Evidence map›Paper›PMID 40119536›Full record

Observational studyThe Annals of pharmacotherapy2025

Comparison of Error Incidence Between Single-Tablet Versus Multiple-Tablet INSTI-Based Regimens in the Inpatient Setting.

Denise Kelley, Kayla Blackmon, Brian L Nguyen, Dusten T Rose

Abstract readObservational StudyComparative StudyMulticenter Study
In one paragraph

Observational study in The Annals of pharmacotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Denise KelleyUniversity of Texas, College of Pharmacy, Austin, TX, USA.ORCID 0000-0002-2838-7222
Kayla BlackmonDepartment of Pharmacy, Ascension Seton, Dell Seton Medical Center at the University of Texas, Austin, TX, USA.
Brian L NguyenDepartment of Pharmacy, AscensionConnect GoodHealth Solutions Center, Austin, TX, USA.
Dusten T RoseDepartment of Pharmacy, Ascension Seton, Dell Seton Medical Center at the University of Texas, Austin, TX, USA.ORCID 0000-0002-1710-336X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundErrors related to antiretroviral therapy (ART) occur in up to 86% of hospitalized patients living with human immunodeficiency virus (HIV) and may contribute to treatment failure, drug resistance, adverse effects, and toxicity. ART can be administered as a single-tablet regimen (STR) or multiple-tablet regimen (MTR), with limited data on whether the number of tablets affects inpatient error incidence.

objectiveThe purpose of this study was to determine the error rate of substituting dolutegravir-based STRs to an MTR while admitted.

methodsThis multicenter, retrospective, observational study in adult inpatients receiving ART for HIV evaluated continuation of bictegravir-based STR versus dolutegravir-based STR given as an MTR. The primary outcome was the composite error incidence when ART was dispensed as an STR versus MTR. Secondary endpoints included number of errors per patient encounter, between-group error types, time to error correction and pharmacist involvement, and conversion back to STR at discharge.

resultsOf 514 patient encounters (257 bictegravir-based STR; 257 dolutegravir-based MTR), there was a significantly lower composite incidence of errors in the STR group versus the MTR group (23% vs 31.5%; CONCLUSION AND RELEVANCE: Providing INSTI-based ART as an STR while admitted may reduce ART-related medication errors and has potential to improve patient care; however, use of an STR may not address errors related to inappropriate dosing in organ dysfunction. Increased vigilance for medication errors is warranted when substituting with MTRs in inpatient settings.

Indexed as

Heterocyclic Compounds, 3-RingHIV InfectionsHIV Integrase InhibitorsMedication ErrorsAdultAmidesDolutegravirFemaleHumansIncidenceInpatientsMaleMiddle AgedOxazinesPiperazinesPyridonesAmidesbictegravirDolutegravirHeterocyclic Compounds, 3-RingHIV Integrase InhibitorsOxazinesPiperazinesPyridonesTabletsantiretroviralsHIV/AIDShospital pharmacyintegrase strand transfer inhibitorsmedication errors

Identifiers

PMID40119536
PMCPMC12450241

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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.