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. 2012 Jun 11;7(6):e38555. doi: 10.1371/journal.pone.0038555

Table 1. Operational definitions of variables associated with the new tools for measuring retention in care.

Variables Definition Numerator Denominator
Retention All patients who are not registered as deceased or lost to follow-up (LTFU) for any reason Number of patients alive and on ART Number of patients alive and on ART plus dead plus LTFU
Attrition This is the opposite of retention, and refers to patients who discontinue care and treatment due to either death or LTFU. Number of patients who either died or LTFU Number of patients alive and on ART plus dead plus LTFU
Loss to follow-up Patients who miss scheduled visits to the clinic within three months after the last visit. Not applicable (NA) NA
Transfer out It refers to the official transfer of the patient to another clinic NA NA
Transfer in It refers to the official transfer of the patient from another clinic NA NA
ART-age The number of years that the patient was on ART NA NA
ART-age group It refers to the age group that the patient belongs to based on the number of years the patient was taking ART during a specific the patient belongs to based on the calendar NA NA
ART-age cohort It refers to the cohort that number of years that the patient was taking ART by the end of a specific calendar NA NA
Current retention The retention rate during a specific “calendar” among patients who were on ART sometime during the “calendar”. The rate can be “ART-age group” specific or total. Number of patients alive and on ART by the end of the calendar Number of patients alive and on ART by the end of the calendar plus number of patients who died plus LTFU during the calendar
Cohort retention The retention rate by the end of a specific “calendar” among a cohort of patients ever started on ART and followed longitudinally overtime. The rate can be “ART-age cohort” specific or total. The total “cohort retention” is similar to the cumulative retention rate. Number of patients alive and on ART by the end of the calendar. Note: The numerators for current retention and cohort retention are similar. Number of patients alive and on ART by the end of the calendar plus number of patients who died plus LTFU ever since patients were started on ART
Cumulative retention The total “cohort retention” by the end of the calendar among patients ever started on ART Number of patients alive and on ART by the end of the calendar The total number of patients ever started on ART.
Calendar The time during which or by the end of which the retention rate is measured (typically one year, e.g. 2008) NA NA
Probability of retention The probability that a patient would be retained after “Y” number of years on ART. NA NA

NA: Not applicable.