Evidence map›Paper›PMID 32912282›Full record

ArticleAIDS research and therapy2020

Returning of antiretroviral medication dispensed over a period of 8 months suggests non-adherence despite full adherence according to real time medication monitoring.

Kennedy Michael Ngowi, Lydia Masika, Furaha Lyamuya, Eva Muro, Blandina T Mmbaga, Mirjam A G Sprangers, Pythia T Nieuwkerk, Rob E Aarnoutse, Peter Reiss, I Marion Sumari-de Boer

Abstract read
In one paragraph

Article in AIDS research and therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Trial
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

10 authors.

Kennedy Michael NgowiKilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania. k.ngowi@kcri.ac.tz.ORCID 0000-0002-3692-5940
Lydia MasikaKilimanjaro Christian Medical Center, Moshi, United Republic of Tanzania.
Furaha LyamuyaKilimanjaro Christian Medical Center, Moshi, United Republic of Tanzania.
Eva MuroKilimanjaro Christian Medical Center, Moshi, United Republic of Tanzania.
Blandina T MmbagaKilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania.
Mirjam A G SprangersDepartment of Medical Psychology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Pythia T NieuwkerkDepartment of Medical Psychology, Amsterdam University Medical Centers, Amsterdam, The Netherlands.
Rob E AarnoutseRadboud Institute for Health Sciences & Department of Pharmacy, Radboudumc, Nijmegen, The Netherlands.
Peter ReissDepartment of Global Health and Division of infectious Diseases, Amsterdam Institute for Global Health and Development, Amsterdam University Medical Centers , Amsterdam, The Netherlands.
I Marion Sumari-de BoerKilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Real-time medication monitoring (RTMM) may potentially enhance adherence to antiretroviral treatment (ART). We describe a participant in an ongoing trial who, shortly after completing trial participation, died of cryptococcal meningitis despite high levels of adherence according to self-report, pill-counts and RTMM (> 99%). However, she evidenced consistently high HIV viral load throughout the 48-week study follow-up. Subsequently, her relatives unsolicitedly returned eight months' dispensed ART medication that she was supposed to have taken. This brief report illustrates the challenges of adherence measurements including RTMM, and reinforces the need to combine adherence assessments with viral load monitoring in HIV care.

Indexed as

Anti-HIV AgentsHIV InfectionsAnti-Retroviral AgentsDrug MonitoringFemaleHumansMedication AdherenceViral LoadAnti-HIV AgentsAnti-Retroviral AgentsAdherenceARTCase reportmHealthRealtime medication monitoring

Identifiers

PMID32912282
PMCPMC7488262

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Registered trials

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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.