Evidence map›Paper›PMID 31944854›Full record

ArticleAIDS patient care and STDs2020

A Pharmacist-Led, Same-Day, HIV Pre-Exposure Prophylaxis Initiation Program to Increase PrEP Uptake and Decrease Time to PrEP Initiation.

Christine M Khosropour, Kandis V Backus, Arianna R Means, Laura Beauchamps, Kendra Johnson, Matthew R Golden, Leandro Mena

Open access · greenAbstract read
In one paragraph

Article in AIDS patient care and STDs, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 11% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

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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

7 authors at 4 institutions in 1 country.

Christine M KhosropourDepartment of Epidemiology, University of Washington, Seattle, Washington.
Kandis V BackusDivision of Infectious Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
Arianna R MeansDepartment of Global Health, University of Washington, Seattle, Washington.
Laura BeauchampsDivision of Infectious Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
Kendra JohnsonHIV/STD Office, Mississippi State Department of Health, Jackson, Mississippi.
Matthew R GoldenDepartment of Epidemiology, University of Washington, Seattle, Washington.
Leandro MenaDivision of Infectious Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi.
University of Mississippi Medical Center · USUniversity of Washington · USMississippi State Department of Health · USPublic Health – Seattle & King County · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Kenneth Sherr · 1988 to 2026
$104.9M
NIAID NIH HHS P30 AI027757
6 · The paper itself

Abstract

Mississippi has one of the highest rates of HIV in the United States, but has low pre-exposure prophylaxis (PrEP) uptake, particularly among black men who have sex with men (MSM) and women. From November 2018 to May 2019, patients at high risk of HIV who tested negative for HIV at a nonclinical testing center in Jackson, Mississippi, were referred to an on-site clinical pharmacist for same-day PrEP initiation. The pharmacist evaluated patients for medical contraindications to PrEP, but no baseline labs were obtained. The pharmacist provided a PrEP prescription and scheduled a clinical appointment for patients within 6 weeks, at which time they were evaluated by a clinician and completed baseline labs. The pharmacist evaluated 69 patients for PrEP; 57% were MSM, 77% were black, and 65% were uninsured. All patients received a PrEP prescription; 83% received the prescription the same day and 97% received it within 5 days. Fifty-three (77%) of 69 clients filled the prescription; 87% of whom filled it within 1 week. Only 23 (43%) of 53 clients who filled their prescription attended their initial clinical appointment within 6 weeks of obtaining PrEP. There were no differences in PrEP initiation or retention by patient sex/gender. This pilot program suggests that an on-site pharmacist working in a nonclinical testing center in the southern United States can successfully initiate PrEP among predominately low-income black MSM. Future efforts should seek to better integrate laboratory testing into this demedicalized model of PrEP and to improve retention in care.

Indexed as

PharmacistsAdolescentAdultAnti-HIV AgentsCognitionFemaleHIV InfectionsHomosexuality, MaleHumansMaleMississippiPilot ProjectsPre-Exposure ProphylaxisUnited StatesYoung AdultAnti-HIV AgentsHIVpharmacistpre-exposure prophylaxis

Identifiers

PMID31944854
PMCPMC6983741
OpenAlexW3000270651

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.