Evidence map›Paper›PMID 31743627›Full record

ArticleEthics & human research2019

HIV Cure Research: Risks Patients Expressed Willingness to Accept.

Allison Kratka, Peter A Ubel, Karen Scherr, Benjamin Murray, Nir Eyal, Christine Kirby, Madelaine N Katz, Lisa Holtzman, Kathryn Pollak, Kenneth Freedburg and 1 more

Erratum issuedAbstract read
In one paragraph

Article in Ethics & human research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Time to Engage Young People in HIV Cure Research.AIDS research and human retroviruses · 2022
    Article
  10. Article
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Allison KratkaInternal medicine resident at Brigham and Women's Hospital.
Peter A UbelProfessor in the Fuqua School of Business at Duke University.
Karen ScherrFamily medicine resident at Duke University.
Benjamin MurrayInternal medicine resident at the University of Washington.
Nir EyalDirects the Center for Population-Level Bioethics at Rutgers University.
Christine KirbyProgram coordinator in the Center for Health Equity Research at Northern Arizona University.
Madelaine N KatzMPH candidate at the Gillings School of Global Public Health at the University of North Carolina at Chapel Hill.
Lisa HoltzmanProgram manager in the Department of Global Health and Population at the Harvard T. H. Chan School of Public Health.
Kathryn PollakProfessor in Population Health Sciences and is the associate director of population sciences in the Duke Cancer Institute at Duke University.
Kenneth FreedburgDirector of the Medical Practice Evaluation Center and is a professor of medicine in the Divisions of General Internal Medicine and Infectious Diseases at Massachusetts General Hospital and Harvard Medical School.
Jennifer Blumenthal-BarbyAssociate director and Cullen associate professor in the Center for Medical Ethics and Health Policy at Baylor College of Medicine.

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007171 · NIGMS · DUKE UNIVERSITY · PI KONTOS, CHRISTOPHER D · 1985 to 2021
$31.2M
Development and application of a new simulation model for COVID-19R01AI042006 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Kenneth Alan Freedberg, Anne Neilan · 1998 to 2026
$12.9M
HIV cure studies: risk, risk perception, and ethicsR01AI114617 · NIAID · RUTGERS BIOMEDICAL/HEALTH SCIENCES-RBHS · PI EYAL, NIR · 2015 to 2018
$3.2M
NIAID NIH HHS R01 AI042006NIAID NIH HHS R01 AI114617NIGMS NIH HHS T32 GM007171
6 · The paper itself

Abstract

Despite doing well on antiretroviral therapy, many people living with HIV have expressed a willingness to accept substantial risks for an HIV cure. To date, few studies have assessed the specific quantitative maximal risk that future participants might take; probed whether, according to future participants, the risk can be offset by the benefits; and examined whether taking substantial risk is a reasonable decision. In this qualitative study, we interviewed 22 people living with HIV and used standard gamble methodology to assess the maximum chance of death a person would risk for an HIV cure. We probed participants' reasoning behind their risk-taking responses. Conventional inductive content analysis was used to categorize key themes regarding decision-making. We found that some people would be willing to risk even death for an HIV cure, and some of their reasons were plausible and went far beyond the health-related utility of an HIV cure. We contend that people's expressed willingness to take substantial risk for an HIV cure should not be dismissed out of hand.

Indexed as

Decision MakingDisease EradicationBiomedical ResearchFemaleHIV InfectionsHumansInterviews as TopicMaleMiddle AgedQualitative ResearchHIVHIV cure trialshuman research ethicsresearch benefitsresearch risks

Identifiers

PMID31743627
PMCPMC7391483

What OpenQuestion holds

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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.