Evidence map›Paper›PMID 31092508›Full record

ReviewClinical microbiology reviews2019

Point-of-Care HIV Viral Load Testing: an Essential Tool for a Sustainable Global HIV/AIDS Response.

Paul K Drain, Jienchi Dorward, Andrew Bender, Lorraine Lillis, Francesco Marinucci, Jilian Sacks, Anna Bershteyn, David S Boyle, Jonathan D Posner, Nigel Garrett

Abstract readReview
In one paragraph

Review in Clinical microbiology reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 90 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
90citing papers in PubMed, 5 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

90 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Trial
  7. Clinical Outcomes in a Randomized Controlled Trial Comparing Point-of-Care With Standard Human Immunodeficiency Virus (HIV) Viral Load Monitoring in Nigeria.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
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30 more citing papers are in PubMed but not listed here.

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.

Paul K DrainDepartment of Global Health, University of Washington, Seattle, Washington, USA pkdrain@uw.edu.ORCID 0000-0002-9569-4097
Jienchi DorwardCentre for the AIDS Programme of Research in Africa (CAPRISA), University of KwaZulu-Natal, Durban, South Africa.ORCID 0000-0001-6072-1430
Andrew BenderDepartment of Mechanical Engineering and Chemical Engineering, University of Washington, Seattle, Washington, USA.
Lorraine LillisPATH, Seattle, Washington, USA.
Francesco MarinucciFoundation for Innovative New Diagnostics, Geneva, Switzerland.
Jilian SacksClinton Health Access Initiative, New York, New York, USA.
Anna BershteynInstitute for Disease Modeling, Seattle, Washington, USA.
David S BoylePATH, Seattle, Washington, USA.
Jonathan D PosnerDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Nigel GarrettCentre for the AIDS Programme of Research in Africa (CAPRISA), University of KwaZulu-Natal, Durban, South Africa.ORCID 0000-0002-4530-234X

Funding

NRSA Training CoreTL1TR002318 · NCATS · UNIVERSITY OF WASHINGTON · PI Megan Moore · 2017 to 2026
$8.4M
A Rapid Point-of-Care Test to Improve ART and PrEP AdherenceR01AI136648 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAIN, PAUL K · 2018 to 2020
$2.3M
Electrokinetic paper diagnostic platform: 15-minute, quantitative nucleic acidamplification for viral pathogens in whole bloodR01EB022630 · NIBIB · UNIVERSITY OF WASHINGTON · PI POSNER, JONATHAN D · 2017 to 2020
$2.2M
Institute of Translational Health SciencesTL1TR000422 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$2.1M
A Point-of-Care Assay to Measure Tenofovir for Monitoring PrEP and ART AdherenceR21AI127200 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAIN, PAUL K · 2016 to 2017
$396k
Point-of-care viral load testing to enable task shifting for chronic HIV careR21AI124719 · NIAID · UNIVERSITY OF WASHINGTON · PI DRAIN, PAUL K, GARRETT, NIGEL JOEL · 2016 to 2017
$336k
NCATS NIH HHS TL1 TR000422NCATS NIH HHS TL1 TR002318NIAID NIH HHS R01 AI136648NIAID NIH HHS R21 AI124719NIAID NIH HHS R21 AI127200NIBIB NIH HHS R01 EB022630
6 · The paper itself

Abstract

The global public health community has set ambitious treatment targets to end the HIV/AIDS pandemic. With the notable absence of a cure, the goal of HIV treatment is to achieve sustained suppression of an HIV viral load, which allows for immunological recovery and reduces the risk of onward HIV transmission. Monitoring HIV viral load in people living with HIV is therefore central to maintaining effective individual antiretroviral therapy as well as monitoring progress toward achieving population targets for viral suppression. The capacity for laboratory-based HIV viral load testing has increased rapidly in low- and middle-income countries, but implementation of universal viral load monitoring is still hindered by several barriers and delays. New devices for point-of-care HIV viral load testing may be used near patients to improve HIV management by reducing the turnaround time for clinical test results. The implementation of near-patient testing using these new and emerging technologies may be an essential tool for ensuring a sustainable response that will ultimately enable an end to the HIV/AIDS pandemic. In this report, we review the current and emerging technology, the evidence for decentralized viral load monitoring by non-laboratory health care workers, and the additional considerations for expanding point-of-care HIV viral load testing.

Indexed as

Acquired Immunodeficiency SyndromeDisease ManagementGlobal HealthHIV InfectionsHumansPoint-of-Care TestingViral LoadAIDSdifferentiated careHIVpoint-of-careviral load

Identifiers

PMID31092508
PMCPMC6589862

What OpenQuestion holds

Textmetadata
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.