Evidence map›Paper›PMID 32279914›Full record

ArticleAnnals of epidemiology2020

Evaluating statewide HIV preexposure prophylaxis implementation using All-Payer Claims Data.

Julia Raifman, Kristen Nocka, Omar Galárraga, Ira B Wilson, Christina Crowley, Jun Tao, Siena Napoleon, Theodore Marak, Philip A Chan

Open access · greenAbstract read
In one paragraph

Article in Annals of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Primary Care for Transgender Adolescents and Young Adults in Rhode Island: An Analysis of the all Payers Claims Database.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021
    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

9 authors at 4 institutions in 1 country.

Julia RaifmanDepartment of Health, Law, and Policy, Boston University School of Public Health, Boston, MA.
Kristen NockaDepartment of Health, Law, and Policy, Boston University School of Public Health, Boston, MA. Electronic address: knocka@bu.edu.
Omar GalárragaDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI.
Ira B WilsonDepartment of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI.
Christina CrowleyRhode Island Department of Health, Providence, RI.
Jun TaoDepartment of Medicine, Brown University, Providence, RI.
Siena NapoleonDepartment of Medicine, Brown University, Providence, RI.
Theodore MarakRhode Island Department of Health, Providence, RI.
Philip A ChanRhode Island Department of Health, Providence, RI; Department of Medicine, Brown University, Providence, RI.
Brown University · USBoston University · USProvidence College · USRhode Island Department of Health · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH · 1998 to 2026
$51.7M
Tracking and Evaluation CoreU54GM115677 · NIGMS · BROWN UNIVERSITY · PI ROUNDS, SHARON IRENE SMITH · 2016 to 2025
$45.0M
A Structural Approach to Improving HIV Pre-Exposure Prophylaxis (PrEP) Implementation among High Risk MenK01MH116817 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAIFMAN, JULIA · 2018 to 2021
$639k
Evaluating HIV pre-exposure prophylaxis implementation using an all payers claims databaseR21MH113431 · NIMH · MIRIAM HOSPITAL · PI CHAN, PHILIP ANDREW, GALARRAGA, OMAR · 2017 to 2018
$426k
NIAID NIH HHS P30 AI042853NIGMS NIH HHS U54 GM115677NIMH NIH HHS K01 MH116817NIMH NIH HHS R21 MH113431
6 · The paper itself

Abstract

purposePreexposure prophylaxis (PrEP) in the form of daily emtricitabine and tenofovir disoproxil fumarate (FTC/TDF) is effective for preventing HIV infection. Implementation has been limited by an inability to systematically evaluate uptake and use. All-Payer Claims Databases (APCDs) provide an opportunity to evaluate population-level PrEP implementation.

methodsWe used 2012-2017 data from Rhode Island's APCD and developed an algorithm to identify individuals prescribed FTC/TDF for PrEP. We describe PrEP implementation by patient demographics and provider type and mapped PrEP implementation across ZIP codes. We compared APCD data to electronic medical record data and comprehensive pharmaceutical claims data (AIDSVu.org).

resultsThe Rhode Island APCD represented approximately 87% of the state's population. PrEP use increased 31-fold from 2012 to 2017. Users were predominantly privately insured, male, and concentrated in Providence County (76.6%). Infectious diseases providers had 3.2 times the odds of being a PrEP prescriber compared to primary care providers. Compared to other pharmaceutical and electronic medical record data, the APCD underestimated the number of PrEP users in Rhode Island but improved in capturing users over time.

conclusionsAPCDs are a useful data source for characterizing PrEP use across a state. There is a need to increase PrEP prescribing among primary care providers, especially in areas with underserved populations.

Indexed as

AdultAnti-HIV AgentsEmtricitabineFemaleHIV InfectionsHumansInsurance Claim ReviewMalePre-Exposure ProphylaxisRhode IslandTenofovirAnti-HIV AgentsEmtricitabineTenofovirAll-Payer Claims DatabaseAPCDPre-exposure prophylaxisPrEPPrEP implementation

Identifiers

PMID32279914
PMCPMC7252205
OpenAlexW3013390351

What OpenQuestion holds

Textmetadata
LicenceTDM
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.