Evidence map›Paper›PMID 26400698›Full record

ArticlePublic health action2014

Retention in pre-antiretroviral treatment care in a district of Karnataka, India: how well are we doing?

D Shankar, A M V Kumar, B Rewari, S Kumar, S Shastri, S Satyanarayana, R Ananthakrishnan, S B Nagaraja, M Devi, N Bhargava and 2 more

Abstract read
In one paragraph

Article in Public health action, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Correlates of Late Presentation to HIV care in a South Indian Cohort.The American journal of tropical medicine and hygiene · 2018
    Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

12 authors.

D ShankarAntiretroviral Treatment Centre (ART), District Hospital, Tumkur, Karnataka, India.
A M V KumarInternational Union Against Tuberculosis and Lung Disease, South-East Asia Regional Office, New Delhi, India.
B RewariNational AIDS Control Organization, New Delhi, India.
S KumarNational AIDS Control Organization, New Delhi, India ; Karnataka State AIDS Prevention Society, Bengaluru, India.
S ShastriLady Willingdon State TB Centre, Bengaluru, India.
S SatyanarayanaInternational Union Against Tuberculosis and Lung Disease, South-East Asia Regional Office, New Delhi, India.
R AnanthakrishnanResource Group for Education and Advocacy for Community Health (REACH), Chennai, India.
S B NagarajaEmployees' State Insurance Corporation (ESIC) Medical College and Post Graduate Institute of Medical Sciences & Research (PGIMSR), Bengaluru, India.
M DeviAntiretroviral Treatment Centre (ART), District Hospital, Tumkur, Karnataka, India.
N BhargavaAntiretroviral Treatment Centre (ART), District Hospital, Tumkur, Karnataka, India.
M DasMédecins Sans Frontières, Operational Centre Brussels, Luxembourg.
R ZachariahMédecins Sans Frontières, Operational Centre Brussels, Luxembourg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

settingAntiretroviral treatment (ART) Centre in Tumkur district of Karnataka State, India. There is no published information about pre-ART loss to follow-up from India.

objectiveTo assess the proportion lost to follow-up (defined as not visiting the ART Centre within 1 year of registration) and associated socio-demographic and immunological variables.

designRetrospective cohort study involving a review of medical records of adult HIV-infected persons (aged ⩾15 years) registered in pre-ART care during January 2010-June 2012.

resultsOf 3238 patients registered, 2519 (78%) were eligible for ART, while 719 (22%) were not. Four of the latter were transferred out; the remaining 715 individuals were enrolled in pre-ART care, of whom 290 (41%) were lost to follow-up. Factors associated with loss to follow-up on multivariate analysis included age group ⩾45 years, low educational level, not being married, World Health Organization Stage III or IV and rural residence.

conclusionAbout four in 10 individuals in pre-ART care were lost to follow-up within 1 year of registration. This needs urgent attention. Routine cohort analysis in the national programme should include those in pre-ART care to enable improved review, monitoring and supervision. Further qualitative research to ascertain reasons for loss to follow-up is required to design future interventions.

Indexed as

ART centreIndialoss to follow-upNACPoperational researchpre-ART

Identifiers

PMID26400698
PMCPMC4533510

What OpenQuestion holds

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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.