Table 6: Estimates for square root CD4 cell count decline using the main mixed model and for time to initiation of antiretroviral therapy using an exponential accelerated failure time (AFT) model, as separate models and as a joint model (patients from the Aquitaine cohort are excluded from all models)
VariableSeparate model estimate
(95% CI)
Joint model estimate
(95% CI)
Mixed model
Starting CD4 cell count, cells/μL*†
Reference patient*21.88 (21.47 to 22.29)22.02 (21.60 to 22.43)
Female–0.20 (–0.49 to 0.08)–0.24 (–0.51 to 0.04)
Injection drug use†–1.16 (–1.50 to –0.82)–1.12 (–1.49 to –0.78)
Age (per 10 yr)–0.19 (–0.29 to –0.08)–0.18 (–0.29 to –0.07)
Log10 HIV RNA (per log copy)–1.51 (–1.62 to –1.40)–1.51 (–1.62 to –1.40)
Cohort (reference ROC)‡
EuroSIDA1.55 (0.88 to 2.21)1.36 (0.69 to 2.03)
HOMER–0.77 (–1.32 to –0.23)–0.98 (–1.53 to –0.43)
SHCS1.10 (0.66 to 1.55)0.95 (0.50 to 1.39)
UK CHIC0.82 (0.41 to 1.24)0.71 (0.29 to 1.13)
Viral subtype (reference subtype B)
A–0.69 (–1.20 to –0.18)–0.63 (–1.12 to –0.14)
AE–0.24 (–0.88 to 0.40)–0.20 (–0.81 to 0.40)
AG–0.43 (–0.98 to 0.11)–0.39 (–0.91 to 0.13)
C–0.78 (–1.18 to –0.38)–0.71 (–1.10 to –0.33)
–0.58 (–1.43 to 0.27)
African ancestry–1.57 (–1.91 to –1.23)–1.60 (–1.94 to –1.25)
Rate of CD4 cell count decline, (cells/μL)/yr*†
Reference patient*–1.23 (–1.27 to –1.19)–1.29 (–1.34 to –1.25)
Female–0.08 (–0.19 to 0.02)–0.13 (–0.23 to –0.02)
Injection drug use†–0.10 (–0.22 to 0.02)–0.16 (–0.28 to –0.04)
Age (per 10 yr)–0.09 (–0.13 to –0.05)–0.11 (–0.15 to –0.07)
Log10 HIV RNA (per log copy)–0.28 (–0.32 to –0.23)–0.30 (–0.34 to –0.26)
Subtype (reference subtype B)
A0.06 (–0.13 to 0.25)0.08 (–0.10 to 0.26)
AE–0.03 (–0.26 to 0.21)–0.01 (–0.24 to 0.21)
AG0.17 (–0.04 to 0.39)0.17 (–0.04 to 0.38)
C0.11 (–0.04 to 0.27)0.14 (0.00 to 0.29)
0.02 (–0.32 to 0.36)
African ancestry0.37 (0.25 to 0.50)0.29 (0.17 to 0.42)
AFT model
Reference patient*1.60 (1.44 to 1.76)1.81 (1.62 to 2.00)
Female–0.21 (–0.31 to –0.11)–0.26 (–0.38 to –0.15)
Injection drug use†0.04 (–0.08 to 0.17)–0.05 (–0.19 to 0.10)
Age (per 10 yr)–0.07 (–0.11 to –0.03)–0.11 (–0.15 to –0.06)
Log10 HIV RNA–0.37 (–0.41 to –0.32)–0.54 (–0.60 to –0.48)
Cohort (reference ROC)‡
EuroSIDA0.01 (–0.24 to 0.26)0.05 (–0.23 to 0.33)
HOMER–0.14 (–0.35 to 0.07)–0.10 (–0.34 to 0.14)
SHCS–0.10 (–0.28 to 0.07)–0.02 (–0.21 to 0.18)
UK CHIC0.54 (0.37 to 0.71)0.62 (0.43 to 0.81)
Calendar time (per 10 yr)–0.66 (–0.78 to –0.53)–0.34 (–0.47 to –0.21)
African ancestry–0.10 (–0.21 to 0.02)–0.33 (–0.47 to –0.19)
CD4 cell count(square root)0.12 (0.11 to 0.13)0.02 (0.00 to 0.04)

Note: EuroSIDA is a prospective observational cohort study in 33 European countries and Israel and Argentina. HOMER = HAART Observational Medical Evaluation and Research study, SHCS = Swiss HIV Cohort Study, UK CHIC = UK Collaborative HIV Cohort study.
*Covariate adjustment implies a reference patient treated in a Canadian cohort, male, 35 years old, not infected through injection drug use, with a starting HIV RNA of 4 log 10 copies, infected with viral subtype B and not of African ancestry.
†The most likely mode of HIV transmission.
‡Rest of Canada (ROC; Calgary, Hamilton, Montréal, Ottawa and Toronto cohorts).
§A joint model including patients with viral subtype G gave implausible parameter estimates.