Evidence map›Paper›PMID 35136387›Full record

ArticleInternational journal of integrated care

Integrating Care for Diabetes and Hypertension with HIV Care in Sub-Saharan Africa: A Scoping Review.

Geoff McCombe, Jayleigh Lim, Marie Claire Van Hout, Jeffrey V Lazarus, Max Bachmann, Shabbar Jaffar, Anupam Garrib, Kaushik Ramaiya, Nelson K Sewankambo, Sayoki Mfinanga and 1 more

Open access · goldAbstract readScoping Review
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed
6.3field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 66 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

11 authors at 7 institutions in 5 countries.

Geoff McCombeUniversity College Dublin, Dublin, IE.ORCID https://orcid.org/0000-0003-4898-3459
Jayleigh LimUniversity College Dublin, Dublin, IE.ORCID https://orcid.org/0000-0002-5778-6804
Marie Claire Van HoutLiverpool John Moores University, Liverpool, UK.ORCID https://orcid.org/0000-0002-0018-4060
Jeffrey V LazarusBarcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, ES.ORCID https://orcid.org/0000-0001-9618-2299
Max BachmannUniversity of East Anglia, Norwich, UK.ORCID https://orcid.org/0000-0003-1770-3506
Shabbar JaffarLiverpool School of Tropical Medicine, Liverpool, UK.ORCID https://orcid.org/0000-0002-9615-1588
Anupam GarribLiverpool School of Tropical Medicine, Liverpool, UK.ORCID https://orcid.org/0000-0003-2305-3749
Kaushik RamaiyaShree Hindu Mandal Hospital, Dar es Salaam, TZ.ORCID https://orcid.org/0000-0003-3309-5395
Nelson K SewankamboMakerere University, Kampala, UG.ORCID https://orcid.org/0000-0001-9362-053X
Sayoki MfinangaLiverpool School of Tropical Medicine, Liverpool, UK.ORCID https://orcid.org/0000-0001-9067-2684
Walter CullenUniversity College Dublin, Dublin, IE.ORCID https://orcid.org/0000-0003-1838-5052
Liverpool School of Tropical Medicine · GBUniversity College Dublin · IEAga Khan Hospital Dar es Salaam · TZBarcelona Institute for Global Health · ESLiverpool John Moores University · GBMakerere University · UGUniversity of East Anglia · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough HIV continues to have a high prevalence among adults in sub-Saharan Africa (SSA), the burden of noncommunicable diseases (NCD) such as diabetes and hypertension is increasing rapidly. There is an urgent need to expand the capacity of healthcare systems in SSA to provide NCD services and scale up existing chronic care management pathways. A scoping review mapped extant policy and evidence based literature on the feasibility of integrating NCD care with HIV in the region.

methodsA scoping review methodology was utilised to conduct a systematic search of peer-reviewed and grey literature published in English language and with no date limitation. A systematic search was conducted on PubMed, Embase, CINAHL, and the Cochrane library. The initial search identified 231 records considered for inclusion in this review. Twelve duplicate records were removed. The remaining 219 records were screened by title and abstract of which 165 records were excluded and 54 records were selected for full-text review. A further 16 records were excluded due to a lack of relevance or the unavailability of the full text article. Finally, 38 were charted and analysed thematically.

resultsThirty-eight studies were included. These comprised a range of different models to integrate NCD and HIV care in the region, reflecting differences in health system environments, and disease epidemiology. The studies provide a variety of evidence that integration of HIV and NCD care can be feasible and can improve clinical effectiveness and identify barriers and facilitators to integration and task shifting. The review confirms that integrated HIV and NCD care services is by-and-large feasible, being both clinically effective and cost-effective.

conclusionThe review may inform the understanding of how best to develop an integrated model of care service by reducing barriers to uptake, linkage and retention in HIV, diabetes and hypertension treatment in SSA countries.

Indexed as

AIDSdiabetesHIVhypertensionreview

Identifiers

PMID35136387
PMCPMC8815447
OpenAlexW4210299890

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.