Evidence map›Paper›PMID 38528590›Full record

ArticleAddiction science & clinical practice2024

Hospitalization is a missed opportunity for HIV screening, pre-exposure prophylaxis, and treatment.

William Bradford, Hana Akselrod, John Bassler, Kelly W Gagnon, Greer Burkholder, Joseph Edward Carpenter, Alaina Steck, Jillian Catalanotti, Irene Kuo, Keanan McGonigle and 6 more

Abstract readLetter
In one paragraph

Article in Addiction science & clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

7 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.

William BradfordDivision of Infectious Diseases, University of Alabama at Birmingham, Boshell Building 8th Floor 1808 7th Ave S, Birmingham, AL, 35233, USA. wsbradford@uabmc.edu.ORCID 0000-0002-6497-6251
Hana AkselrodDepartment of Medicine, The George Washington School of Medicine and Health Sciences, Washington, USA.
John BasslerSchool of Public Health, University of Alabama at Birmingham, Birmingham, USA.
Kelly W GagnonDivision of Infectious Diseases, University of Alabama at Birmingham, Boshell Building 8th Floor 1808 7th Ave S, Birmingham, AL, 35233, USA.
Greer BurkholderDivision of Infectious Diseases, University of Alabama at Birmingham, Boshell Building 8th Floor 1808 7th Ave S, Birmingham, AL, 35233, USA.
Joseph Edward CarpenterDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, USA.
Alaina SteckDepartment of Emergency Medicine, Emory University School of Medicine, Atlanta, USA.
Jillian CatalanottiDepartment of Medicine, The George Washington School of Medicine and Health Sciences, Washington, USA.
Irene KuoDepartment of Epidemiology, Milken Institute School of Public Health, The George Washington University, Washington, USA.
Keanan McGonigleDepartment of Medicine, The George Washington School of Medicine and Health Sciences, Washington, USA.
William MaiDepartment of Medicine, The George Washington School of Medicine and Health Sciences, Washington, USA.
Melissa NotisDepartment of Medicine, The George Washington School of Medicine and Health Sciences, Washington, USA.
Christopher BrokusDivision of Clinical Care and Research, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, USA.
Sarah KattakuzhyDivision of Clinical Care and Research, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, USA.
Elana RosenthalDivision of Clinical Care and Research, Institute of Human Virology, University of Maryland School of Medicine, Baltimore, USA.
Ellen F EatonDivision of Infectious Diseases, University of Alabama at Birmingham, Boshell Building 8th Floor 1808 7th Ave S, Birmingham, AL, 35233, USA.

Funding

Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Latesha Ellen Elopre · 1988 to 2026
$84.1M
Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
SWG 2: Cure Research Scientific Working GroupP30AI117970 · NIAID · GEORGE WASHINGTON UNIVERSITY · PI Italo Mocchetti · 2015 to 2026
$29.6M
UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
AHRQ HHS T32 HS013852CLC NIH HHS HHSN269201400012CNIAID NIH HHS P30 AI027767NIAID NIH HHS P30 AI050409NIAID NIH HHS P30 AI117970
6 · The paper itself

Abstract

backgroundHospitalization is a "reachable moment" for people who inject drugs (PWID), but preventive care including HIV testing, prevention and treatment is rarely offered within inpatient settings.

methodsWe conducted a multisite, retrospective cohort study of patients with opioid use disorder with infectious complications of injection drug use hospitalized between 1/1/2018-12/31/2018. We evaluated HIV care continuum outcomes using descriptive statistics and hypothesis tests for intergroup differences.

results322 patients were included. Of 300 patients without known HIV, only 2 had a documented discussion of PrEP, while only 1 was prescribed PrEP on discharge. Among the 22 people with HIV (PWH), only 13 (59%) had a viral load collected during admission of whom all were viremic and 10 (45%) were successfully linked to care post-discharge. Rates of readmission, Medicaid or uninsured status, and unstable housing were high in both groups. DISCUSSION: We observed poor provision of HIV testing, PrEP and other HIV services for hospitalized PWID across multiple U.S. medical centers. Future initiatives should focus on providing this group with comprehensive HIV testing and treatment services through a status neutral approach.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisSubstance Abuse, IntravenousAftercareHIV TestingHospitalizationHumansPatient DischargeRetrospective StudiesAnti-HIV AgentsCHOICEHIVMissed opportunityOUDPrEPPWHSIRI

Identifiers

PMID38528590
PMCPMC10964564

What OpenQuestion holds

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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.