Evidence map›Paper›PMID 26990822›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2016

Brief Report: Apparent Antiretroviral Overadherence by Pill Count is Associated With HIV Treatment Failure in Adolescents.

Harriet Okatch, Kaylin Beiter, Jessica Eby, Jennifer Chapman, Tafireyi Marukutira, Ontibile Tshume, Mogomotsi Matshaba, Gabriel M Anabwani, Robert Gross, Elizabeth Lowenthal

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

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

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  16. Trends in HIV Treatment Adherence Before and After HIV Status Disclosure to Adolescents in Botswana.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020
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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

10 authors.

Harriet Okatch *Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Kaylin Beiter *Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Jessica EbyChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Jennifer ChapmanChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Tafireyi MarukutiraBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Ontibile TshumeBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Mogomotsi MatshabaBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Gabriel M AnabwaniBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Robert GrossUniversity of Pennsylvania Perelman School of Medicine, Departments of Medicine and Epidemiology, Philadelphia, PA, USA.
Elizabeth LowenthalChildren's Hospital of Philadelphia, Philadelphia, PA, USA.

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI VINCENT LO RE · 1999 to 2026
$78.6M
Penn Mental Health AIDS Research CenterP30MH097488 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI Knashawn Hodge Morales · 2013 to 2026
$23.5M
Targeted Monitoring and Determinants of Adherence in Adolescents with HIVK23MH095669 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI LOWENTHAL, ELIZABETH DAWN · 2012 to 2016
$874k
Advancing Child Health: Preparing the Next Generation of Pediatric Researchers.R25HD082842 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI KRANTZ, IAN D. · 2015 to 2019
$540k
NIAID NIH HHS L40 AI090971NIAID NIH HHS P30 AI045008NICHD NIH HHS R25 HD082842NIMH NIH HHS K23 MH095669NIMH NIH HHS P30 MH097488PEPFAR
6 · The paper itself

Abstract

Pill counts with calculated adherence percentages are used in many settings to monitor adherence, but can be undermined by patients discarding pills to hide nonadherence. Pill counts suggesting that >100% of prescribed doses were taken can signal "pill dumping." We defined "overadherence" among a cohort of 300 HIV-infected adolescents as having greater than one-third of pill counts with >100% adherence during a year of follow-up. Apparent overadherence was more common in those with virologic failure than in those with suppressed viral loads (33% vs 13%, χ(2) P = 0.001). Pill count adherence repeatedly >100% may identify HIV-infected adolescents at increased risk of treatment failure.

Indexed as

Adolescent BehaviorAdolescentAnti-HIV AgentsBotswanaDrug Administration ScheduleFollow-Up StudiesHIV InfectionsHumansPatient ComplianceSelf AdministrationTreatment FailureViral LoadAnti-HIV Agents

Identifiers

PMID26990822
PMCPMC4942380

What OpenQuestion holds

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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.