Evidence map›Paper›PMID 34006927›Full record

ArticleScientific reports2021

Timeliness of antiretroviral therapy initiation in the era before universal treatment.

Nikolina Bogdanić, Liam Bendig, Davorka Lukas, Šime Zekan, Josip Begovac

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06518213 (Efficacy and Safety of First-line Antiretroviral Therapy), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT06518213 completednot on this map

Efficacy and Safety of First-line Antiretroviral Therapy (ART) With Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF) Introduced at the First Clinical Visit: a Real-life Retrospective Single Arm Single Center Study

TypeobservationalSponsorUniversity Hospital for Infectious Diseases, CroatiaRan2019 to 2024Enrolled112ConditionsHIV Infections
3 · Its place in the literature

Who cites it

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

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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

5 authors.

Nikolina BogdanićUniversity Hospital for Infectious Diseases, Mirogojska 8, Zagreb, Croatia.
Liam BendigMedical Scholars Program, AU/UGA Medical Partnership, Athens, GA, USA.
Davorka LukasUniversity Hospital for Infectious Diseases, Mirogojska 8, Zagreb, Croatia.
Šime ZekanUniversity Hospital for Infectious Diseases, Mirogojska 8, Zagreb, Croatia.
Josip BegovacUniversity Hospital for Infectious Diseases, Mirogojska 8, Zagreb, Croatia. josip.begovac@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We assessed the prevalence and factors related to the time to antiretroviral (ART) initiation among persons who entered HIV care and subsequently started ART in Croatia from 2005 to 2014. Included were patients ≥ 18 years, the follow-up ended on Dec/31/2017. 628 patients were included into the study 91.9% were men; median age was 36.1 (Q1-Q3: 29.6-43.8) years. Rapid (within 7 days of diagnosis) ART initiation was observed in 21.8% patients, 49.8% initiated ART within 30 days, 21.7% and 28.5% had intermediate (31 days-1 year) and late initiation (> 1 year), respectively. Of 608 patients that achieved an undetectable viral load, 94% had a plasma HIV-1 RNA < 50 copies/ml at last measurement after a median follow-up of 5.2 years. On quantile regression analysis, calendar year of entry into care, and markers of more advanced HIV disease (higher viral load, lower CD4 cell count and clinical AIDS) were significantly associated with earlier ART initiation. Early ART was not related to a gap in care afterwards at all quantiles. In conclusion, a significant proportion of patients started ART early in Croatia in 2005-2014. Early ART initiation led to durable viral load suppression and was not associated with a subsequent gap in care.

Indexed as

AdultAnti-HIV AgentsCohort StudiesDrug Administration ScheduleFemaleHIV InfectionsHumansKaplan-Meier EstimateMaleViral LoadAnti-HIV Agents

Identifiers

PMID34006927
PMCPMC8131373

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Registered trials

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.