Evidence mapPaperPMID 33797668Full record

ArticleAIDS and behavior2021

Primary Care Providers' Perspectives on Using Automated HIV Risk Prediction Models to Identify Potential Candidates for Pre-exposure Prophylaxis.

Polly van den Berg, Victoria E Powell, Ira B Wilson, Michael Klompas, Kenneth Mayer, Douglas S Krakower

Abstract read
In one paragraph

Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Review
  7. Exploring the Feasibility of an Electronic Tool for Predicting Retention in HIV Care: Provider Perspectives.International journal of environmental research and public health · 2024
    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

6 authors.

Polly van den BergDivision of Infectious Diseases, Beth Israel Deaconess Medical Center, Lowry Medical Office Building Suite GB, 110 Francis Street, Boston, MA, 02215, USA. pvan@bidmc.harvard.edu.ORCID http://orcid.org/0000-0002-2918-3045
Victoria E PowellUniversity of Massachusetts Medical School, Worcester, MA, USA.
Ira B WilsonDivision of Health Services, Policy and Practice, Brown University, Providence, RI, USA.
Michael KlompasDepartment of Population Medicine, Harvard Medical School, Boston, MA, USA.
Kenneth MayerDivision of Infectious Diseases, Beth Israel Deaconess Medical Center, Lowry Medical Office Building Suite GB, 110 Francis Street, Boston, MA, 02215, USA.
Douglas S KrakowerDivision of Infectious Diseases, Beth Israel Deaconess Medical Center, Lowry Medical Office Building Suite GB, 110 Francis Street, Boston, MA, 02215, USA.

Funding

The impact of HIV viral diversity and cellular immunity on HIV pathogenesisP30AI060354 · HARVARD UNIVERSITY (MEDICAL SCHOOL) · 2004 to 2025
$11.1M
Providence/Boston Center for AIDS Research (CFAR)P30AI042853 · MIRIAM HOSPITAL · 1998 to 2025
$9.6M
Tracking and Evaluation CoreU54GM115677 · BROWN UNIVERSITY · 2025 to 2025
$4.1M
NCHHSTP CDC HHS H25 PS004253NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI060354NIGMS NIH HHS U54 GM115677NIMH NIH HHS K23 MH098795Rhode Island IDeA-CTR U54GM11567US Centers for Disease Control and Prevention through the STD Surveillance Network SSuN, CDC-RFA-PS13-1306
6 · The paper itself

Abstract

Identifying patients at increased risk for HIV acquisition can be challenging. Primary care providers (PCPs) may benefit from tools that help them identify appropriate candidates for HIV pre-exposure prophylaxis (PrEP). We and others have previously developed and validated HIV risk prediction models to identify PrEP candidates using electronic health records data. In the current study, we convened focus groups with PCPs to elicit their perspectives on using prediction models to identify PrEP candidates in clinical practice. PCPs were receptive to using prediction models to identify PrEP candidates. PCPs believed that models could facilitate patient-provider communication about HIV risk, destigmatize and standardize HIV risk assessments, help patients accurately perceive their risk, and identify PrEP candidates who might otherwise be missed. However, PCPs had concerns about patients' reactions to having their medical records searched, harms from potential breaches in confidentiality, and the accuracy of model predictions. Interest in clinical decision-support for PrEP was greatest among PrEP-inexperienced providers. Successful implementation of prediction models will require tailoring them to providers' preferences and addressing concerns about their use.

Indexed as

Anti-HIV AgentsHIV InfectionsPre-Exposure ProphylaxisHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansPrimary Health CareAnti-HIV AgentsDecision supportHIV preventionPre-exposure prophylaxisPrimary careQualitative research

Identifiers

PMID33797668
PMCPMC8631042

What Socratic 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 Socratic graph.