Evidence map›Paper›PMID 26393048›Full record

ArticlePublic health action2013

Antiretroviral therapy uptake among adult tuberculosis patients newly diagnosed with HIV in Nyanza Province, Kenya.

H Muttai, K F Laserson, I Akello, L Nyabiage, J Gondi, J Mutegi, J Williamson, A K Nakashima, M-L Ackers

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Article in Public health action, 2013. 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

9 authors.

H MuttaiUS Centers for Disease Control and Prevention, Kisumu, Kenya.
K F LasersonUS Centers for Disease Control and Prevention, Kisumu, Kenya ; Kenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
I AkelloKenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
L NyabiageMinistry of Health, Nairobi, Kenya.
J GondiMinistry of Health, Nairobi, Kenya.
J MutegiKenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
J WilliamsonUS Centers for Disease Control and Prevention, Kisumu, Kenya ; Kenya Medical Research Institute, Center for Global Health Research, Kisumu, Kenya.
A K NakashimaUS Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
M-L AckersUS Centers for Disease Control and Prevention, Atlanta, Georgia, USA.

Funding

NCPDCID CDC HHS U19 CI000323
6 · The paper itself

Abstract

settingIn 2008, the Kenya tuberculosis (TB) program reported low (31%) antiretroviral therapy (ART) uptake among human immunodeficiency virus (HIV) infected TB patients.

objectiveTo confirm ART coverage and identify factors associated with HIV clinic enrollment and ART initiation among TB patients.

designRetrospective chart abstraction of adult TB patients newly diagnosed with HIV and eligible for ART at 58 Nyanza Province TB clinics between October 2006 and April 2008. TB data were linked to HIV clinic data at 50 facilities that provided ART. Associations with HIV clinic enrollment and ART were evaluated.

resultsAmong 1137 ART-eligible TB patient records sampled, 32% documented HIV clinic enrollment and 29% ART. Date fields were largely incomplete; 11% of the patient records included HIV testing dates and ≤1% had dates for cotrimoxazole prophylaxis, HIV clinic enrollment and ART initiation. Adding HIV clinic data increased HIV clinic enrollment and ART documentation to respectively 62% and 44%. Among TB patients in HIV care, female sex, older age group and baseline CD4 documentation were associated with ART initiation.

conclusionLinking data increased documentation of HIV clinic enrollment and ART uptake. Continued efforts are required to improve the documentation of HIV service delivery, especially in TB clinics. Interventions to increase ART uptake are needed for younger patients and men.

Indexed as

ART-eligibleHIV clinicsTB clinics

Identifiers

PMID26393048
PMCPMC4463149

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Registered trials

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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.