Evidence map›Paper›PMID 23687287›Full record

ArticleThe Journal of infectious diseases2013

Oral antiretroviral drugs as public health tools for HIV prevention: global implications for adherence, drug resistance, and the success of HIV treatment programs.

Ravindra K Gupta, Mark A Wainberg, Francoise Brun-Vezinet, Jose M Gatell, Jan Albert, Anders Sönnerborg, Jean B Nachega

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Treatment to Prevent HIV Transmission in Serodiscordant Couples in Henan, China, 2006 to 2012.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Article
  8. Identification of mechanistically distinct inhibitors of HIV-1 reverse transcriptase through fragment screening.Proceedings of the National Academy of Sciences of the United States of America · 2015
    Article
  9. Article
  10. Article
  11. Article
  12. 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 6 institutions in 7 countries.

Ravindra K GuptaDivision of Infection and Immunity, University College London, United Kingdom.
Mark A Wainberg
Francoise Brun-Vezinet
Jose M Gatell
Jan Albert
Anders Sönnerborg
Jean B Nachega
Karolinska Institutet · SEConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHôpital Bichat-Claude-Bernard · FRMcGill University · CAStellenbosch University · ZAUniversity College London · GB

Funding

Wellcome TrustWellcome Trust WT087537MAWellcome Trust WT093722MA
6 · The paper itself

Abstract

Recent data from studies on treatment as prevention (TasP) and preexposure prophylaxis (PrEP) show that antiretroviral drugs can be used in prevention, as well as in treatment. The movement from first-generation antiretroviral therapy (ART) coformulations based on thymidine analogues to second-generation ART coformulations based on tenofovir may coincide with future prevention strategies that also use tenofovir/emtricitabine, raising concerns regarding drug resistance. In published studies, failure of prophylaxis was associated with poor adherence and low plasma drug levels. Although rates of drug resistance in cases of failed prevention was low, regular human immunodeficiency virus (HIV) testing was undertaken in these clinical trials. Although legitimate concerns exist about ART adherence and drug resistance associated with PrEP and TasP in real-world settings, efforts to curb the continuing HIV epidemic through use of these novel prevention strategies should move forward because the development and approval of newer drugs reserved for prevention might take many more years. Efforts must be made to monitor ART adherence and to intervene through counseling and other means in order to optimize adherence and retention in care, whenever necessary. Finally, further research involving the generalized epidemic is needed to determine when suboptimal drug use may occur and when regular testing and monitoring of the long-term consequences of ART use may not be routine.

Indexed as

Drug Resistance, ViralAdenineAdministration, OralAnti-HIV AgentsCounselingDeoxycytidineDrug Therapy, CombinationEmtricitabineHIV-1HIV InfectionsHumansOrganophosphonatesPatient CompliancePublic HealthTenofovirAdenineAnti-HIV AgentsDeoxycytidineEmtricitabineOrganophosphonatesTenofoviradherenceantiretroviral drug resistancePrEPTasP

Identifiers

PMID23687287
PMCPMC3708737
OpenAlexW2073935925

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.