Evidence map›Paper›PMID 30648888›Full record

ArticleAIDS patient care and STDs2019

Retention in HIV Care Among Participants in the Patient-Centered HIV Care Model: A Collaboration Between Community-Based Pharmacists and Primary Medical Providers.

Kathy K Byrd, Felicia Hardnett, Patrick G Clay, Ambrose Delpino, Ron Hazen, Michael D Shankle, Nasima M Camp, Sumihiro Suzuki, Paul J Weidle, Patient-Centered HIV Care Model Team

Open access · greenAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

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  18. What the HIV Pandemic Experience Can Teach the United States About the COVID-19 Response.Journal of acquired immune deficiency syndromes (1999) · 2021
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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

10 authors at 5 institutions in 1 country.

Kathy K Byrd1 Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Felicia Hardnett1 Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Patrick G Clay2 University of North Texas Health Science System College of Pharmacy, Fort Worth, Texas.
Ambrose Delpino3 Walgreen Co., Deerfield, Illinois.
Ron Hazen3 Walgreen Co., Deerfield, Illinois.
Michael D Shankle4 HealthHIV, Washington, District of Columbia.
Nasima M Camp5 ICF, Atlanta, Georgia.
Sumihiro Suzuki6 Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, Texas.
Paul J Weidle1 Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia.
Patient-Centered HIV Care Model Team
Centers for Disease Control and Prevention · USDeerfield (United States) · USUniversity of North Texas Health Science Center · USICF International (United States) · USWalgreens (United States) · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Poor retention in HIV care is associated with higher morbidity and mortality and greater risk of HIV transmission. The Patient-Centered HIV Care Model (PCHCM) integrated community-based pharmacists with medical providers. The model required sharing of patient clinical information and collaborative therapy-related action planning. The proportion of persons retained in care (≥1 medical visit in each 6-month period of a 12-month measurement period with ≥60 days between visits), pre- and post-PCHCM implementation, was modeled using log binomial regression. Factors associated with post-implementation retention were determined using multi-variable regression. Of 765 enrolled persons, the plurality were male (n = 555) and non-Hispanic black (n = 331), with a median age of 48 years (interquartile range = 38-55); 680 and 625 persons were included in the pre- and post-implementation analyses, respectively. Overall, retention improved 12.9% (60.7-68.5%, p = 0.002). The largest improvement was seen among non-Hispanic black persons, 22.6% increase (59.7-73.2%, p < 0.001). Persons who were non-Hispanic black [adjusted risk ratio (ARR) 1.27, 95% confidence interval (CI) 1.08-1.48] received one or more pharmacist-clinic developed action plan (ARR 1.51, 95% CI 1.18-1.93), had three or more pharmacist encounters (ARR 1.17, 95% CI 1.05-1.30), were more likely to be retained post-implementation. In the final multi-variable models, only race/ethnicity [non-Hispanic black (ARR 1.27, 95% CI 1.09-1.48) and "other or unknown" race/ethnicity (ARR 1.36, 95% CI 1.14-1.63)] showed an association with post-implementation retention. PCHCM demonstrated how collaborations between community-based pharmacists and primary medical providers can improve retention in HIV care. This care model may be particularly useful for non-Hispanic black persons who often are less likely to be retained in care.

Indexed as

Drug MonitoringPatient Care TeamPharmacistsPhysicians, Primary CareAdolescentAdultAnti-HIV AgentsCommunity-Based Participatory ResearchCommunity Pharmacy ServicesFemaleHIV InfectionsHumansMaleMiddle AgedPatient-Centered CareRetention in CareAnti-HIV Agentscare continuumHIVpharmacistsretention

Identifiers

PMID30648888
PMCPMC6379900
OpenAlexW2910185608

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.