Evidence map›Paper›PMID 30043070›Full record

GuidelineJAMA2018

Antiretroviral Drugs for Treatment and Prevention of HIV Infection in Adults: 2018 Recommendations of the International Antiviral Society-USA Panel.

Michael S Saag, Constance A Benson, Rajesh T Gandhi, Jennifer F Hoy, Raphael J Landovitz, Michael J Mugavero, Paul E Sax, Davey M Smith, Melanie A Thompson, Susan P Buchbinder and 7 more

Registry-linked trialOpen access · hybridAbstract readPractice Guideline
In one paragraph

Guideline in JAMA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03789968 (The Incidence and Severity of Drug Interactions Before and After Switching Antiretroviral Therapy to Bictegravir/Emtricitabine/Tenofovir Alafenamide in Treatment Experienced Patients), which is not on this map. Cited by 281 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
281citing papers in PubMed, 3 pooled it
57.9field-weighted citation impact, top 1% 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.

NCT03789968 completednot on this mapstarted 2019, after this paper: background citation

The Incidence and Severity of Drug Interactions Before and After Switching Antiretroviral Therapy to Bictegravir/Emtricitabine/Tenofovir Alafenamide in Treatment Experienced Patients

TypeobservationalSponsorThomas Jefferson UniversityRan2019 to 2020Enrolled411ConditionsHIV/AIDSArmsbictegravir/emtricitabine/tenofovir alafenamide
3 · Its place in the literature

Who cites it

281 citing papers in PubMed, 3 syntheses or guidelines pooled it, 555 citations in OpenAlex.

  1. Pooled it
  2. Sexually Transmitted Infections Treatment Guidelines, 2021.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2021
    Guideline
  3. Guideline
  4. Trial
  5. Trial
  6. Switching to Bictegravir, Emtricitabine, and Tenofovir Alafenamide in Virologically Suppressed Adults With Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

221 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 13 institutions in 5 countries.

Michael S SaagUniversity of Alabama at Birmingham.
Constance A BensonUniversity of California San Diego School of Medicine.
Rajesh T GandhiMassachusetts General Hospital and Harvard Medical School, Boston.
Jennifer F HoyThe Alfred Hospital and Monash University, Melbourne, Australia.
Raphael J LandovitzUniversity of California Los Angeles.
Michael J MugaveroUniversity of Alabama at Birmingham.
Paul E SaxHarvard Medical School and Brigham and Women's Hospital, Boston, Massachusetts.
Davey M SmithUniversity of California San Diego, La Jolla.
Melanie A ThompsonAIDS Research Consortium of Atlanta, Atlanta, Georgia.
Susan P BuchbinderSan Francisco Department of Public Health and University of California San Francisco.
Carlos Del RioEmory University Rollins School of Public Health and School of Medicine, Atlanta, Georgia.
Joseph J EronUniversity of North Carolina at Chapel Hill School of Medicine.
Gerd FätkenheuerUniversity Hospital of Cologne, Department I of Internal Medicine, Cologne, Germany, and German Center for Infection Research, Partner Site Bonn-Cologne, Cologne, Germany.
Huldrych F GünthardUniversity Hospital Zurich and Institute of Medical Virology, University of Zurich, Zurich, Switzerland.
Jean-Michel MolinaUniversity of Paris Diderot and Saint-Louis Hospital, APHP, Paris.
Donna M JacobsenInternational Antiviral Society-USA, San Francisco, California.
Paul A VolberdingUniversity of California San Francisco.
Harvard University · USUniversity of Alabama at Birmingham · USUniversity of California San Diego · USAIDS Research Consortium of Atlanta · USDélégation Paris 7 · FREmory University · USGerman Center for Infection Research · DESan Francisco Department of Public Health · USThe Alfred Hospital · AUUniversity Hospital of Zurich · CHUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of North Carolina at Chapel Hill · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
VirologyP30AI036214 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUSAN JANET LITTLE · 1994 to 2026
$78.4M
Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jessica Lynette Montoya · 2001 to 2026
$50.4M
NIAID NIH HHS P30 AI027763NIAID NIH HHS P30 AI036214NIAID NIH HHS P30 AI050410NIMH NIH HHS P30 MH062512
6 · The paper itself

Abstract

Importance: Antiretroviral therapy (ART) is the cornerstone of prevention and management of HIV infection. Objective: To evaluate new data and treatments and incorporate this information into updated recommendations for initiating therapy, monitoring individuals starting therapy, changing regimens, and preventing HIV infection for individuals at risk. Evidence Review: New evidence collected since the International Antiviral Society-USA 2016 recommendations via monthly PubMed and EMBASE literature searches up to April 2018; data presented at peer-reviewed scientific conferences. A volunteer panel of experts in HIV research and patient care considered these data and updated previous recommendations. Findings: ART is recommended for virtually all HIV-infected individuals, as soon as possible after HIV diagnosis. Immediate initiation (eg, rapid start), if clinically appropriate, requires adequate staffing, specialized services, and careful selection of medical therapy. An integrase strand transfer inhibitor (InSTI) plus 2 nucleoside reverse transcriptase inhibitors (NRTIs) is generally recommended for initial therapy, with unique patient circumstances (eg, concomitant diseases and conditions, potential for pregnancy, cost) guiding the treatment choice. CD4 cell count, HIV RNA level, genotype, and other laboratory tests for general health and co-infections are recommended at specified points before and during ART. If a regimen switch is indicated, treatment history, tolerability, adherence, and drug resistance history should first be assessed; 2 or 3 active drugs are recommended for a new regimen. HIV testing is recommended at least once for anyone who has ever been sexually active and more often for individuals at ongoing risk for infection. Preexposure prophylaxis with tenofovir disoproxil fumarate/emtricitabine and appropriate monitoring is recommended for individuals at risk for HIV. Conclusions and Relevance: Advances in HIV prevention and treatment with antiretroviral drugs continue to improve clinical management and outcomes for individuals at risk for and living with HIV.

Indexed as

AdultAdvisory CommitteesAnti-Retroviral AgentsDiagnosis, DifferentialFees, PharmaceuticalHIV InfectionsHumansTime-to-TreatmentAnti-Retroviral Agents

Identifiers

PMID30043070
PMCPMC6415748
OpenAlexW2915372808

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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 Socratic graph.