Evidence map›Paper›PMID 31307513›Full record

ArticleBMC research notes2019

Second-line antiretroviral therapy regimen change among adults living with HIV in Amhara region: a multi-centered retrospective follow-up study.

Muluneh Alene, Tadesse Awoke, Melaku Kindie Yenit, Adino Tesfahun Tsegaye, Leltework Yismaw, Reta Yeshambel

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in BMC research notes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 30% 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

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

  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

6 authors at 3 institutions in 1 country.

Muluneh AleneDepartment of Public Health, Debre Markos University, Debre Markos, Ethiopia. mulunehadis@gmail.com.ORCID http://orcid.org/0000-0002-1485-9014
Tadesse AwokeDepartment of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Melaku Kindie YenitDepartment of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Adino Tesfahun TsegayeDepartment of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Leltework YismawDepartment of Public Health, Debre Markos University, Debre Markos, Ethiopia.
Reta YeshambelDepartment of Biology, Mizan-Tepi University, Teppi, Ethiopia.
University of Gondar · ETDebre Markos University · ETMizan Tepi University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study was conducted to determine the rate of initial second-line ART regimen change and its predictors among adults living with HIV in Amhara region. A retrospective follow-up study was conducted between February, 2008 and April, 2016 at eight governmental hospitals of Amhara region. Person-times and Cox proportional hazard model were fitted to determine the rate and to identify the significant predictors of second-line treatment regimen change.

resultsA total of 897 records of patients were analyzed. The overall rate of initial second-line drug regimen change was 24.2 per 100 person years. The rate of regimen change was decreased for patients with formal education (HR: 0.77, 95% CI 0.61-0.97), under WHO clinical stage-III (HR: 0.57, 95% CI 0.45-0.73), and WHO clinical stage-IV (HR: 0.64, 95% CI 0.43-0.96). Patients who were taking CPT (HR: 2.05, 95% CI 1.45-2.89) had an increased rate of regimen change. Furthermore, the rate of regimen change was decreased for patients who were switched to second-line treatment due to virological failure (HR: 0.36, 95% CI 0.25-0.53), and due to drug toxicity (HR: 0.48, 95% CI 0.28-0.81). Therefore, addressing significant predictors to maximize the durability on the initial regimen among ART clients is essential.

Indexed as

AdolescentAdultAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountEthiopiaFemaleFollow-Up StudiesHIV InfectionsHumansMaleMiddle AgedOutcome Assessment, Health CareProportional Hazards ModelsRetrospective StudiesYoung AdultAnti-Retroviral AgentsAmhara regionRegimen changeRetrospective studySecond-line

Identifiers

PMID31307513
PMCPMC6632209
OpenAlexW2957229415

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LicenceCC BY
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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.