Evidence map›Paper›PMID 34487078›Full record

ArticleActa bio-medica : Atenei Parmensis2021

Management care improvement of people living with HIV: definition of a targeted clinical pathway in a University Hospital of South Italy.

Smeralda D'Amato, Giovanni Francesco Pellicanò, Giuseppe Nunnari, Franco Fedele, Raffaele Squeri, Francesco Mazzitelli, Flavia D'Andrea, Daniele Maisano, Raffaele Squeri, Cristina Genovese

Abstract read
In one paragraph

Article in Acta bio-medica : Atenei Parmensis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
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.

Smeralda D'AmatoPostgraduate Medical School in Hygiene and Preventive Medicine, University of Messina, Italy. damato.esmeralda@libero.it.
Giovanni Francesco PellicanòDepartment of Adult and Childhood Human Pathology "Gaetano Barresi", University of Messina, Messina, Italy. giovanni.pellicano@unime.it.
Giuseppe NunnariUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. giuseppe.nunnari@unime.it.
Franco FedeleDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, 98125, Italy. f.fedele1965@libero.it.
Raffaele SqueriIgiene Ospedaliera, University of Messina, Italy. raffaele.squeri@unime.it.
Francesco MazzitelliPostgraduate Medical School in Hygiene and Preventive Medicine, University of Messina, Italy. francesco88xp@libero.it.
Flavia D'AndreaUnit of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy. flavia.dandrea91@libero.it.
Daniele MaisanoDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, 98125, Italy. dmaisano@unime.it.
Raffaele SqueriDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, 98125, Italy. squeri@unime.it.
Cristina GenoveseDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, 98125, Italy. cristinagenovese86@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimIn the world 37,9 billions live with Human Immunodeficiency Virus and, despite the availability of retroviral therapy, they have an higher risk to acquire other infectious diseases and to develop severe complications. According to several guidelines their immunization is crucial but only some center have developed a specific scheduled pathway and vaccination coverage is very low.  Aim of this study is: a)incentivize the active and free of charge offer of vaccines and increase of immunization coverage; b) application and implementation of a shared clinical pathway avoiding reluctance, embarrassment or shame by patients for their condition; d) instauration of an empathic relationship between doctor and patient; e) evaluation of side effects.

methodsA prospective study was conducted from October 2019 to February 2020 at the University Hospital G. Martino of Messina. Inclusion criteria were: age over 18; absence of other diseases; absence of immunization against HBV or HAV; CD4 count for live attenuated viral vaccines of 350/uL and for other vaccine 200/uL. A specific scheduled pathway was adopted for every patient. Statistical analysis was performed with Excel software.

results86 patients were enrolled (74.4% were males, 79.1% were Italian; mean age=4013.3 SD).  An increase in administration was observed between 2018 and 2019 (+164.3% for flu and for other vaccines +370%).  The higher increase was observed for HPV one. No-one received DTpa, MMRV or Zoster vaccine.

conclusionsThe undertook clinical pathway showed the relevance of specific management of these patients and the need to increase the vaccination offer.

Indexed as

Critical PathwaysHIV InfectionsAdultHospitalsHumansItalyMaleProspective Studies

Identifiers

PMID34487078
PMCPMC8477122

What OpenQuestion holds

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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.