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However, the population of immunocompromised individuals is heterogeneous—the degree of immunosuppression depends on the underlying disease or the duration of the condition and the type of immunosuppressive treatment [3,17-19]. Moreover, there is a lack of consensus on how severity should be categorized among immunocompromised individuals (eg, who should be considered moderately vs severely immunocompromised) [9-11,15].
JMIR Res Protoc 2024;13:e52643
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This disagreement on what constitutes immunosuppression extends to how best to subdivide this heterogeneous population: out of the binary [4], continuum [5], and hierarchical [6] approaches available, there is currently no gold standard [7]. This inconsistency undermines ambitions for targeted care and disease surveillance as aggregate-level analysis dominates, and subtrends lose visibility [7].
JMIR Res Protoc 2024;13:e56271
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Immunosuppression was for the most part mild with median CD4+ cell count at 548/mm3 (IQR 426-719), and HIV RNA was predominately undetectable (136/139, 97.8% with available data). Most patients were HBe Ag negative (111/134, 82.8% with available data) and many had undetectable HBV DNA (124/132, 93.9% with available data) with a median HBV-DNA VL of 2.53 log10 IU/m L (IQR 2.53-2.95) for those with detectable HBV DNA. Most patients (114/147, 77.6%) underwent either TFV or TFV alafenamide–containing ART.
JMIR Res Protoc 2021;10(4):e24731
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