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. 2009 Jun 25;39(4):973–979. doi: 10.1093/ije/dyp233

Table 2.

Summary of the components of each CRF used for paediatric patients in the China NFATP

Initial assessment Follow-upa Treatment termination Medicationb Transfer of clinical care
Patient name and ID X X X X X
Current treatment ID X X X X X
Treatment site location code X X X X X
Patient demographics
    Date of birth X
    Gender X
Examination
    Pre-treatment symptoms and diseasesc X
    Current symptoms and diseases X X
    Current height, weight and head circumference X
    Height, weight and head circumference at birth X
    Laboratory test resultsd X X
HIV status
    Date of HIV diagnosis X
    Route of HIV infection X
    PMTCT therapy X
    WHO clinical stage X
Treatment status
    Duration of follow-up X X
    ART payment source X
    ART regimens at initiation X
    Use of TMP-SMZ X X X
    Current ART regimen X
    Current regimen initiation date X X
    ART drug and SMZ specificse X
    Self-reported adherence X
    Reason for regimen changef X
    Concurrent use of other drugsg X X
    ART adverse side effects X
Termination
    Type of terminationh X
    Cause of termination X
    Date of termination event X
    Cause of death X
    Adverse side effects caused by termination X

aFollow-up is performed at 0.5, 1, 2 and 3 months after ART initiation, once every 3 months thereafter.

bCompleted at treatment initiation, change of regimen dosage/medication type, and change of regimen.

cClassified into WHO HIV disease stages.

dLaboratory tests include: CD4 count, viral load, hematology, immunology, liver function, PPD, HBsAg, anti-HCV.

eDrug code, dosage form, amount per dose and frequency.

fContinuing initial regimen with same dosage, continuing initial regimen with change in dosage/medication type, or regimen change.

gAnti-TB drugs, Traditional Chinese Medicine, TMP-SMZ, others.

hMortality, medication discontinuation, lost to follow-up and transfer of clinical care.

PMTCT = Prevention of mother-to-child transmission; TMP-SMZ = trimethoprim-sulfamethoxazole.