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Association of patterns of methadone use with antiretroviral therapy discontinuation: a prospective cohort study

Overview of attention for article published in BMC Infectious Diseases, November 2015
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Title
Association of patterns of methadone use with antiretroviral therapy discontinuation: a prospective cohort study
Published in
BMC Infectious Diseases, November 2015
DOI 10.1186/s12879-015-1255-7
Pubmed ID
Authors

Paxton Bach, Evan Wood, Huiru Dong, Silvia Guillemi, Thomas Kerr, Julio Montaner, M-J Milloy

Abstract

Methadone maintenance therapy (MMT) is a proven treatment strategy for opioid dependent patients. Although studies have demonstrated that MMT increases contact with the medical system and improves adherence to antiretroviral therapy (ART) in HIV-positive people who inject drugs (PWID), the effect of MMT discontinuation on ART discontinuation has not been well described. We examined the impact of continuous MMT use, MMT non-use and MMT discontinuation on the time to ART discontinuation (defined as 90 days of continuous non-use following previous enrolment) in a community-recruited prospective cohort of HIV-positive PWID followed between May 1996 and May 2013 in Vancouver, Canada. Multivariate Cox proportional hazards regression was used to examine the association between MMT use patterns and time to ART discontinuation while adjusting for socio-demographic confounders. A total of 794 HIV-positive PWID were included during the study period. In an adjusted analysis, in comparison to those who were continuously on MMT, MMT non-use (Adjusted Hazard Ratio [AHR] = 1.44, 95 % Confidence Interval [CI]: 1.19-1.73) as well as discontinuing MMT (AHR = 1.82, 95 % CI: 1.27-2.60) were both found to be independently associated with time to ART discontinuation. This study reinforces the known benefits of MMT use on ART adherence and demonstrates how discontinuation of MMT is independently associated with an increased risk of ART cessation. These data highlight the importance of retaining PWID on MMT.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 46 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 46 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 20%
Student > Ph. D. Student 7 15%
Student > Bachelor 6 13%
Researcher 6 13%
Student > Postgraduate 3 7%
Other 6 13%
Unknown 9 20%
Readers by discipline Count As %
Medicine and Dentistry 10 22%
Nursing and Health Professions 7 15%
Psychology 4 9%
Agricultural and Biological Sciences 3 7%
Social Sciences 3 7%
Other 6 13%
Unknown 13 28%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 19 November 2015.
All research outputs
#18,430,915
of 22,833,393 outputs
Outputs from BMC Infectious Diseases
#5,606
of 7,682 outputs
Outputs of similar age
#278,429
of 386,484 outputs
Outputs of similar age from BMC Infectious Diseases
#116
of 151 outputs
Altmetric has tracked 22,833,393 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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We're also able to compare this research output to 151 others from the same source and published within six weeks on either side of this one. This one is in the 6th percentile – i.e., 6% of its contemporaries scored the same or lower than it.