Evidence map›Paper›PMID 25867778›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2015

Sorting through the lost and found: are patient perceptions of engagement in care consistent with standard continuum of care measures?

Amanda D Castel, Wenze Tang, James Peterson, Meriam Mikre, David Parenti, Richard Elion, Angela Wood, Irene Kuo, Sarah Willis, Sean Allen and 6 more

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

16 authors.

Amanda D Castel*Department of Epidemiology and Biostatistics, The George Washington University Milken Institute School of Public Health and Health Services, Washington, DC; †Division of Infectious Diseases, George Washington University Medical Faculty Associates, Washington, DC; ‡Whitman Walker Health, Washington, DC; §Family Medical and Counseling Services, Inc., Washington, DC; and ‖District of Columbia Department of Health, HIV/AIDS, Hepatitis, STD, TB Administration, Washington, DC.
Wenze Tang
James Peterson
Meriam Mikre
David Parenti
Richard Elion
Angela Wood
Irene Kuo
Sarah Willis
Sean Allen
Paige Kulie
Ifeoma Ikwuemesi
Kossia Dassie
Jillian Dunning
Brittani Saafir-Callaway
Alan Greenberg

Funding

The District of Columbia Developmental Center for AIDS Research (DC D-CFAR)P30AI087714 · NIAID · GEORGE WASHINGTON UNIVERSITY · PI GREENBERG, ALAN EDWARD · 2010 to 2014
$8.4M
NIAID NIH HHS P30 AI087714NIAID NIH HHS P30AI087714
6 · The paper itself

Abstract

backgroundIndicators for determining one's status on the HIV care continuum are often measured using clinical and surveillance data but do not typically assess patient perspectives. We assessed patient-reported care status along the care continuum and whether it differed from medical records and surveillance data.

methodsBetween June 2013 and October 2014, a convenience sample of clinic-attending HIV-infected persons was surveyed regarding care-seeking behaviors and self-perceived status along the care continuum. Participant responses were matched to DC Department of Health surveillance data and clinic records. Participants' care patterns were classified using Health Resources Services Administration-defined care status: in care (IC), sporadic care (SC), or out of care (OOC). Semistructured qualitative interviews were analyzed using an open coding process to elucidate relevant themes regarding participants' perceptions of engagement in care.

resultsOf 169 participants, most were male participants (64%) and black (72%), with a mean age of 50.7 years. Using self-reported visit patterns, 115 participants (68%) were consistent with being IC, 33 (20%) SC, and 21 (12%) OOC. Among OOC participants, 52% perceived themselves to be fully engaged in HIV care. In the previous year, among OOC participants, 71% reported having a non-HIV-related medical visit and 90% reported current antiretroviral use. Qualitatively, most SC and OOC persons did not see their HIV providers regularly because they felt healthy.

conclusionsParticipants' perceptions of HIV care engagement differed from actual care receipt as measured by surveillance and clinical records. Measures of care engagement may need to be reconsidered as persons not receiving regular HIV care maybe accessing other health care and HIV medications elsewhere.

Indexed as

Continuity of Patient CarePublic Health SurveillanceAdultAgedDemographyHealth SurveysHIV InfectionsHumansMaleMiddle AgedPatient Acceptance of Health CarePerceptionSelf Report

Identifiers

PMID25867778
PMCPMC4480343

What OpenQuestion holds

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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.