Publications by authors named "Kara G Marson"
Background: Retesting for HIV is critical to identifying newly-infected persons and reinforcing prevention efforts among at-risk adults. Incentives can increase one-time HIV testing, but their role in promoting retesting is unknown. We sought to test feasibility and acceptability of incentive strategies, including commitment contracts, to promote HIV retesting among at-risk adults in rural Uganda.
View Article and Find Full Text PDFEffect of Cryotherapy vs Loop Electrosurgical Excision Procedure on Cervical Disease Recurrence Among Women With HIV and High-Grade Cervical Lesions in Kenya: A Randomized Clinical Trial.
JAMA
October 2019
Article Synopsis
- The World Health Organization recommends cryotherapy or LEEP for women with CIN grade 2 or higher, but cryotherapy may be less effective for those living with HIV.
- A study conducted in Kenya evaluated the effectiveness of cryotherapy versus LEEP among 400 women with HIV and high-grade cervical lesions over a 24-month follow-up.
- Results showed that 30% of women treated with cryotherapy experienced disease recurrence compared to 19% in the LEEP group, indicating LEEP may be a more effective treatment option.
Background: Treatment of human immunodeficiency virus (HIV)-infected women to prevent cervical cancer may stimulate HIV RNA cervical shedding and risk HIV transmission.
Methods: From 2011 to 2014, 400 HIV-infected women diagnosed with cervical intraepithelial neoplasia 2/3 in Kenya were randomized to loop electrosurgical excision procedure (LEEP) or cryotherapy. Cervical samples were collected at baseline and 3 weekly intervals.
Background: Our medical center laboratory recently adapted its 24/7, two-hourly testing program to use an ARCHITECT-Multispot-viral load (AR-MS-VL) algorithm in place of a previous rapid test-immunofluorescence (RT-IF) algorithm.
Objectives: We evaluated screening test performance, acute case detection, turnaround time and ability to resolve HIV status under the new algorithm.
Study Design: We considered consecutive HIV tests from January to November 2015.
Objectives: The purpose of this study was to analyze characteristics, reasons for transferring, and reasons for discontinuing care among patients defined as lost to follow-up (LTFU) from an antiretroviral therapy (ART) clinic in Nairobi, Kenya.
Design: The study used a prospective cohort of patients who participated in a randomized, controlled ART adherence trial between 2006 and 2008.
Methods: Participants were followed from pre-ART clinic enrollment to 18 months after ART initiation, and were defined as LTFU if they failed to return to clinic 4 weeks after their last scheduled visit.