Evidence map›Paper›PMID 32877546›Full record

ArticleThe Journal of infectious diseases2020

From Hospital to the Community: Redesigning the Human Immunodeficiency Virus (HIV) Clinical Service Model to Respond to an Outbreak of HIV Among People Who Inject Drugs.

Rebecca Metcalfe, Manon Ragonnet-Cronin, Amanda Bradley-Stewart, Andrew McAuley, Harrison Stubbs, Trina Ritchie, Regina O'Hara, Kirsten Trayner, Claire Glover, Lynn Laverty and 7 more

Abstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
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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

17 authors.

Rebecca MetcalfeBrownlee Centre for Infectious Diseases, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Manon Ragonnet-CroninMRC Centre for Global Infectious Disease Analysis, School of Public Health, Imperial College London, London, United Kingdom.
Amanda Bradley-StewartWest of Scotland Specialist Virology Centre, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Andrew McAuleySchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
Harrison StubbsQueen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Trina RitchieGlasgow Alcohol and Drug Recovery Services, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Regina O'HaraBBV Pharmacy, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Kirsten TraynerSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
Claire GloverBrownlee Centre for Infectious Diseases, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Lynn LavertyBrownlee Centre for Infectious Diseases, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Laura SillsGlasgow Alcohol and Drug Recovery Services, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Kathryn BrownBBV Pharmacy, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Rory GunsonConsultant Clinical Scientist, West of Scotland Specialist Virology Centre, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
John CampbellAlcohol and Drug Partnership, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
Catriona MilsoevicPublic Health Protection Unit, NHS Greater Glasgow and Clyde, Glasgow, Glasgow, United Kingdom.
Patricia AndersonBrownlee Centre for Infectious Diseases, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.
S Erica PetersBrownlee Centre for Infectious Diseases, NHS Greater Glasgow and Clyde, Glasgow, United Kingdom.

Funding

Medical Research Council MC_PC_19012Medical Research Council MR/R015600/1
6 · The paper itself

Abstract

An outbreak of human immunodeficiency virus (HIV) among people who inject drugs in Glasgow, Scotland started in 2014. We describe 156 cases over 5 years and evaluate the impact of clinical interventions using virological and phylogenetic analysis. We established (1) HIV services within homeless health facilities, including outreach nurses, and (2) antiretroviral therapy (ART) via community pharmacies. Implementation of the new model reduced time to ART initiation from 264 to 23 days and increased community viral load suppression rates to 86%. Phylogenetic analysis demonstrated that 2019 diagnoses were concentrated within a single network. Traditional HIV care models require adaptation for this highly complex population.

Indexed as

Models, OrganizationalAntirheumatic AgentsCommunity Health ServicesContact TracingDisease OutbreaksFemaleHIVHIV InfectionsHIV TestingHumansIll-Housed PersonsMaleMedication AdherenceNursesPharmaciesPhylogenyAntirheumatic Agentsantiretroviral therapyARTHIVoutbreakPWID

Identifiers

PMID32877546
PMCPMC7467274

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.