Jason Asselin gave us a comprehensive overview of ACCESS, a national registry designed to pull HIV data from primary health care, sexual health clinic and the laboratory.
- his study included patients who had viral load testing within the last 12 months
- the last VL for the year was used to allow more patients to be included
- VL testiong as part of diagnosis was excluded
- demographics: males were older, females were younger
- results
- citeria for undetectable VL was met for 71% (2009) => 87% (2014)
- porportion of patients with a high viral load decreased
- similar outcomes for M vs F
- patients <40 years old were less like to achieve VL suppression compared to older patients
- weaknesses
- does not capture patients who did not engage in health service
- ACCESS will be rolled out nationally from Jul ’16 – Jun’19
- we can look forward to more comprehensive data