Evidence map›Paper›PMID 25281538›Full record

ArticleInternational journal of STD & AIDS2015

A farewell to didanosine: harm reduction and cost savings by eliminating use of didanosine.

Eric J Dziuban, Elliot Raizes, Emilia H Koumans

Abstract readComparative Study
In one paragraph

Article in International journal of STD & AIDS, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

3 authors.

Eric J DziubanCenters for Disease Control and Prevention, Division of Global HIV/AIDS, Atlanta, GA, USA esv8@cdc.gov.
Elliot RaizesCenters for Disease Control and Prevention, Division of Global HIV/AIDS, Atlanta, GA, USA.
Emilia H KoumansCenters for Disease Control and Prevention, Division of Global HIV/AIDS, Atlanta, GA, USA.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Didanosine (ddI) is a nucleoside reverse transcriptase inhibitor associated with adverse events and public health concerns which have diminished its place in HIV clinical practice, particularly in resource-rich settings. While international guidelines do not contain ddI-containing regimens in preferred first- or second-line antiretroviral therapy (ART), there is no guidance for management of patients currently on ddI. In 2012 at least 20 countries purchased a total of $1-2 million of ddI. Drug purchase data in that year show 3.2-10.3 times higher costs for ddI compared to lamivudine (3TC). Given issues of multiple toxicities, monitoring, drug interactions, inconvenience, and virologic efficacy, as well as cost and formulary concerns, national (including resource-limited setting) ART programmes should consider complete phase-out of ddI.

Indexed as

Cost SavingsHarm ReductionDidanosineDrug InteractionsDrug-Related Side Effects and Adverse ReactionsHIV InfectionsHumansLamivudineReverse Transcriptase InhibitorsTreatment OutcomeDidanosineLamivudineReverse Transcriptase InhibitorsAIDSantiretroviral therapyDidanosinedrug interactionsdrug toxicityHIVreverse transcriptase inhibitorstreatment

Identifiers

PMID25281538
PMCPMC4677683

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.