Evidence map›Paper›PMID 22614935›Full record

ArticleJournal of addiction medicine2012

Buprenorphine for human immunodeficiency virus/hepatitis C virus-coinfected patients: does it serve as a bridge to hepatitis C virus therapy?

Lynn E Taylor, Michaela A Maynard, Peter D Friedmann, Cynthia J Macleod, Josiah D Rich, Timothy P Flanigan, Diana L Sylvestre

Abstract readCase Reports
In one paragraph

Article in Journal of addiction medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Integrating HIV and substance use services: a systematic review.Journal of the International AIDS Society · 2017
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. 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 at 2 institutions in 1 country.

Lynn E TaylorThe Warren Alpert Medical School of Brown University/Miriam Hospital, 164 Summit Avenue, Center for AIDS Research Building Room 156, Providence, RI 02906, USA. LTaylor@Lifespan.org
Michaela A Maynard
Peter D Friedmann
Cynthia J Macleod
Josiah D Rich
Timothy P Flanigan
Diana L Sylvestre
Island Institute · USMiriam Hospital · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Nutrition and Metabolism CoreP30DA013868 · NIDA · TUFTS UNIVERSITY BOSTON · PI WANKE, CHRISTINE A · 2002 to 2012
$10.0M
Buprenorphine as a Bridge to HCV Treatment for HIV/HCV Coinfected Opioid UsersK23DA020383 · NIDA · MIRIAM HOSPITAL · PI TAYLOR, LYNN ERICA · 2008 to 2012
$882k
HCV Treatment of IDUs after Buprenorphine StabilizationR01DA015629 · NIDA · ORGAN TO ACHIEVE SOL IN SUBSTANCE-ABUSE · PI SYLVESTRE, DIANA L · 2002 to 2004
$776k
NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI42853NIDA NIH HHS K23 DA020383NIDA NIH HHS K23DA020383NIDA NIH HHS P30 DA013868NIDA NIH HHS R01 DA015629NIDA NIH HHS R01DA015629
6 · The paper itself

Abstract

objectivesBuprenorphine is associated with enhanced human immunodeficiency virus (HIV) treatment outcomes including increased antiretroviral therapy initiation rates, adherence, and CD4 cell counts among HIV-infected opioid-dependent individuals. Buprenorphine facilitates hepatitis C virus (HCV) treatment in opioid-dependent patients with HCV monoinfection. Less is known about buprenorphine's role in HIV/HCV coinfection.

methodsWe conducted a retrospective chart review to evaluate HCV care for HIV-infected buprenorphine patients in the first 4 years of buprenorphine's integration into a Rhode Island HIV clinic.

resultsSixty-one patients initiated buprenorphine. All had HCV antibody testing; 57 (93%) were antibody-positive. All antibody-positive patients underwent HCV RNA testing; 48 (84%) were RNA-positive. Of these, 15 (31%) were not referred to HCV care. Among chronically infected patients, 3 received HCV treatment after buprenorphine; all had cirrhosis and none achieved viral eradication. At buprenorphine induction, most patients had inadequately controlled HIV infection, with detectable HIV RNA (59%) or CD4 cell count less than or equal to 350/μL (38%).

conclusionsBuprenorphine has shown limited success to date as a bridge to HCV treatment within an HIV clinic. Buprenorphine's stabilization of opioid dependence and HIV disease may permit the use of HCV therapy over time.

Indexed as

Opiate Substitution TreatmentAdultAntiretroviral Therapy, Highly ActiveAntiviral AgentsBuprenorphineBuprenorphine, Naloxone Drug CombinationComorbidityDose-Response Relationship, DrugDrug Administration ScheduleDrug CombinationsHepatitis C, ChronicHIV InfectionsHumansMaleMiddle AgedNaloxoneAntiviral AgentsBuprenorphineBuprenorphine, Naloxone Drug CombinationDrug CombinationsNaloxoneNarcotics

Identifiers

PMID22614935
PMCPMC4209296
OpenAlexW2075388149

What OpenQuestion holds

Textmetadata
LicenceTDM
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.