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Same-day ART start improves HIV outcomes

Rapid ART initiation raised 90-day treatment start and 10-month viral suppression versus standard multi-visit initiation.

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What was RapIT?

An unblinded individually randomised trial of rapid ART initiation.

Source: Initiating Antiretroviral Therapy for HIV at a Patient's First Clinic Visit: The RapIT Randomized Controlled Trial · DOI · quote verified

90-day ART initiation rates?

97% rapid vs 72% standard.

Source: Initiating Antiretroviral Therapy for HIV at a Patient's First Clinic Visit: The RapIT Randomized Controlled Trial · DOI · quote verified

10-month viral suppression?

64% rapid vs 51% standard.

Source: Initiating Antiretroviral Therapy for HIV at a Patient's First Clinic Visit: The RapIT Randomized Controlled Trial · DOI · quote verified

Absolute suppression difference?

About 13 percentage points.

Source: Initiating Antiretroviral Therapy for HIV at a Patient's First Clinic Visit: The RapIT Randomized Controlled Trial · DOI · quote verified

Absolute initiation difference?

About 25 percentage points by 90 days.

Source: Initiating Antiretroviral Therapy for HIV at a Patient's First Clinic Visit: The RapIT Randomized Controlled Trial · DOI · quote verified

Why does rapid start matter?

It cuts loss between testing and treatment that otherwise delays ART.

Source: Initiating Antiretroviral Therapy for HIV at a Patient's First Clinic Visit: The RapIT Randomized Controlled Trial · DOI · quote verified

Limitation?

Two public clinics; results may not transfer everywhere.

Source: Initiating Antiretroviral Therapy for HIV at a Patient's First Clinic Visit: The RapIT Randomized Controlled Trial · DOI · quote verified