Evidence map›Paper›PMID 33204748›Full record

ArticleOpen forum infectious diseases2020

Evolution of Drug Interactions With Antiretroviral Medication in People With HIV.

Majdouline El Moussaoui, Iseult Lambert, Nathalie Maes, Anne-Sophie Sauvage, Frédéric Frippiat, Christelle Meuris, Françoise Uurlings, Marianne Lecomte, Philippe Léonard, Karine Fombellida and 4 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

12 citing papers in PubMed, 30 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

14 authors at 1 institution in 1 country.

Majdouline El MoussaouiInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Iseult LambertInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Nathalie MaesDepartment of Biostatistics, Liège University Hospital, Liège, Belgium.
Anne-Sophie SauvageInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Frédéric FrippiatInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Christelle MeurisInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Françoise UurlingsInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Marianne LecomteInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Philippe LéonardInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Karine FombellidaInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Dolores VairaAIDS Reference Laboratory, Liège University, Liège, Belgium.
Christelle VerchevalDepartment of Clinical Pharmacy, University Hospital of Liège, Liège, Belgium.
Michel MoutschenInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
Gilles DarcisInfectious Diseases Department, Liège University Hospital, Liège, Belgium.
University of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolypharmacy and drug interactions are important issues for HIV-infected individuals. The number and nature of those interactions are continuously evolving with the use of new antiretroviral drugs and the aging of HIV-infected individuals. We aimed to analyze this evolution over time.

methodsThis retrospective cohort study was conducted in the University Hospital of Liège (Belgium). Treatments of HIV-infected outpatients attending Liège University Hospital were collected and analyzed in 2012 and 2016. The University of Liverpool HIV drug interactions database was used to determine drug interactions.

resultsWe included 1038 patients in 2016, of whom 78% had 1 comedication. Polypharmacy was seen in 20% of the cohort. Four percent of the patients presented red flag interactions, and 38% had orange flag interactions. Nonantiretroviral (non-ARV) therapeutic classes involved in drug interactions were mostly cardiovascular and central nervous system drugs. They were followed by hormone drugs and dietary supplements for orange flag interactions. Two factors significantly contributed to both red and orange flag interactions: the number of non-ARV comedications and protease inhibitor-based ARV regimens. The proportion of patients with red or orange flag interactions remained stable from 2012 to 2016.

conclusionsThis study highlights the persistence of an alarming number of contraindicated drug interactions and a high prevalence of potential drug interactions over time. Identification, prevention, and management of drug interactions remain a key priority in HIV care.

Indexed as

antiretroviral therapydrug interactionsHIV

Identifiers

PMID33204748
PMCPMC7651038
OpenAlexW3102902867

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.