Evidence map›Paper›PMID 21823907›Full record

ArticleAIDS patient care and STDs2011

Patient and provider characteristics associated with the decision of HIV coinfected patients to start hepatitis C treatment.

Karen Chan Osilla, Glenn Wagner, Jeffrey Garnett, Bonnie Ghosh-Dastidar, Mallory Witt, Laveeza Bhatti, Matthew Bidwell Goetz

Abstract readMulticenter Study
In one paragraph

Article in AIDS patient care and STDs, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Formal hepatitis C education enhances HCV care coordination, expedites HCV treatment and improves antiviral response.Liver international : official journal of the International Association for the Study of the Liver · 2013
    Article
  10. Review
  11. Article
  12. Article
  13. Provider and patient correlates of provider decisions to recommend HCV treatment to HIV co-infected patients.Journal of the International Association of Physicians in AIDS Care (Chicago, Ill. : 2002)
    Article
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

7 authors.

Karen Chan OsillaRAND Corporation, Santa Monica, California 90407, USA.
Glenn Wagner
Jeffrey Garnett
Bonnie Ghosh-Dastidar
Mallory Witt
Laveeza Bhatti
Matthew Bidwell Goetz

Funding

Enhancing HCV Treatment Decisions in HIV Co-Infected Patients and Their ProvidersR21MH078740 · NIMH · RAND CORPORATION · PI WAGNER, GLENN JOHN · 2008 to 2009
$432k
NIMH NIH HHS R21 MH078740
6 · The paper itself

Abstract

Hepatitis C (HCV) and HIV coinfection is common and liver disease is a leading cause of morbidity and mortality among coinfected patients. Despite advances in HCV treatment, few HIV coinfected patients actually initiate treatment. We examined patient and provider characteristics associated with a patient's decision to accept or refuse HCV treatment once offered. We conducted patient chart abstraction and surveys with 127 HIV coinfected patients who were offered HCV treatment by their provider and surveys of their HCV care providers at three HIV clinics. Participants were mostly male (87%), minority (66%), and had a history of injection drug use (60%). Most had been diagnosed with HIV for several years (X=13.7 years) and reported HIV transmission through unprotected sex (47%). Of the 127 patients, 79 accepted treatment. In multivariate analysis, patients who had a CD4 greater than 200 cells/mm(3) and a provider with more confidence about HCV treatment were more likely to accept the recommendation to start treatment; younger age was marginally associated with treatment acceptance. In bivariate analysis, added correlates of treatment acceptance included male gender, no recent drug use, and several provider attitudes regarding treatment and philosophy about determination of patient treatment readiness. Patient and provider characteristics are important when understanding a patient's decision to start or defer HCV treatment. Further research is needed to better understand barriers to treatment uptake as new and more effective HCV treatments will soon be available.

Indexed as

Professional-Patient RelationsAdultAntiviral AgentsCD4 Lymphocyte CountHepatitis CHIV InfectionsHumansMaleMiddle AgedPsychologyTreatment RefusalAntiviral Agents

Identifiers

PMID21823907
PMCPMC3157303

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.