Evidence map›Paper›PMID 28192387›Full record

ArticleThe Pediatric infectious disease journal2017

Adolescent Linkage to Care After a Large-scale Transfer From a Hospital-based HIV Clinic to the Public Sector in South Africa.

Lynn Ramirez-Avila, Susan Regan, Christie Cloete, Tamaryn Crankshaw, Dustin J Rabideau, Kenneth A Freedberg, Robert A Parker, Rochelle P Walensky, Elena Losina, Ingrid V Bassett

Abstract read
In one paragraph

Article in The Pediatric infectious disease journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Lynn Ramirez-AvilaFrom the *Division of Pediatric Infectious Diseases and Global Health, Department of Pediatrics, University of California at San Francisco, San Francisco, California; †Division of General Internal Medicine, Massachusetts General Hospital, Boston, Massachusetts; ‡Medical Practice Evaluation Center, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts; §McCord Hospital, Durban, South Africa; ¶Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu-Natal, South Africa; ‖Harvard University Center for AIDS Research (CFAR), Boston, Massachusetts; **Biostatistics Center, Massachusetts General Hospital, Boston, Massachusetts; ††Departments of Biostatistics and Epidemiology, Boston University School of Public Health, Boston, Massachusetts; ‡‡Departments of Epidemiology and Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts; §§Division of Infectious Disease, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts; ¶¶Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts; and ‖‖Department of Orthopedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts.
Susan Regan
Christie Cloete
Tamaryn Crankshaw
Dustin J Rabideau
Kenneth A Freedberg
Robert A Parker
Rochelle P Walensky
Elena Losina
Ingrid V Bassett

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Daniel Lingwood · 2004 to 2026
$94.4M
Optimizing HIV Care in Less Developed CountriesR01AI058736 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Kenneth Alan Freedberg, Emily Parker Hyle · 2004 to 2026
$21.5M
PROGRAM FOR AIDS CLINICAL RESEARCH TRAINING (PACRT)T32AI007433 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MARK J SIEDNER · 1992 to 2026
$11.4M
Optimizing strategies for universal HIV testingR01MH073445 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI WALENSKY, ROCHELLE P. · 2006 to 2010
$3.3M
Linkage & Retention: A Randomized Trial to Optimize HIV/TB Care in South AfricaR01MH090326 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI BASSETT, INGRID VALERIE · 2010 to 2014
$2.9M
Pediatric Infectious Diseases Research TrainingT32HD055148 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI WESSELS, MICHAEL R · 2008 to 2018
$2.7M
The Efficacy and Impact of Routine HIV and TB Testing in Durban, South AfricaK23AI068458 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI BASSETT, INGRID VALERIE · 2006 to 2010
$669k
Optimal Strategies for Management of HIV DiseaseK24AI062476 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI FREEDBERG, KENNETH ALAN · 2004 to 2008
$512k
NIAID NIH HHS K23 AI068458NIAID NIH HHS K24 AI062476NIAID NIH HHS P30 AI060354NIAID NIH HHS R01 AI058736NIAID NIH HHS T32 AI007433NICHD NIH HHS T32 HD055148NIMH NIH HHS R01 MH073445NIMH NIH HHS R01 MH090326
6 · The paper itself

Abstract

HIV clinics formerly supported by the President's Emergency Plan for AIDS Relief are transferring patients to public-sector clinics. We evaluated adolescent linkage to care after a large-scale transfer from a President's Emergency Plan for AIDS Relief-subsidized pediatric HIV clinic in Durban, South Africa. All adolescents (11-18 years) in care at a pediatric state-subsidized, hospital-based clinic (HBC) were transferred, from May to June 2012, to government sites [primary health care (PHC) clinic; community health center (CHC); and HBCs] or private clinics. Caregivers were surveyed 7-8 months after transfer to assess their adolescents' linkage to care and their reports were validated by clinic record audits in a subset of randomly selected clinics. Of the 309 (91%) caregivers reached, only 5 (2%) reported that their adolescent did not link. Of the 304 adolescents who linked, 105 (35%) were referred to a PHC, 73 (24%) to a CHC and 106 (35%) to a HBC. A total of 146 (48%) linked adolescents attended a different clinic than that assigned. Thirty-five (20%) of the 178 who linked and were assigned to a PHC or CHC ultimately attended a HBC. Based on clinic validation, the estimated transfer success was 88% (95% confidence interval: 77%-97%). The large majority of adolescents successfully transferred to a new HIV clinic, although nearly half attended a clinic other than that assigned.

Indexed as

Ambulatory Care FacilitiesContinuity of Patient CarePublic SectorAdolescentCaregiversChildCohort StudiesFemaleHIV InfectionsHospitalsHumansMaleSouth Africa

Identifiers

PMID28192387
PMCPMC5308466

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.