Evidence map›Paper›PMID 35194699›Full record

ArticleAIDS and behavior2022

The Impact of COVID-19 on the HIV Care Continuum in a Large Urban Southern Clinic.

Jamison Norwood, Asghar Kheshti, Bryan E Shepherd, Peter F Rebeiro, Aimalohi Ahonkhai, Sean Kelly, Celestine Wanjalla

Open access · bronzeAbstract read
In one paragraph

Article in AIDS and behavior, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 4% 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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

7 authors at 2 institutions in 1 country.

Jamison NorwoodDivision of Infectious Disease, Department of Medicine, Vanderbilt University Medical Center, A-2200 MCN, 1161 21st Ave S., Nashville, TN, 37232-2582, USA. Jamison.norwood@vumc.org.ORCID http://orcid.org/0000-0002-1501-9308
Asghar KheshtiDivision of Infectious Disease, Department of Medicine, Vanderbilt University Medical Center, A-2200 MCN, 1161 21st Ave S., Nashville, TN, 37232-2582, USA.
Bryan E ShepherdDepartment of Biostatistics, Vanderbilt University, Nashville, TN, USA.
Peter F RebeiroDivision of Infectious Disease, Department of Medicine, Vanderbilt University Medical Center, A-2200 MCN, 1161 21st Ave S., Nashville, TN, 37232-2582, USA.
Aimalohi AhonkhaiDivision of Infectious Disease, Department of Medicine, Vanderbilt University Medical Center, A-2200 MCN, 1161 21st Ave S., Nashville, TN, 37232-2582, USA.
Sean KellyDivision of Infectious Disease, Department of Medicine, Vanderbilt University Medical Center, A-2200 MCN, 1161 21st Ave S., Nashville, TN, 37232-2582, USA.
Celestine WanjallaDivision of Infectious Disease, Department of Medicine, Vanderbilt University Medical Center, A-2200 MCN, 1161 21st Ave S., Nashville, TN, 37232-2582, USA. celestine.wanjalla@vumc.org.
Vanderbilt University Medical Center · USVanderbilt University · US

Funding

Tennessee CFAR: Implementation of Culturally Responsive Trauma-Informed Care with Youth with HIV in Memphis, TNP30AI110527 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Chandravanu Dash · 2015 to 2026
$27.5M
Training In Cardiovascular Physiology & PharmacologyT32HL007444 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Ju Chen, Robert Scott Ross · 1985 to 2026
$11.1M
UCSD PRIDE Faculty Development Program in Cardiovascular SciencesR25HL145817 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Robert Scott Ross, Joann Trejo · 2019 to 2026
$3.3M
Anti-cytomegalovirus Immune Responses in Atherosclerotic Cardiovascular Disease in Persons Living with HIVK23HL156759 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WANJALLA, CELESTINE N · 2021 to 2025
$860k
The HIV Care Continuum and Health Policy: Changes through Context and GeographyK01AI131895 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI REBEIRO, PETER F · 2017 to 2021
$623k
NHLBI NIH HHS K23 HL156759NHLBI NIH HHS R25 HL145817NHLBI NIH HHS T32 HL007444NIAID NIH HHS K01 AI131895NIAID NIH HHS P30 AI110527
6 · The paper itself

Abstract

Access to care is essential for people with HIV (PWH) but may have been affected during the COVID-19 pandemic. We conducted a retrospective cross-sectional study of adult PWH receiving care in a large southeastern comprehensive care clinic in the United States. Patients in care between January 1, 2017, and July 30, 2020, were included. Race/ethnicity, sex, HIV-1 RNA, CD4 + lymphocyte count were included as baseline covariates. Outcomes included clinic attendance, receipt of HIV-1 RNA PCR testing, and virologic suppression (HIV-1 RNA < 200 copies/mL); outpatient encounters included new patient encounters, follow-up visits, and mental health encounters. Total medical encounters, including telemedicine, decreased by 827 visits (33%) when comparing the second quarters of 2019 and 2020. New patient encounters decreased by 23.5% from 81 to 62 during this period. The second quarter of 2020 saw the lowest number of new patient visits since 2017. HIV-1 RNA testing and the proportion of patients with virologic suppression decreased during the pandemic (p < 0.001 for both). Total mental health encounters, on the other hand, increased by 14% during April-June 2020 compared to April-June 2019. Mental health electronic communications increased by 60% from 312 to 500 during the same period, with a 20% increase in medication refills. The COVID-19 pandemic affected outpatient visits, viral load surveillance, and virologic suppression but led to an increase in mental health encounters in a comprehensive care clinic setting.

Indexed as

COVID-19HIV InfectionsAdultContinuity of Patient CareCross-Sectional StudiesHumansPandemicsRetrospective StudiesRNAUnited StatesViral LoadRNACare continuumCOVID-19HIVMental health

Identifiers

PMID35194699
PMCPMC8863570
OpenAlexW4213426836

What OpenQuestion holds

Textmetadata
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.