment without returning to care and (2) the absence of patient-level data for >365 days before the last data transfer from clinic sites. Descriptive analyses and competing-risk survival and regression analyses were used to evaluate LTFU epidemiology and associated factors when analyzed using each method. Results: Of 3509 included PHIVA, 275 (7.8%) met IeDEA and 149 (4.3%) met 365-day absence LTFU criteria. Cumulative incidence of LTFU was 19.9% and 11.8% using IeDEA and 365-day absence criteria, respectively. Risk factors for LTFU across both criteria included the following: age at combination antiretroviral therapy initiation <5 years compared with age >= 5 years, rural clinic settings compared with urban clinic settings, and high viral loads compared with undetectable viral loads. Age 10-14 years compared with age 15-19 years was another risk factor identified using 365-day absence criteria but not IeDEA LTFU criteria. Conclusions: Between 12% and 20% of PHIVA were determined LTFU with treatment fatigue and rural treatment settings consistent risk factors. Better tracking of adolescents is required to provide a definitive understanding of LTFU and optimize evidence-based models of care. %$ 052 ; 050