Table 2. Estimated effects of the date of confirmed infection on the markers of disease progression.
Statistical model (dependent variable) | Number of patients | Estimate (per year) | 95% CI | p |
Rate of CD4 decline (cells/µL/year) | ||||
Unadjusted effect of date | 1423 | −1.69 | −2.29–−1.09 | <0.001 |
General linear model | 1279 | |||
Effect of date | −2.00 | −2.69–−1.31 | <0.001 | |
Date×(HET or MSM) | 0.89 | −0.02–1.81 | 0.056 | |
Mixed-effect model | 1889 | |||
Effect of date | −1.86 | −2.47–−1.25 | <0.001 | |
Date×MSM | 1.10 | −0.01–2.22 | 0.05 | |
Viral setpoint (log10 RNA copies/mL) | ||||
Unadjusted effect of date | 785 | 0.062 | 0.038–0.085 | <0.001 |
General linear model | 785 | |||
Effect of date | 0.043 | 0.019–0.066 | <0.001 | |
Rate of CD4 decline in patients with setpoint data (cells/µL/year) | ||||
Unadjusted effect of date | 484 | −3.71 | −5.52–−1.90 | <0.001 |
General linear model | 484 | |||
Effect of date (unadjusted for setpoint) | −4.42 | −6.21–−2.63 | <0.001 | |
Effect of date (adjusted for setpoint) | −3.44 | −5.19–−1.68 | <0.001 | |
Mixed-effect model | 1120 | |||
Effect of date (unadjusted for setpoint) | −3.85 | −4.33–−3.37 | <0.001 | |
Effect of date (adjusted for setpoint) | −3.35 | −3.85–−2.85 | <0.001 |
General linear models of the rate of CD4 decline were fitted to the estimated CD4 slopes per patient; mixed-effect models were fitted to the original CD4 count data. Date refers to the earliest date of confirmed infection in each patient. Further co-factors included gender, riskgroup, baseline CD4 count, age and interaction terms; stepwise elimination of non-significant factors was performed based on likelihood ratio tests. Effects not related to date are not shown.
CI, confidence interval; HET, heterosexual; MSM, men having sex with men.