Evidence map›Paper›PMID 17720660›Full record

ArticleHIV clinical trials

Antiretroviral treatment regimen outcomes among HIV-infected prisoners.

Sandra A Springer, Gerald H Friedland, Gheorghe Doros, Edward Pesanti, Frederick L Altice

Open access · bronzeAbstract read
In one paragraph

Article in HIV clinical trials. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
0.9field-weighted citation impact, top 30% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Sandra A SpringerYale University AIDS Program, New Haven, CT 06510-2283, USA. Sandra.springer@yale.edu
Gerald H Friedland
Gheorghe Doros
Edward Pesanti
Frederick L Altice
Yale University · USUniversity of Connecticut · US

Funding

Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
Opiate Dependence, HIV and Adherence InterventionsK23DA019381 · NIDA · YALE UNIVERSITY · PI SPRINGER, SANDRA ANN · 2005 to 2009
$874k
NIDA NIH HHS K23 DA019381NIDA NIH HHS K23-DA019381NIDA NIH HHS K24 DA017072NIDA NIH HHS K24-DA017072
6 · The paper itself

Abstract

backgroundDespite the high prevalence of HIV in correctional settings, the duration of therapy and response to various highly active antiretroviral therapy (HAART) regimens in this setting is unknown.

methodUsing a retrospective cohort study (1997-2002) of HIV-infected prisoners in Connecticut that linked demographic, pharmacy, and laboratory data, we compared HIV-1 RNA (VL) and CD4 lymphocyte responses to four treatment strategies at baseline and at the end of incarceration.

resultsUsing an analysis of 1,044 incarceration periods or 1,099 subjects for whom 6 months of continuous data were available, HAART regimens that included a triple NRTI, two NRTIs + either a PI or NNRTI, or a three-class (NRTI+NNRTI+PI) strategy demonstrated no difference in virological and immunological outcomes. The proportion of subjects who were initiated with NRTI, NNRTI, PI, or three-class regimens were 14%, 32%, 46%, and 8%, respectively. For all study groups, the mean change from baseline in CD4 and VL was +74 cells/muL and -0.93 log(10) copies/mL (p < .0001), respectively. Overall, 59% of subjects had an HIV-1 RNA level below the level of detection (<400 copies/mL) by the end of their incarceration. Using Kaplan-Meier curves to examine the time to change in the initial HAART strategy over the incarceration period, the three-class strategy was significantly more likely to be changed earlier than all others (p < .05).

conclusionAlthough the three-class strategy was less durable, initiating HAART with any strategy resulted in similar and impressive virological and immunological outcomes by the end of incarceration, further supporting prison as an important site for the initiation and provision of effective antiretroviral therapy.

Indexed as

Antiretroviral Therapy, Highly ActiveAdultAnti-HIV AgentsCD4 Lymphocyte CountCohort StudiesConnecticutFemaleHIV-1HIV InfectionsHumansKaplan-Meier EstimateMalePrisonersRetrospective StudiesReverse Transcriptase InhibitorsTreatment OutcomeAnti-HIV AgentsReverse Transcriptase Inhibitors

Identifiers

PMID17720660
PMCPMC2409059
OpenAlexW2091771893

What OpenQuestion holds

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Registered trials

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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.