Evidence map›Paper›PMID 24077931›Full record

ArticleAIDS and behavior2014

Outcomes of HIV-infected patients receiving care at multiple clinics.

Baligh R Yehia, Asher J Schranz, Florence Momplaisir, Sara C Keller, Robert Gross, Ian Frank, Joshua P Metlay, Kathleen A Brady

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in AIDS and behavior, 2014. 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
1.4field-weighted citation impact, top 20% 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, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Article
  8. Impact of age on retention in care and viral suppression.Journal of acquired immune deficiency syndromes (1999) · 2015
    Article
  9. Location of HIV diagnosis impacts linkage to medical care.Journal of acquired immune deficiency syndromes (1999) · 2015
    Article
  10. Article
  11. Article
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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

8 authors at 5 institutions in 1 country.

Baligh R Yehia
Asher J Schranz
Florence Momplaisir
Sara C Keller
Robert Gross
Ian Frank
Joshua P Metlay
Kathleen A Brady
University of Pennsylvania · USMassachusetts General Hospital · USNew York University · USPhiladelphia Department of Public Health · USTemple University · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
Career Development in Comparative Effectiveness ResearchKM1CA156715 · NCI · UNIVERSITY OF PENNSYLVANIA · PI METLAY, JOSHUA P · 2010 to 2010
$2.5M
Neighborhood level determinants of pneumococcal disease transmissionK24AI073957 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI METLAY, JOSHUA P · 2008 to 2012
$1.0M
Evaluating Patient Retention in HIV CareK23MH097647 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI YEHIA, BALIGH RAMZI · 2012 to 2013
$361k
NCI NIH HHS KM1 CA156715NIAID NIH HHS K24 AI073957NIAID NIH HHS K24-AI073957-05NIAID NIH HHS P30 AI 045008NIAID NIH HHS P30 AI045008NIMH NIH HHS K23 MH097647NIMH NIH HHS K23-MH097647-01APHS HHS 400-4239-4-555854-2446-2192
6 · The paper itself

Abstract

Receiving care at multiple clinics may compromise the therapeutic patient-provider alliance and adversely affect the treatment of people living with HIV. We evaluated 12,759 HIV-infected adults in Philadelphia, PA between 2008 and 2010 to determine the effects of using multiple clinics for primary HIV care. Using generalized estimating equations with logistic regression, we examined the relationship between receiving care at multiple clinics (≥ 1 visit to two or more clinics during a calendar year) and two outcomes: (1) use of ART and (2) HIV viral load ≤ 200 copies/mL for patients on ART. Overall, 986 patients (8 %) received care at multiple clinics. The likelihood of attending multiple clinics was greater for younger patients, women, blacks, persons with public insurance, and for individuals in their first year of care. Adjusting for sociodemographic factors, patients receiving care at multiple clinics were less likely to use ART (AOR = 0.62, 95 % CI 0.55-0.71) and achieve HIV viral suppression (AOR = 0.78, 95 % CI 0.66-0.94) than individuals using one clinic. Qualitative data are needed to understand the reasons for visiting multiple clinics.

Indexed as

AdultAmbulatory CareAmbulatory Care FacilitiesAnti-HIV AgentsCD4 Lymphocyte CountCohort StudiesContinuity of Patient CareFemaleHIV InfectionsHumansMaleOutcome Assessment, Health CarePatient CompliancePhiladelphiaRetrospective StudiesSelf CareAnti-HIV Agents

Identifiers

PMID24077931
PMCPMC3969411
OpenAlexW2045747676

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.