Evidence map›Paper›PMID 31584857›Full record

ArticleAIDS patient care and STDs2019

Potential Impact of Interventions to Enhance Retention in Care During Real-World HIV Pre-Exposure Prophylaxis Implementation.

Philip A Chan, William C Goedel, Amy S Nunn, Genoviva Sowemimo-Coker, Omar Galárraga, Mattia Prosperi, Rupa Patel, Leandro Mena, Madeline C Montgomery, Brandon D L Marshall

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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  13. Needed: A Life Course Perspective on Maintaining Pre-exposure Prophylaxis Use.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 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 4 institutions in 1 country.

Philip A ChanDepartment of Medicine, Brown University, Providence, Rhode Island.
William C GoedelDepartment of Epidemiology, and Policy and Practice, Brown University, Providence, Rhode Island.
Amy S NunnDepartment of Behavioral and Social Sciences, Policy and Practice, Brown University, Providence, Rhode Island.
Genoviva Sowemimo-CokerDepartment of Medicine, Brown University, Providence, Rhode Island.
Omar GalárragaDepartment of Health Services, Policy and Practice, Brown University, Providence, Rhode Island.
Mattia ProsperiDepartment of Epidemiology, University of Florida, Gainesville, Florida.
Rupa PatelDepartment of Medicine, Washington University in St. Louis, St. Louis, Missouri.
Leandro MenaDepartment of Population Health Science, University of Mississippi, Jackson, Mississippi.
Madeline C MontgomeryDepartment of Medicine, Brown University, Providence, Rhode Island.
Brandon D L MarshallDepartment of Epidemiology, and Policy and Practice, Brown University, Providence, Rhode Island.
Brown University · USUniversity of Florida · USUniversity of Mississippi · USWashington University in St. Louis · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Characterizing the HIV pre-exposure prophylaxis care continuum for African American and Hispanic/Latino men who have sex with menR01MH114657 · NIMH · MIRIAM HOSPITAL · PI CHAN, PHILIP ANDREW, NUNN, AMY STEWART · 2017 to 2021
$3.4M
Highly Adaptive Epidemic Control Strategies for HIV Prevention in Drug UsersDP2DA040236 · NIDA · BROWN UNIVERSITY · PI MARSHALL, BRANDON DAVID LEWIS · 2015 to 2015
$2.4M
Enhancing Population Impact of HIV Pre-Exposure Prophylaxis ImplementationR21MH109360 · NIMH · BROWN UNIVERSITY · PI CHAN, PHILIP ANDREW, MARSHALL, BRANDON DAVID LEWIS · 2016 to 2017
$459k
NIAID NIH HHS P30 AI042853NIDA NIH HHS DP2 DA040236NIMH NIH HHS R01 MH114657NIMH NIH HHS R21 MH109360NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

Pre-exposure prophylaxis (PrEP) has the potential to significantly reduce HIV incidence among men who have sex with men (MSM) in the United States. However, the extent to which suboptimal PrEP adherence and retention in care may limit successful implementation is unknown. An agent-based model was used to represent the entire population of MSM in Rhode Island from 2013 to 2017. The impact of potential interventions to improve PrEP adherence and retention in care on HIV transmission was evaluated. Demographics, behaviors, and PrEP adherence and retention in care rates were based on local clinical data. We assumed that 20% of HIV-negative MSM had ever taken PrEP. The primary outcome was HIV incidence over the 5-year period. The model included 23,815 MSM with an estimated 4.1% HIV prevalence based on local surveillance data. An estimated 173.1 new infections occurred over 5 years [95% simulation interval (SI): 171.5-174.7], including 29.1 new infections among individuals who had ever initiated PrEP (95% SI: 28.6-29.7). Interventions that improved retention in PrEP care by an odds of 5.0 compared with the base case maximized reductions in HIV incidence among MSM who had ever initiated PrEP by 37.5%. Interventions focusing on improving PrEP adherence had little to no effect on HIV incidence, regardless of intervention efficacy. Retention in care is a critical component of the PrEP care continuum. Interventions that improve retention in PrEP care may lead to greater reductions in population-level HIV incidence compared with interventions focused exclusively on adherence.

Indexed as

Continuity of Patient CareHomosexuality, MalePre-Exposure ProphylaxisAdolescentAdultAgedHIV-1HIV InfectionsHumansIncidenceMaleMiddle AgedPopulation SurveillancePrevalenceProgram EvaluationRetention in Careagent-based modelingHIVMSMPrEPprevention

Identifiers

PMID31584857
PMCPMC6806311
OpenAlexW2979100394

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.