Evidence map›Paper›PMID 30359290›Full record

ArticleBMC research notes2018

Re-engagement in HIV care following a missed visit in rural Uganda.

Maria Sarah Nabaggala, Rosalind Parkes-Ratanshi, Ronnie Kasirye, Agnes Kiragga, Barbara Castlenuovo, Ian Ochaka, Lilian Nakakawa, Diana Asiimwe Bena, Andrew Mujugira

Abstract read
In one paragraph

Article in BMC research notes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed, 2 syntheses or guidelines 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

9 authors.

Maria Sarah NabaggalaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda. snabaggala@idi.co.ug.
Rosalind Parkes-RatanshiInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Ronnie KasiryeInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Agnes KiraggaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Barbara CastlenuovoInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Ian OchakaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Lilian NakakawaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Diana Asiimwe BenaInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.
Andrew MujugiraInfectious Diseases Institute, College of Health Sciences, Makerere University, Kampala, Uganda.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
HIV Co-infections in Uganda: TB, Cryptococcus, and Viral Hepatitis.D43TW009771 · FIC · JOHNS HOPKINS UNIVERSITY · PI CASTELNUOVO, BARBARA, KAMBUGU, ANDREW DDUNGU · 2014 to 2023
$3.3M
HIV Self Testing to Empower Prevention Choices in Sex WorkersK43TW010695 · FIC · INFECTIOUS DISEASES INSTITUTE · PI MUJUGIRA, ANDREW · 2017 to 2021
$530k
CS Fund CSF 01-10-003FIC NIH HHS D43 TW009771FIC NIH HHS K43 TW010695Fogarty International Center D43 TW009771Fogarty International Center K4 TW010695NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

objectiveWe conducted a retrospective cohort study to assess the effect of tracking People Living with HIV (PLHIV) after missed clinic visits and factors associated with return to care in rural Uganda. We assessed retention in care among 650 HIV-infected women and men. We used univariable and multivariable generalized linear models to assess demographic and self-reported factors associated with re-engagement in HIV care.

resultsOf 381 PLHIV who ever missed a scheduled appointment, 68% were female and most (80%) had initiated ART. Most (70%) of those tracked returned to care. Relative to men, women (adjusted risk ratio [ARR] 1.23; 95% confidence interval (CI) 1.05-1.43; p = 0.009) were more likely to return to care after active tracking. PLHIV who missed scheduled visits for other reasons (forgetting, adequate drug supplies, or long distance to clinic) had reduced odds of return to care (ARR 0.41; 95% CI 0.28-0.59; p < 0.001). These data support close monitoring of patient retention in HIV care and active measures to re-engage those who miss an appointment. Furthermore, they highlight the need for targeted interventions to those more resistant to re-engagement such as men.

Indexed as

Appointments and SchedulesAdultAntiretroviral Therapy, Highly ActiveFemaleHIV InfectionsHumansMalePatient CompliancePatient DropoutsRetrospective StudiesUgandaYoung AdultARTHIVPLHIV trackingRetentionReturn to care

Identifiers

PMID30359290
PMCPMC6202822

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.