Evidence map›Paper›PMID 31516088›Full record

SynthesisJournal of the International Association of Providers of AIDS Care

Optimizing Antiretroviral Therapy in Treatment-Experienced Patients Living with HIV: A Critical Review of Switch and Simplification Strategies. An Opinion of the HIV Practice and Research Network of the American College of Clinical Pharmacy.

Daniel Chastain, Melissa Badowski, Emily Huesgen, Neha Sheth Pandit, Andrea Pallotta, Sarah Michienzi

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Tenofovir alafenamide plus dolutegravir as a switch strategy in HIV-infected patients: a pilot randomized controlled trial.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2023
    Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Effectiveness of simplifying antiretroviral therapy to maintain viral suppression and improve bone and renal health: comparing simplified and non-simplified therapy.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
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.

Daniel ChastainUniversity of Georgia College of Pharmacy, Albany, GA, USA.ORCID 0000-0002-4018-0195
Melissa BadowskiDepartment of Pharmacy Practice, University of Illinois at Chicago, College of Pharmacy, Chicago, IL, USA.
Emily HuesgenIndiana University Health, Indianapolis, IN, USA.
Neha Sheth PanditDepartment of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore, MD, USA.
Andrea PallottaDepartment of Pharmacy, Cleveland Clinic, Cleveland, OH, USA.
Sarah MichienziDepartment of Pharmacy Practice, University of Illinois at Chicago, College of Pharmacy, Chicago, IL, USA.ORCID 0000-0003-1182-7997

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Simplifying or switching antiretroviral therapy (ART) in treatment-experienced people living with HIV (PLWH) may improve adherence, tolerability, toxicities, and/or drug-drug interactions. The purpose of this review is to critically evaluate the literature for efficacy and safety associated with switching or simplifying ART in treatment-experienced PLWH. A systematic literature search using MEDLINE was performed from January 1, 2010 to April 30, 2018. References within articles of interest, the Department of Health and Human Services guidelines, and conference abstracts were also reviewed. Switch/simplification strategies were categorized as those supported by high-level clinical evidence and those with emerging data. Rates of virologic suppression were noninferior for several switch/simplification strategies when compared to baseline ART. Potential for reducing adverse events was also seen. Additional evidence for some strategies, including most 2-drug regimens, is needed before they can be recommended.

Indexed as

Anti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveClinical Trials as TopicDrug SubstitutionHIV InfectionsHumansPractice Guidelines as TopicSustained Virologic ResponseUnited StatesAnti-Retroviral Agentsantiretroviral therapyHIVsimplification therapyswitch therapy

Identifiers

PMID31516088
PMCPMC6900586

What OpenQuestion holds

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LicenceCC BY-NC
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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.