Evidence map›Paper›PMID 28143756›Full record

ArticleThe Journal of infection2017

Real-world persistence with antiretroviral therapy for HIV in the United Kingdom: A multicentre retrospective cohort study.

Joseph M Lewis, Colette Smith, Adele Torkington, Craig Davies, Shazaad Ahmad, Andrew Tomkins, Jonathan Shaw, Margaret Kingston, Ghadeer Muqbill, Philip Hay and 8 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in The Journal of infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 20% of its field
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

11 citing papers in PubMed, 19 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 8 institutions in 1 country.

Joseph M LewisRoyal Liverpool University Hospital, UK; Wellcome Trust Liverpool Glasgow Centre for Global Health Research, Liverpool, UK. Electronic address: jmlewis@liverpool.ac.uk.
Colette SmithUniversity College London, UK.
Adele TorkingtonNorth Manchester General Hospital, UK.
Craig DaviesNorth Manchester General Hospital, UK.
Shazaad AhmadNorth Manchester General Hospital, UK.
Andrew TomkinsNorth Manchester General Hospital, UK.
Jonathan ShawManchester Centre for Sexual Health, UK.
Margaret KingstonManchester Centre for Sexual Health, UK.
Ghadeer MuqbillSt Georges Hospital, London, UK.
Philip HaySt Georges Hospital, London, UK.
Larissa MulkaBrighton and Sussex University Hospital, UK.
Deborah WilliamsBrighton and Sussex University Hospital, UK.
Laura WatersMortimer Market Centre, London, UK.
Nataliya BrimaMortimer Market Centre, London, UK.
Neal MarshallRoyal Free London, UK.
Margaret JohnsonRoyal Free London, UK.
Mas ChapondaRoyal Liverpool University Hospital, UK.
Mark NelsonChelsea and Westminster Hospital, London, UK.
North Manchester General Hospital · GBLothian Sexual Health · GBMortimer Market Centre · GBSt George's Hospital · GBThe Royal Free Hospital · GBUniversity of Liverpool · GBChelsea and Westminster Hospital · GBUniversity College London · GB

Funding

Wellcome Trust 109105/Z/15/ZWellcome Trust 204699
6 · The paper itself

Abstract

objectivesPersistence with an antiretroviral therapy (ART) regimen for HIV can be defined as the length of time a patient remains on therapy before stopping or switching. We aimed to describe ART persistence in treatment naïve patients starting therapy in the United Kingdom, and to describe differential persistence by treatment regimen.

methodsWe performed a retrospective cohort study at eight UK centres of ART-naïve adults commencing ART between 2012 and 2015. Aggregate data were extracted from local treatment databases. Time to discontinuation was compared for different third agents and NRTI backbones using incidence rates.

results1949 patients contributed data to the analysis. Rate of third agent change was 28 per 100 person-years of follow up [95% CI 26-31] and NRTI backbone change of 15 per 100 person-years of follow up [95% CI 14-17]). Rilpivirine, as co-formulated rilpivirine/tenofovir/emtricitabine had a significantly lower discontinuation rate than all other third agents and, excluding single tablet regimens, co-formulated tenofovir/emtricitabine had a significantly lower discontinuation rate than co-formulated abacavir/lamivudine. The reasons for discontinuation were not well recorded.

conclusionsTreatment discontinuation is not an uncommon event. Rilpivirine had a significantly lower discontinuation rate than other third agents and tenofovir/emtricitabine a lower rate than co-formulated abacavir/lamivudine.

Indexed as

Medication AdherenceAbacavirAdultAnti-HIV AgentsCD4 Lymphocyte CountCohort StudiesDeoxycytidineDideoxynucleosidesDrug CombinationsEmtricitabineFemaleHIV-1HIV InfectionsHumansLamivudineMaleAbacavirabacavir, lamivudine drug combinationAnti-HIV AgentsDeoxycytidineDideoxynucleosidesDrug CombinationsEmtricitabineLamivudineRilpivirineTenofovirAdherenceAntiretroviral therapyARTHIVPersistence

Identifiers

PMID28143756
PMCPMC5346156
OpenAlexW2582295178

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.