Evidence map›Paper›PMID 27476929›Full record

ArticleHIV medicine2017

Recent trends and patterns in HIV-1 transmitted drug resistance in the United Kingdom.

A Tostevin, E White, D Dunn, S Croxford, V Delpech, I Williams, D Asboe, A Pozniak, D Churchill, A M Geretti and 5 more

Abstract read
In one paragraph

Article in HIV medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Next generation sequencing of HIV-1 protease in the PIVOT trial of protease inhibitor monotherapy.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2018
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  15. Predictors of Virological Failure and Time to Viral Suppression of First-Line Integrase Inhibitor-Based Antiretroviral Treatment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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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

15 authors.

A TostevinMRC Clinical Trials Unit at UCL, University College London, London, UK.
E WhiteMRC Clinical Trials Unit at UCL, University College London, London, UK.
D DunnMRC Clinical Trials Unit at UCL, University College London, London, UK.
S CroxfordCentre for Infectious Disease Surveillance and Control (CIDSC), Public Health England, London, UK.
V DelpechCentre for Infectious Disease Surveillance and Control (CIDSC), Public Health England, London, UK.
I WilliamsMortimer Market Centre, University College London Hospitals NHS Trust, London, UK.
D AsboeChelsea & Westminster Hospital, London, UK.
A PozniakChelsea & Westminster Hospital, London, UK.
D ChurchillBrighton and Sussex University Hospitals NHS Trust, Brighton, UK.
A M GerettiUniversity of Liverpool, Liverpool, UK.
D PillayDivision of Infection and Immunity, University College London, London, UK.
C SabinResearch Department of Infection and Population Health, University College London, London, UK.
A Leigh-BrownUniversity of Edinburgh, Edinburgh, UK.
E SmitPublic Health England, Birmingham Heartlands Hospital, Birmingham, UK.
UK HIV Drug Resistance Database

Funding

Medical Research Council MC_UU_12023/15Medical Research Council MR/M004236/1
6 · The paper itself

Abstract

objectivesTransmission of drug-resistant HIV-1 has decreased in the UK since the early 2000s. This analysis reports recent trends and characteristics of transmitted drug resistance (TDR) in the UK from 2010 to 2013.

methodsResistance tests conducted in antiretroviral treatment (ART)-naïve individuals between 2010 and 2013 were analysed for the presence of transmitted drug resistance mutations (TDRMs), defined as any mutations from a modified 2009 World Health Organization surveillance list, or a modified 2013 International Antiviral Society-USA list for integrase tests. Logistic regression was used to examine associations between demographics and the prevalence of TDRMs.

resultsTDRMs were observed in 1223 (7.5%) of 16 425 individuals; prevalence declined from 8.1% in 2010 to 6.6% in 2013 (P = 0.02). The prevalence of TDRMs was higher among men who have sex with men (MSM) compared with heterosexual men and women (8.7% versus 6.4%, respectively) with a trend for decreasing TDRMs among MSM (P = 0.008) driven by a reduction in nucleoside reverse transcriptase inhibitor (NRTI)-related mutations. The most frequently detected TDRMs were K103N (2.2%), T215 revertants (1.6%), M41L (0.9%) and L90M (0.7%). Predicted phenotypic resistance to first-line ART was highest to the nonnucleoside reverse transcriptase inhibitors (NNRTIs) rilpivirine and efavirenz (6.2% and 3.4%, respectively) but minimal to NRTIs, including tenofovir, and protease inhibitors (PIs). No major integrase TDRMs were detected among 101 individuals tested while ART-naïve.

conclusionsWe observed a decrease in TDRMs in recent years. However, this was confined to the MSM population and rates remained stable in those with heterosexually acquired HIV infection. Resistance to currently recommended first-line ART, including integrase inhibitors, remained reassuringly low.

Indexed as

Disease Transmission, InfectiousDrug Resistance, ViralAdolescentAdultAnti-Retroviral AgentsCohort StudiesFemaleHIV-1HIV InfectionsHumansMaleMiddle AgedPrevalenceUnited KingdomYoung AdultAnti-Retroviral Agentsdrug resistanceHIV-1mutationstransmittedtransmitted drug resistancetransmitted drug resistance mutations

Identifiers

PMID27476929
PMCPMC5297994

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.