ArticleJournal of general internal medicine2001
Relation of physician specialty and HIV/AIDS experience to choice of guideline-recommended antiretroviral therapy.
Article in Journal of general internal medicine, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
29 citing papers in PubMed.
- The relationship between reincarceration and treatment of opioid use disorder with extended-release naltrexone among persons with HIV.Drug and alcohol dependence reports · 2023Article
- Assessment of Second-Generation Diabetes Medication Initiation Among Medicare Enrollees From 2007 to 2015.JAMA network open · 2020Article
- The problems of smaller, rural and remote hospitals: Separating facts from fiction.Future healthcare journal · 2020Article
- Acute coronary syndrome patients admitted to a cardiology vs non-cardiology service: variations in treatment & outcome.BMC health services research · 2017Observational
- Barriers to Universal Prescribing of Antiretroviral Therapy by HIV Care Providers in the United States, 2013-2014.Journal of acquired immune deficiency syndromes (1999) · 2017Article
- Qualifications, Demographics, Satisfaction, and Future Capacity of the HIV Care Provider Workforce in the United States, 2013-2014.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016Article
- Quality of Care for HIV/AIDS and for Primary Prevention by HIV Specialists and Nonspecialists.AIDS patient care and STDs · 2016Article
- Article
- Optimization of human immunodeficiency virus treatment during incarceration: viral suppression at the prison gate.JAMA internal medicine · 2014Article
- Evaluation of the effectiveness of an outreach clinical mentoring programme in support of paediatric HIV care scale-up in Botswana.AIDS care · 2013Article
- Antiretroviral medication errors remain high but are quickly corrected among hospitalized HIV-infected adults.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2012Article
- Influence of provider experience on antiretroviral adherence and viral suppression.HIV/AIDS (Auckland, N.Z.) · 2012Article
- Association of race, substance abuse, and health insurance coverage with use of highly active antiretroviral therapy among HIV-infected women, 2005.American journal of public health · 2010Article
- Survey of physician knowledge regarding antiretroviral medications in hospitalized HIV-infected patients.Journal of the International AIDS Society · 2009Article
- Intensivists' base specialty of training is associated with variations in mortality and practice patterns.Critical care (London, England) · 2009Article
- Physician specialization and women's primary care services in an urban HIV clinic.AIDS patient care and STDs · 2008Article
- Do physician outcome judgments and judgment biases contribute to inappropriate use of treatments? Study protocol.Implementation science : IS · 2007Article
- Racial and ethnic disparities in access to physicians with HIV-related expertise.Journal of general internal medicine · 2005Article
- Medical speciality and pattern of medicines prescription.European journal of clinical pharmacology · 2004Article
- Adherence counseling practices of generalist and specialist physicians caring for people living with HIV/AIDS in North Carolina.Journal of general internal medicine · 2004Article
Corrections and comments
- Commented on by
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundControversy exists regarding who should provide care for those with HIV/AIDS. While previous studies have found an association between physician HIV experience and patient outcomes, less is known about the relationship of physician specialty to HIV/AIDS outcomes or quality of care.
objectiveTo examine the relationship between choice of appropriate antiretroviral therapy (ART) to physician specialty and HIV/AIDS experience.
designSelf-administered physician survey.
participantsRandom sample of 2,478 internal medicine (IM) and infectious disease (ID) physicians. MEASUREMENTS: Choice of guideline-recommended ART.
resultsTwo patients with HIV disease, differing only by CD4+ count and HIV RNA load, were presented. Respondents were asked whether ART was indicated, and if so, what ART regimen they would choose. Respondents' ART choices were categorized as "recommended" or not by Department of Health and Human Services guidelines. Respondents' HIV/AIDS experience was categorized as moderate to high (MOD/HI) or none to low (NO/LO). For Case 1, 72.9% of responding physicians chose recommended ART. Recommended ART was more likely (P <.01) to be chosen by ID physicians (88.2%) than by IM physicians (57.1%). Physicians with MOD/HI experience were also more likely (P <.01) to choose recommended ART than those with NO/LO experience. Finally, choice of ART was examined using logistic regression: specialty and HIV experience were found to be independent predictors of choosing recommended ART (for ID physicians, odds ratio [OR], 4.66; 95% confidence interval [95% CI], 3.15 to 6.90; and for MOD/HI experience, OR, 2.05; 95% CI, 1.33 to 3.16). Results for Case 2 were similar. When the analysis was repeated excluding physicians who indicated they would refer the HIV "patient," specialty and HIV experience were not significant predictors of choosing recommended ART.
conclusionsGuideline-recommended ART appears to be less likely to be chosen by generalists and physicians with less HIV/AIDS experience, although many of these physicians report they would refer these patients in clinical practice. These results lend support to current recommendations for routine expert consultant input in the management of those with HIV/AIDS.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.