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The estimation of long and short term survival time and associated factors of HIV patients using mixture cure rate models
by
Poorolajal, Jalal
, Ghobadi, Khadijeh Najafi
, Shakiba, Ebrahim
, Mahjub, Hossein
, KHassi, Kaivan
, Roshanaei, Ghodratollah
in
Acquired immune deficiency syndrome
/ AIDS
/ Antiretroviral drugs
/ Censorship
/ Cure fraction
/ Event history analysis
/ Frailty
/ Health Sciences
/ HIV
/ HIV Infections - drug therapy
/ HIV patients
/ Human immunodeficiency virus
/ Humans
/ Immune system
/ Iran - epidemiology
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Methods
/ Mixture cure frailty model
/ Mixture cure model
/ Models, Statistical
/ Prognosis
/ Statistical models
/ Statistical Theory and Methods
/ Statistics
/ Statistics for Life Sciences
/ Survival analysis
/ Theory of Medicine/Bioethics
/ Tuberculosis
2023
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The estimation of long and short term survival time and associated factors of HIV patients using mixture cure rate models
by
Poorolajal, Jalal
, Ghobadi, Khadijeh Najafi
, Shakiba, Ebrahim
, Mahjub, Hossein
, KHassi, Kaivan
, Roshanaei, Ghodratollah
in
Acquired immune deficiency syndrome
/ AIDS
/ Antiretroviral drugs
/ Censorship
/ Cure fraction
/ Event history analysis
/ Frailty
/ Health Sciences
/ HIV
/ HIV Infections - drug therapy
/ HIV patients
/ Human immunodeficiency virus
/ Humans
/ Immune system
/ Iran - epidemiology
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Methods
/ Mixture cure frailty model
/ Mixture cure model
/ Models, Statistical
/ Prognosis
/ Statistical models
/ Statistical Theory and Methods
/ Statistics
/ Statistics for Life Sciences
/ Survival analysis
/ Theory of Medicine/Bioethics
/ Tuberculosis
2023
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The estimation of long and short term survival time and associated factors of HIV patients using mixture cure rate models
by
Poorolajal, Jalal
, Ghobadi, Khadijeh Najafi
, Shakiba, Ebrahim
, Mahjub, Hossein
, KHassi, Kaivan
, Roshanaei, Ghodratollah
in
Acquired immune deficiency syndrome
/ AIDS
/ Antiretroviral drugs
/ Censorship
/ Cure fraction
/ Event history analysis
/ Frailty
/ Health Sciences
/ HIV
/ HIV Infections - drug therapy
/ HIV patients
/ Human immunodeficiency virus
/ Humans
/ Immune system
/ Iran - epidemiology
/ Medical prognosis
/ Medicine
/ Medicine & Public Health
/ Methods
/ Mixture cure frailty model
/ Mixture cure model
/ Models, Statistical
/ Prognosis
/ Statistical models
/ Statistical Theory and Methods
/ Statistics
/ Statistics for Life Sciences
/ Survival analysis
/ Theory of Medicine/Bioethics
/ Tuberculosis
2023
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The estimation of long and short term survival time and associated factors of HIV patients using mixture cure rate models
Journal Article
The estimation of long and short term survival time and associated factors of HIV patients using mixture cure rate models
2023
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Overview
Background
HIV is one of the deadliest epidemics and one of the most critical global public health issues. Some are susceptible to die among people living with HIV and some survive longer. The aim of the present study is to use mixture cure models to estimate factors affecting short- and long-term survival of HIV patients.
Methods
The total sample size was 2170 HIV-infected people referred to the disease counseling centers in Kermanshah Province, in the west of Iran, from 1998 to 2019. A Semiparametric PH mixture cure model and a mixture cure frailty model were fitted to the data. Also, a comparison between these two models was performed.
Results
Based on the results of the mixture cure frailty model, antiretroviral therapy, tuberculosis infection, history of imprisonment, and mode of HIV transmission influenced short-term survival time (
p
-value < 0.05). On the other hand, prison history, antiretroviral therapy, mode of HIV transmission, age, marital status, gender, and education were significantly associated with long-term survival (
p
-value < 0.05). The concordance criteria (K-index) value for the mixture cure frailty model was 0.65 whereas for the semiparametric PH mixture cure model was 0.62.
Conclusion
This study showed that the frailty mixture cure models is more suitable in the situation where the studied population consisted of two groups, susceptible and non-susceptible to the event of death. The people with a prison history, who received ART treatment, and contracted HIV through injection drug users survive longer. Health professionals should pay more attention to these findings in HIV prevention and treatment.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
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