Evidence map›Paper›PMID 32459822›Full record

Observational studyPloS one2020

High acceptability and viral suppression of patients on Dolutegravir-based first-line regimens in pilot sites in Uganda: A mixed-methods prospective cohort study.

Vennie Mbaziira Nabitaka, Pamela Nawaggi, Jennifer Campbell, James Conroy, Joseph Harwell, Kinanga Magambo, Caroline Middlecote, Benvy Caldwell, Cordelia Katureebe, Norah Namuwenge and 3 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 16% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 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

13 authors at 1 institution in 1 country.

Vennie Mbaziira NabitakaClinton Health Access Initiative, Kampala, Uganda.ORCID 0000-0001-6161-7555
Pamela NawaggiClinton Health Access Initiative, Kampala, Uganda.
Jennifer CampbellClinton Health Access Initiative, Kampala, Uganda.
James ConroyClinton Health Access Initiative, Kampala, Uganda.
Joseph HarwellClinton Health Access Initiative, Kampala, Uganda.
Kinanga MagamboClinton Health Access Initiative, Kampala, Uganda.
Caroline MiddlecoteClinton Health Access Initiative, Kampala, Uganda.
Benvy CaldwellClinton Health Access Initiative, Kampala, Uganda.
Cordelia KatureebeMinistry of Health, Kampala, Uganda.
Norah NamuwengeMinistry of Health, Kampala, Uganda.
Rita AtugonzaMinistry of Health, Kampala, Uganda.
Andrew MusokeClinton Health Access Initiative, Kampala, Uganda.
Joshua MusinguziMinistry of Health, Kampala, Uganda.
Ministry of Health · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uganda adopted the integrase inhibitor dolutegravir (DTG) as part its preferred first-line HIV treatment regimen in 2018. Prior to the national rollout, the Uganda Ministry of Health and Clinton Health Access Initiative (CHAI) launched a pilot study in July 2017 aimed at better understanding patients' and prescribers' experience and acceptability of DTG. Patients were enrolled in the study if they were newly initiating treatment or switched from an NNRTI regimen due to intolerance. Patients were followed up for 6 months after initiation onto DTG and acceptability and experiences were assessed through questionnaires at one-month and six-month follow-up visits. In addition to acceptability side effects of patients on DTG regimens were assessed. Analysis was conducted using MS Excel and SAS 9.4 and confidence intervals were adjusted for facility level clustering. A total of 365 patients from 6 study sites were enrolled in the study, of whom 50% were treatment-experienced and 50% treatment naïve. 325 patients completed the 6 months of follow-up. Survey results showed a high level of acceptability (more than 90%) of DTG-containing regimens for both categories of patients during the from one-month and six-months interviews. The rate of self-reported side effects amongst patients was 33% overall and higher for experienced (37%) than naïve (29%) patients at 6 months. Although frequencies declined between month-1 and month-6, the changes were not statistically significant. Almost all patients (94%) were virally suppressed at 6 months. Overall, the study findings showed a very high level of acceptability of Dolutegravir-based regimens across both experienced and naïve patients. The overall viral suppression rate in this cohort was 94% at six months of taking DTG-based regimen.

Indexed as

AdultAntiretroviral Therapy, Highly ActiveCohort StudiesDolutegravirFemaleHeterocyclic Compounds, 3-RingHIV InfectionsHIV Integrase InhibitorsHumansMaleMiddle AgedOxazinesPatient Acceptance of Health CarePilot ProjectsPiperazinesProspective StudiesDolutegravirHeterocyclic Compounds, 3-RingHIV Integrase InhibitorsOxazinesPiperazinesPyridones

Identifiers

PMID32459822
PMCPMC7252626
OpenAlexW3032571821

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.