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Table 1 Characteristics of five inception cohorts of HAART initiators (2008–2012)

From: Five-year trends in treatment changes in an adult cohort of HIV/AIDS patients in Ghana: a retrospective cohort study

Variable

2008 (%)

N = 836

2009 (%)

N = 810

2010 (%)

N = 804

2011 (%)

N = 753

2012 (%)

N = 730

p-value

WHO stage

      

 I

11 (1.3)

18 (2.2)

108 (13.5)

110 (14.6)

155 (21.2)

<0.0001

 II

164 (19.6)

66 (8.2)

133 (16.6)

148 (19.7)

150 (20.6)

 

 III

105 (12.7)

50 (7.4)

221 (27.5)

343 (45.5)

313 (42.9)

 

 IV

71 (8.5)

52 (6.4)

123 (15.3)

143 (19.0)

102 (14.0)

 

 Missing

485 (57.9)

614 (65.8)

218 (27.1)

9 (1.2)

10 (1.4)

 

Age group

      

  ≤ 25 years

37 (4.4)

37 (4.6)

35 (4.4)

45 (6.0)

45 (6.2)

0.0990

 26–35

253 (30.3)

247 (30.5)

218 (27.1)

205 (27.2)

189 (25.9)

 

 36–45

265 (31.7)

258 (31.8)

255 (31.8)

246 (32.7)

227 (31.1)

 

 46–55

154 (18.4)

130 (16.0)

148 (18.4)

131 (17.4)

145 (19.9)

 

 56–65

37 (4.4)

29 (3.6)

48 (6.0)

30 (4.0)

48 (6.6)

 

  > 65

90 (10.8)

109 (13.5)

99 (12.3)

96 (12.8)

76 (10.4)

 

Gender

      

 Male

290 (34.7)

301 (37.2)

289 (36.0)

252 (33.5)

241 (33.0)

0.3995

 Female

546 (65.3)

509 (62.8)

515 (64.0)

501 (66.5)

489 (70.0)

 

Initial treatment

      

 AZT/3TC/EFV

331 (39.6)

263 (32.5)

271 (33.7)

286 (38.0) 147

317 (42.4)

<0.0001

 AZT/3TC/NVP

238 (28.5)

193 (23.8)

166 (20.7)

(19.5)

154 (21.1)

 

 d4T/3TC/EFV

154 (18.4)

208 (25.7)

239 (29.7)

117 (15.5)

0 (0)

 

 d4T/3TC/NVP

101 (12.1)

137 (16.9)

103 (12.8)

58 (7.7)

0 (0)

 

 TDF/3TC/EFV

3 (0.4)

2 (0.3)

7 (0.9)

100 (13.3)

202 (27.7)

 

 TDF/3TC/NVP

0

1 (0.1)

3 (0.4)

26 (3.5)

41 (5.6)

 

 OTHER

9 (1.1)

6 (0.7)

15 (1.9)

19 (2.5)

16 (2.2)

 

Recorded death

      
 

32 (3.8)

65 (8.0)

52 (6.5)

44 (5.8)

44 (6.0)

Number of treatment changes

( N = 234)

( N = 240)

( N = 280)

( N = 171)

( N = 35)

 

 AZT/3TC/EFV

41 (17.5)

19 (7.9)

21 (7.5)

20 (11.7)

16 (45.7)

<0.0001

 AZT/3TC/NVP

26 (11.1)

23 (9.6)

13 (4.6)

15 (8.8)

13 (37.1)

 

 d4T/3TC/EFV

98 (41.9)

118 (49.2)

158 (56.6)

87 (50.9)

0

 

 d4T/3TC/NVP

66 (28.2)

80 (33.3)

84 (29.9)

40 (23.4)

0

 

 TDF/3TC/EFV

1 (0.4)

0

1 (0.4)

1 (0.6)

2 (5.7)

 

 TDF/3TC/NVP

0

0

0

1 (0.6)

2 (5.7)

 

 OTHER

2 (0.9)

0

3 (1.1)

7 (4.1)

2 (5.7)

 

Log-rank test for treatment type

      
 

<0.0001

<0.0001

<0.0001

<0.0001

0.012

 
  1. There was an increasing trend in treatment change with increasing disease severity. Although treatment change among WHO stage II patients was lower than that of WHO stage I patients, this was not significant (p-value = 0.189)
  2. There was no trend among the different age groups and sex regarding treatment changes