Evidence map›Paper›PMID 30387024›Full record

ArticleAIDS and behavior2019

Pharmacy Refill Data are Poor Predictors of Virologic Treatment Outcomes in Adolescents with HIV in Botswana.

Leah Genn, Jennifer Chapman, Harriet Okatch, Neil Abell, Tafireyi Marukutira, Ontibile Tshume, Gabriel Anabwani, Robert Gross, Elizabeth D Lowenthal

Open access · greenAbstract read
In one paragraph

Article in AIDS and behavior, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. 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

9 authors at 5 institutions in 2 countries.

Leah GennChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Jennifer ChapmanChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Harriet OkatchChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Neil AbellDepartment of Social Work, Florida State University, Tallahassee, FL, USA.
Tafireyi MarukutiraBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Ontibile TshumeBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Gabriel AnabwaniBotswana-Baylor Children's Clinical Centre of Excellence, Gaborone, Botswana.
Robert GrossDepartments of Medicine and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Elizabeth D LowenthalChildren's Hospital of Philadelphia, Philadelphia, PA, USA. lowenthale@email.chop.edu.ORCID http://orcid.org/0000-0002-3855-8646
Children's Hospital of Philadelphia · USBotswana-Baylor Children's Clinical Center of Excellence · BWBaylor College of Medicine · USFlorida State University · USUniversity of Pennsylvania · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI DAVID S METZGER · 1999 to 2026
$78.6M
Targeted Monitoring and Determinants of Adherence in Adolescents with HIVK23MH095669 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI LOWENTHAL, ELIZABETH DAWN · 2012 to 2016
$874k
Advancing Child Health: Preparing the Next Generation of Pediatric Researchers.R25HD082842 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI KRANTZ, IAN D. · 2015 to 2019
$540k
National Institute of Allergy and Infectious Diseases P30 AI 045008National Institute of Child Health and Human Development 1R25HD082842National Institute of Mental Health K23 MH095669NIAID NIH HHS P30 AI045008NICHD NIH HHS R25 HD082842NIMH NIH HHS K23 MH095669
6 · The paper itself

Abstract

In adults living with HIV, pharmacy refill data are good predictors of virologic failure (VF). The utility of pharmacy refill data for predicting VF in adolescents has not been reported. We evaluated data from 291 adolescents on antiretroviral therapy. The main outcome measure was VF, defined as two consecutive HIV viral load measurements ≥ 400 copies/mL during 24-months of follow-up. Pharmacy refill non-adherence was defined as two consecutive refill adherence measurements < 95% during the same period. Fifty-three (18%) adolescents experienced VF. One hundred twenty-eight (44%) adolescents had refill non-adherence. Refill non-adherence had poor discriminative ability for indicating VF (receiver operating characteristic AUC = 0.60). Sensitivity and specificity for predicting VF was poor (60% (95% CI 46-74%) and 60% (95% CI 53-66%), respectively). The lack of a viable surrogate for VF in adolescents highlights the urgent need for more access to virologic testing and novel methods of monitoring adolescent treatment adherence.

Indexed as

Medication AdherenceAdolescentAdultAnti-HIV AgentsBotswanaFemaleHIV InfectionsHumansMalePatient Acceptance of Health CarePharmaceutical ServicesPharmaciesPredictive Value of TestsROC CurveTreatment OutcomeViral LoadAnti-HIV AgentsAdherence monitoringAdolescent autonomyAfricaMedication-possession ratioResource-limited settings

Identifiers

PMID30387024
PMCPMC6494741
OpenAlexW2898900163

What OpenQuestion holds

Textmetadata
LicenceTDM
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.