Evidence map›Paper›PMID 23714739›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2013

The potential impact of expanding antiretroviral therapy and combination prevention in Vietnam: towards elimination of HIV transmission.

Masaya Kato, Reuben Granich, Duong D Bui, Hoang V Tran, Patrick Nadol, David Jacka, Keith Sabin, Amitabh B Suthar, Fabio Mesquita, Ying Ru Lo and 1 more

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 7 pooled it
7.3field-weighted citation impact, top 2% 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.

NCT02356185 unknown statusnot on this mapstarted 2015, after this paper: background citation

Prevalence, Socio-demographic Correlates of Substance Use Disorders Among HIV-infected Adults in Cameroon, and Their Influence on Adherence to Antiretroviral Therapy and Immunological Feature: Study Protocol for a Retrospective Cohort Study

TypeobservationalSponsorGoulfey Health District UnitRan2015 to 2015Enrolled1,000ConditionsHIV
NCT03429842 completednot on this mapstarted 2015, after this paper: background citation

HIV Awal (Early) Testing & Treatment Indonesia Project Implementing 'Test and Treat' Strategies for HIV Treatment and Prevention in Key Populations in Indonesia: a Prospective Implementation Research Study (Phase 1 - Observational Phase)

TypeobservationalSponsorGadjah Mada UniversityRan2015 to 2017Enrolled2,071ConditionsHIV/AIDS
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 7 syntheses or guidelines pooled it, 69 citations in OpenAlex.

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  8. Scaling Up HIV Self-Testing and Linkage to Care Among Women Who Exchange Sex and/or Use Drugs in Kazakhstan.AIDS education and prevention : official publication of the International Society for AIDS Education · 2024
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  12. Spatial distribution and characteristics of HIV clusters in Ethiopia.Tropical medicine & international health : TM & IH · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 4 countries.

Masaya Kato*World Health Organization Vietnam Country Office, Hanoi, Vietnam; †World Health Organization HIV/AIDS Department, Geneva, Switzerland; ‡Vietnam Authority of HIV/AIDS Control, Ministry of Health, Hanoi, Vietnam; §Partners in Health Research, Hanoi, Vietnam; ‖US Center for Disease Prevention and Control Vietnam Country Office, Hanoi, Vietnam; ¶World Health Organization Regional Office for the Western Pacific Manila, Philippines; and #South African Centre for Epidemiological Modelling and Analysis, Geneva, Switzerland.
Reuben Granich
Duong D Bui
Hoang V Tran
Patrick Nadol
David Jacka
Keith Sabin
Amitabh B Suthar
Fabio Mesquita
Ying Ru Lo
Brian Williams
World Health Organization - Pakistan · PKWorld Health Organization · CHCenter for Creative Initiatives in Health and Population · VNThang Long University · VNWorld Health Organization Regional Office for the Western Pacific · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFew studies have assessed the effects of antiretroviral therapy (ART) to prevent HIV transmission in Asian HIV epidemics. Vietnam has a concentrated HIV epidemic with the highest prevalence among people who inject drugs. We investigated the impact of expanded HIV testing and counseling (HTC) and early ART, combined with other prevention interventions on HIV transmission.

methodsA deterministic mathematical model was developed using HIV prevalence trends in Can Tho province, Vietnam. Scenarios included offering periodic HTC and immediate ART with and without targeting subpopulations and examining combined strategies with methadone maintenance therapy and condom use.

resultsFrom 2011 to 2050, maintaining current interventions will incur an estimated 18,115 new HIV infections and will cost US $22.1 million (reference scenario). Annual HTC and immediate treatment, if offered to all adults, will reduce new HIV infections by 14,513 (80%) and will cost US $76.9 million. Annual HTC and immediate treatment offered only to people who inject drugs will reduce new infections by 13,578 (75%) and will cost only US $23.6 million. Annual HTC and immediate treatment for key populations, combined with scale-up of methadone maintenance therapy and condom use, will reduce new infections by 14,723 (81%) with similar costs (US $22.7 million). This combination prevention scenario will reduce the incidence to less than 1 per 100,000 in 14 years and will result in a relative cost saving after 19 years.

conclusionsTargeted periodic HTC and immediate ART combined with other interventions is cost-effective and could lead to potential elimination of HIV in Can Tho.

Indexed as

AdultAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveCost-Benefit AnalysisCounselingDisease Transmission, InfectiousEarly DiagnosisFemaleHIV InfectionsHumansMaleModels, TheoreticalPrevalenceVietnamAnti-Retroviral Agents

Identifiers

PMID23714739
PMCPMC3814627
OpenAlexW2076187843

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.