Evidence map›Paper›PMID 37349096›Full record

ArticleBMJ open2023

Implementation of point-of-care testing and prevalence of cryptococcal antigenaemia among patients with advanced HIV disease in Mumbai, India.

Shrikala Acharya, Ramesh Reddy Allam, Vijay Kumar Karanjkar, Dhirubhai Rathod, Raman Mahajan, Prashant Deshpande, Amol Palkar, Shashikant Todmal, Sagar Koli, Sachin Dhande and 6 more

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

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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

2 citing papers in PubMed.

  1. Article
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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

16 authors.

Shrikala AcharyaMumbai Districts AIDS Control Society, Mumbai, India.
Ramesh Reddy AllamDivision of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Delhi, India qdj4@cdc.gov.ORCID 0000-0002-0197-2050
Vijay Kumar KaranjkarMumbai Districts AIDS Control Society, Mumbai, India.
Dhirubhai RathodMumbai Districts AIDS Control Society, Mumbai, India.
Raman MahajanInternational Training and Education HIV (I-TECH), Delhi, India.
Prashant DeshpandeMumbai Districts AIDS Control Society, Mumbai, India.
Amol PalkarInternational Training and Education HIV (I-TECH), Delhi, India.
Shashikant TodmalInternational Training and Education HIV (I-TECH), Delhi, India.
Sagar KoliInternational Training and Education HIV (I-TECH), Delhi, India.
Sachin DhandeInternational Training and Education HIV (I-TECH), Delhi, India.
Jayesh DaleSHARE INDIA, Hyderabad, India.
Vijay V YeldandiSHARE INDIA, Hyderabad, India.
Amit HarshanaInternational Training and Education HIV (I-TECH), Delhi, India.
Reshu AgarwalDivision of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Delhi, India.
Sunita UpadhyayaDivision of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Delhi, India.
Melissa NyendakDivision of Global HIV and Tuberculosis, Centers for Disease Control and Prevention, Delhi, India.

Funding

CDC HHSPEPFAR
6 · The paper itself

Abstract

objectivesTo describe the implementation of screening for cryptococcal antigenaemia by point-of-care (POC) serum cryptococcal antigen (CrAg) lateral flow assay, measure the prevalence and factors associated with serum cryptococcal antigenaemia in the routine programmatic setting.

designCross-sectional study.

settingSeventeen publicly funded antiretroviral therapy (ART) centres in Mumbai, India.

participantsSerum CrAg screening was offered to all adolescents (>10 years of age) and adults with advanced HIV disease (AHD) (CD4 <200 cells/mm PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was to describe the implementation of serum CrAg screening and secondary outcome was to measure the prevalence of serum cryptococcal antigenaemia and its risk factors.

resultsA total of 2715 patients with AHD were tested for serum CrAg by POC assay. Of these, 25 (0.9%) had a CrAg positive result. Among CrAg-positive patients, only one had symptoms. Serum CrAg positivity was 3.6% (6/169) and 1.6% (6/520) among those presenting with CD4 <100 cells/mm

conclusionsImplementation of a POC CrAg assay was possible with existing ART centre staff. Initiation of pre-emptive therapy and management of cryptococcal antigenaemia are operationally feasible at ART centres. The Indian National AIDS Control Programme may consider reflexive CrAg screening of all AHD patients with CD4 <100 cells/mm

Indexed as

CryptococcusHIV InfectionsAdolescentAdultAntigens, FungalCD4 Lymphocyte CountCross-Sectional StudiesHumansIndiaPoint-of-Care TestingPrevalenceAntigens, FungalEpidemiologyHIV & AIDSPublic health

Identifiers

PMID37349096
PMCPMC10314426

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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.