Evidence map›Paper›PMID 28443678›Full record

ArticleAIDS research and human retroviruses2017

Outcomes Along the HIV Care Continuum Among Undocumented Immigrants in Clinical Care.

Jonathan Ross, Uriel R Felsen, Chinazo O Cunningham, Viraj V Patel, David B Hanna

Abstract read
In one paragraph

Article in AIDS research and human retroviruses, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
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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

5 authors.

Jonathan Ross1 Division of General Internal Medicine, Department of Medicine, Montefiore Medical Center , Bronx, New York.
Uriel R Felsen2 Division of Infectious Diseases, Department of Medicine, Montefiore Medical Center , Bronx, New York.
Chinazo O Cunningham1 Division of General Internal Medicine, Department of Medicine, Montefiore Medical Center , Bronx, New York.
Viraj V Patel1 Division of General Internal Medicine, Department of Medicine, Montefiore Medical Center , Bronx, New York.
David B Hanna3 Department of Epidemiology and Population Health, Albert Einstein College of Medicine , Bronx, New York.

Funding

Social Media Based Peer Led Intervention to Facilitate PrEP in YMSM of ColorK23MH102118 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI PATEL, VIRAJ V · 2014 to 2018
$953k
TestED!: Applying Implementation Science to improve an HIV testing strategy for Emergency DepartmentsK23MH106386 · NIMH · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI FELSEN, URIEL · 2015 to 2019
$920k
Mentoring researchers on drug abuse and HIVK24DA036955 · NIDA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI CUNNINGHAM, CHINAZO · 2014 to 2019
$911k
Prediction of heart failure in HIV-infected individualsK01HL137557 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI HANNA, DAVID B. · 2017 to 2020
$711k
NHLBI NIH HHS K01 HL137557NIDA NIH HHS K24 DA036955NIMHD NIH HHS L60 MD009329NIMH NIH HHS K23 MH102118NIMH NIH HHS K23 MH106386
6 · The paper itself

Abstract

HIV-infected undocumented immigrants face unique barriers to care yet little is known about their clinical outcomes. We performed a retrospective cohort study of HIV-infected adults in clinical care from 2006 to 2014 at a large academic medical center in a setting where medical insurance is available to HIV-infected undocumented immigrants. Undocumented status was assessed based on Social Security number and insurance status and verified through medical chart review. Using Poisson regression models, we compared undocumented and documented patients with respect to retention in care (≥2 HIV-related laboratory tests ≥90 days apart), antiretroviral therapy (ART) prescription (≥3 active antiretroviral agents prescribed in a year), and viral suppression (HIV RNA <200 copies/ml for the last measured viral load) for each year in care. Of 7,551 patients included in the analysis, we classified 173 (2.3%) as undocumented. For each year of the analysis, higher proportions of undocumented patients were retained in care, prescribed ART, and virally suppressed. In adjusted models, undocumented status was associated with increased probability of retention in care [risk ratio (RR) 1.05, confidence interval (95% CI) 1.01-1.09], ART prescription (RR 1.05, 95% CI 1.01-1.08), and viral suppression (RR 1.13, 95% CI 1.08-1.19) compared to documented status. Undocumented patients achieved clinical outcomes at modestly higher rates than documented patients, despite entering care with more advanced disease. In a setting where insurance is available to undocumented patients, similar outcomes along the HIV care continuum may be achieved regardless of immigration status.

Indexed as

AdultAnti-HIV AgentsCD4 Lymphocyte CountContinuity of Patient CareFemaleHIV InfectionsHumansInsurance, HealthMaleNew York CityRetrospective StudiesTreatment OutcomeUndocumented ImmigrantsViral LoadAnti-HIV AgentsHIV care continuumimmigrantsretention in careundocumented immigrantsviral suppression

Identifiers

PMID28443678
PMCPMC5695751

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.