Evidence map›Paper›PMID 40635909›Full record

ArticleOpen forum infectious diseases2025

Clinical and Health Care Resource Use Outcomes Associated With Resistance to Antiretroviral Therapy Among Veterans With HIV.

S Scott Sutton, Joseph Magagnoli, Tammy H Cummings, Chase Williams, Mary J Christoph, Cassidy Trom, Woodie Zachry, Michelle L D'Antoni, Uche Mordi, Amy Weinberg and 1 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

S Scott SuttonDepartment of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy, University of South Carolina, Columbia, South Carolina, USA.ORCID https://orcid.org/0000-0002-3889-6178
Joseph MagagnoliDepartment of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy, University of South Carolina, Columbia, South Carolina, USA.ORCID https://orcid.org/0000-0002-8568-0097
Tammy H CummingsDepartment of Clinical Pharmacy and Outcomes Sciences, College of Pharmacy, University of South Carolina, Columbia, South Carolina, USA.ORCID https://orcid.org/0000-0001-7978-7157
Chase WilliamsGilead Sciences, Department of Patient Access & Quality of Care, Foster City, California, USA.
Mary J ChristophGilead Sciences, Department of Patient Access & Quality of Care, Foster City, California, USA.ORCID https://orcid.org/0000-0001-8769-9931
Cassidy TromGilead Sciences, Department of Patient Access & Quality of Care, Foster City, California, USA.
Woodie ZachryGilead Sciences, Department of Patient Access & Quality of Care, Foster City, California, USA.
Michelle L D'AntoniGilead Sciences, Department of Research Clinical Virology, Foster City, California, USA.ORCID https://orcid.org/0009-0004-5395-7022
Uche MordiGilead Sciences, Department of Global Health Economics and Outcomes Research, Foster City, California, USA.ORCID https://orcid.org/0009-0001-3663-9055
Amy WeinbergGilead Sciences, Department of US Medical Affairs Virology, Foster City, California, USA.
Phyllis C TienDepartment of Medicine, University of California San Francisco, and Department of Veterans Affairs Medical Center, San Francisco, California, USA.ORCID https://orcid.org/0000-0003-3867-6770

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study evaluated clinical and economic outcomes associated with antiretroviral therapy (ART) resistance among people with HIV (PWH) within a nationally representative database. Methods: Retrospective claims data were extracted from the Veterans Affairs Informatics and Computing Infrastructure. PWH receiving testing for resistance-associated mutations (RAMs) between 2003 and 2023 were categorized as resistant if they had ≥1 documented RAM in integrase strand transfer inhibitor, protease inhibitor, or reverse transcriptase genes. Results: Among 7746 veterans with interpretable resistance tests, 1875 had no detectable resistance, 4466 had ≥1 major or minor RAM (any RAM), and 1405 had ≥1 major RAM. The median CD4 count was highest for those without RAMs (357 cells/mm Conclusions: In this real-world analysis, PWH with detectable resistance had lower CD4 counts, more frequent hospitalizations and opportunistic infections, greater economic costs, and increased discontinuation of ART.

Indexed as

antiretroviral therapyHIVresistanceresistance-associated mutationsVeterans

Identifiers

PMID40635909
PMCPMC12239091

What OpenQuestion holds

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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.