Published October 10, 2025
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Exploring the experiences and perspectives of Iraqi healthcare providers on the challenges and determinants of HIV management: a qualitative study
Authors/Creators
- 1. Naser Hospital, Directorate of Health - Kirkuk, Iraqi Ministry of Health, Kirkuk, Iraq|University of Baghdad, Baghdad, Iraq
- 2. University of Baghdad, Baghdad, Iraq
Description
A Physician non-adherence to guidelines and resource constraints hinder optimal HIV care and patient outcomes; however, little is known about providers' experiences in Iraq. This qualitative study explored physicians' practices, challenges, and suggestions for improving HIV management across three Iraqi HIV centers. From February to April 2025, we conducted semi-structured face-to-face interviews in Arabic with 17 physicians (minimum six months of experience in managing HIV patients), using an expert-validated guide. Thematic analysis identified four themes: clinical management of HIV patients, healthcare professionals' roles, patient adherence to anti-HIV therapy, and healthcare services for HIV patients. Most physicians reported following Iraqi Ministry of Health and WHO protocols, with tenofovir–lamivudine–dolutegravir (TLD) favored as first-line therapy for its efficacy and tolerability. Major barriers to patient adherence included stigma, shame, low health literacy, misconceptions, and follow-up challenges. Although providers deemed existing services satisfactory, they recommended establishing specialized dental, surgical, and psychiatric clinics, and expanding patient education, psychosocial support, and engagement to enhance comprehensive care. In conclusion, current HIV treatment align with international standards; meanwhile addressing sociocultural barriers and resource gaps through supportive services may improve adherence and health outcomes for people living with HIV in Iraq.
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References
- Abadiga M, Hasen T, Mosisa G, Abdisa E (2020) Adherence to antiretroviral therapy and associated factors among Human immunodeficiency virus positive patients accessing treatment at Nekemte referral hospital, west Ethiopia, 2019. PLoS One 15: e0232703. https://doi.org/10.1371/journal.pone.0232703
- Abu-Raddad LJ, Hilmi N, Mumtaz G, Benkirane M, Akala FA, Riedner G, Tawil O, Wilson D (2010) Epidemiology of HIV infection in the Middle East and North Africa. Aids 24 Suppl 2: S5–23. https://doi.org/10.1097/01.aids.0000386729.56683.33
- Achappa B, Madi D, Bhaskaran U, Ramapuram JT, Rao S, Mahalingam S (2013) Adherence to Antiretroviral Therapy Among People Living with HIV. North American Journal of Medicine and Science 5: 220–223. https://doi.org/10.4103/1947-2714.109196
- Al Hilfi TK, Lafta R, Burnham G (2013) Health services in Iraq. Lancet 381: 939–948. https://doi.org/10.1016/S0140-6736(13)60320-7
- Ali WI, Hakeem LA, Mohammed ZT, Fawzi HA (2025a) Incidence of nosocomial infection in the intensive care unit of Ghazi Al-Hariri teaching hospital. Wiener Klinische Wochenschrift. https://doi.org/10.1007/s00508-025-02598-4
- Ali Y, Abdi A, Yousif E, Mohammed S, Mohammed S, Mohammed M, Abdulrahman H, Jameel I, Ramadhan R, Hajm S, Ramadhan Y, Hussein A, Mosa A (2025b) Iraqi Health System: Structural Challenges and Reform Recommendations. World Journal of Advanced Research and Reviews 27: 148–152. https://doi.org/10.30574/wjarr.2025.27.2.2847
- Aye WL, Puckpinyo A, Peltzer K (2017) Non-adherence to anti-retroviral therapy among HIV infected adults in Mon State of Myanmar. BMC Public Health 17: 391. https://doi.org/10.1186/s12889-017-4309-5
- Badahdah AM, Foote CE (2010) Role of shame in the stigmatization of people with human immunodeficiency virus: a survey of female college students in 3 Arab countries. Eastern Mediterranean Health Journal 16: 982–987. https://doi.org/10.26719/2010.16.9.982
- Bishop TF, Federman AD, Ross JS (2012) Association between physician quality improvement incentives and ambulatory quality measures. The American Journal of Managed Care 18: e126–134.
- Braun V, Clarke V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3: 77–101. https://doi.org/10.1191/1478088706qp063oa
- Budhwani H, Gakumo CA, Yigit I, Rice WS, Fletcher FE, Whitfield S, Ross S, Konkle-Parker DJ, Cohen MH, Wingood GM, Metsch LR, Adimora AA, Taylor TN, Wilson TE, Weiser SD, Sosanya O, Goparaju L, Gange S, Kempf MC, Turan B, Turan JM (2022) Patient Health Literacy and Communication with Providers Among Women Living with HIV: A Mixed Methods Study. AIDS and Behavior 26: 1422–1430. https://doi.org/10.1007/s10461-021-03496-2
- Cabana MD, Rand CS, Powe NR, Wu AW, Wilson MH, Abboud PA, Rubin HR (1999) Why don't physicians follow clinical practice guidelines? A framework for improvement. Jama 282: 1458–1465. https://doi.org/10.1001/jama.282.15.1458
- Campbell C, Scott K, Madanhire C, Nyamukapa C, Gregson S (2011) A 'good hospital': nurse and patient perceptions of good clinical care for HIV-positive people on antiretroviral treatment in rural Zimbabwe--a mixed-methods qualitative study. International Journal of Nursing Studies 48: 175–183. https://doi.org/10.1016/j.ijnurstu.2010.07.019
- De Cock KM, Fowler MG, Mercier E, de Vincenzi I, Saba J, Hoff E, Alnwick DJ, Rogers M, Shaffer N (2000) Prevention of mother-to-child HIV transmission in resource-poor countries: translating research into policy and practice. Jama 283: 1175–1182. https://doi.org/10.1001/jama.283.9.1175
- Dejong J, Shepard B, Roudi-Fahimi F, Ashford L (2007) Young people's sexual and reproductive health in the Middle East and North Africa. Reproductive Health 14: 1–8.
- Edwards J, Soyer S, Jack N, Boyce G, Ayoung V, Todd S, Edwards RJ (2025) A Cross-Sectional Client Satisfaction Study Among Persons Living with HIV Attending a Large HIV Treatment Centre in Trinidad. Healthcare (Basel) 13. https://doi.org/10.3390/healthcare13121400
- Escartin RJB, Servillon RJT, Legarta JMA, Arriola SKG, Brahim PFA, Braza DLM, Salva AV, Hinay Jr AA (2024) Success rates and adherence to antiretroviral therapy among treatment-naïve patients in Davao City, Philippines: A ten-year retrospective cohort study. Dialogues Health 5: 100195. https://doi.org/10.1016/j.dialog.2024.100195
- Fereday J, Muir-Cochrane E (2006) Demonstrating Rigor Using Thematic Analysis: A Hybrid Approach of Inductive and Deductive Coding and Theme Development. International Journal of Qualitative Methods 5: 80–92. https://doi.org/10.1177/160940690600500107
- Fernandez-Montero JV, Eugenia E, Barreiro P, Labarga P, Soriano V (2013) Antiretroviral drug-related toxicities - clinical spectrum, prevention, and management. Expert Opinion on Drug Safety 12: 697–707. https://doi.org/10.1517/14740338.2013.806480
- Fimbo A, Mwalwisi YH, Mwamwitwa K, Matiko D, Mfinanga E, Lyimo J, Sabasaba A, Missago S, Bukundi E, Gotora G, Respick D, Nkayamba A, Masunga E, Mnkugwe RH, Kunambi PP, Munishi C, Musanhu CC, Minzi OMS, Mlugu EM (2024) Incidence and determinants of adverse events in individuals with HIV commencing Dolutegravir-based antiretroviral therapy in mainland Tanzania. Scientific Reports 14: 615. https://doi.org/10.1038/s41598-023-51144-7
- Gale NK, Heath G, Cameron E, Rashid S, Redwood S (2013) Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Medical Research Methodology 13: 117. https://doi.org/10.1186/1471-2288-13-117
- Gökengin D, Doroudi F, Tohme J, Collins B, Madani N (2016) HIV/AIDS: trends in the Middle East and North Africa region. International Journal of Infectious Diseases 44: 66–73. https://doi.org/10.1016/j.ijid.2015.11.008
- Goujard C, Bernard N, Sohier N, Peyramond D, Lançon F, Chwalow J, Arnould B, Delfraissy JF (2003) Impact of a patient education program on adherence to HIV medication: a randomized clinical trial. Journal of Acquired Immune Deficiency Syndromes 34: 191–194. https://doi.org/10.1097/00126334-200310010-00009
- Hamid Albujeer AN, Shamshiri AR, Taher A (2015) HIV/AIDS awareness among Iraqi medical and dental students. International Society of Preventive & Community Dentistry 5: 372–376. https://doi.org/10.4103/2231-0762.164788
- Hawk M, Coulter RWS, Egan JE, Friedman MR, Meanley S, Fisk S, Watson C, Kinsky S (2017) Exploring the Healthcare Environment and Associations with Clinical Outcomes of People Living with HIV/AIDS. AIDS Patient Care STDS 31: 495–503. https://doi.org/10.1089/apc.2017.0124
- Hayyawi AH, Al-Marayaty AY, Salman WS, Hamed W (2010) HIV/AIDS knowledge, attitudes and beliefs among a group of Iraqis. Eastern Mediterranean Health Journal 16: 18–23. https://doi.org/10.26719/2010.16.1.18
- Ibraheem Ali W, Adnan Fawzi H, Lafta HJ, Mohammed SA, Ameer NM (2019) Point prevalence of healthcare associated infection and its risk factors among patients admitted to the intensive care unit in Baghdad Medical City. Indian Journal of Public Health Research and Development 10: 535–540. https://doi.org/10.5958/0976-5506.2019.00752.6
- Igihozo G, Sichali JM, Medhe S, Wong R (2022) Exploring the perspectives of healthcare providers on providing HIV prevention and treatment services for Key Populations in Rwanda: a qualitative study. World Journal of AIDS 12(2): 120–139. https://doi.org/10.4236/wja.2022.122010
- Jadoo SAA (2024) Health system in Iraq: a known problem and deferred reform. Journal of Lifelong DentoMedical Health 1: 16–21.
- Jong S, Cuca Y, Thompson LM (2017) Meta-analysis of Mobile Phone Reminders on HIV Patients' Retention to Care. Journal of Mobile Technology in Medicine 6: 5–18. https://doi.org/10.7309/jmtm.6.1.2
- Kahn TR, Desmond M, Rao D, Marx GE, Guthrie BL, Bosire R, Choi RY, Kiarie JN, Farquhar C (2013) Delayed initiation of antiretroviral therapy among HIV-discordant couples in Kenya. AIDS Care 25: 265–272. https://doi.org/10.1080/09540121.2012.712660
- Kaladharan S, Daken K, Mullens AB, Durham J (2021) Tools to measure HIV knowledge, attitudes & practices (KAPs) in healthcare providers: a systematic review. AIDS Care 33: 1500–1506. https://doi.org/10.1080/09540121.2020.1822502
- Keene CM, Griesel R, Zhao Y, Gcwabe Z, Sayed K, Hill A, Cassidy T, Ngwenya O, Jackson A, van Zyl G, Schutz C, Goliath R, Flowers T, Goemaere E, Wiesner L, Simmons B, Maartens G, Meintjes G (2021) Virologic efficacy of tenofovir, lamivudine and dolutegravir as second-line antiretroviral therapy in adults failing a tenofovir-based first-line regimen. Aids 35: 1423–1432. https://doi.org/10.1097/QAD.0000000000002936
- Kitahata MM, Tegger MK, Wagner EH, Holmes KK (2002) Comprehensive health care for people infected with HIV in developing countries. The BMJ 325: 954–957. https://doi.org/10.1136/bmj.325.7370.954
- Kouamou V, Machekano R, Mapangisana T, Maposhere C, Munyati S, Mutsvangwa J, Shamu T, McCarty K, Katzenstein D, Manasa J (2022) Tenofovir, Lamivudine, and Dolutegravir Among Rural Adolescents in Zimbabwe: A Cautionary Tale. AIDS Research and Human Retroviruses 38: 774–778. https://doi.org/10.1089/aid.2021.0140
- Lawshe CH (1975) A quantitative approach to content validity. Personnel Psychology 28: 563–575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
- Lesi OA, Soyebi KS, Eboh CN (2009) Fatty liver and hyperlipidemia in a cohort of HIV-positive Africans on highly active antiretroviral therapy. Journal of the National Medical Association 101: 151–155. https://doi.org/10.1016/S0027-9684(15)30828-2
- Letta S, Demissie A, Oljira L, Dessie Y (2015) Factors associated with adherence to Antiretroviral Therapy (ART) among adult people living with HIV and attending their clinical care, Eastern Ethiopia. BMC International Health and Human Rights 15: 33. https://doi.org/10.1186/s12914-015-0071-x
- Lugtenberg M, Burgers JS, Westert GP (2009a) Effects of evidence-based clinical practice guidelines on quality of care: a systematic review. Quality & Safety in Health Care 18: 385–392. https://doi.org/10.1136/qshc.2008.028043
- Lugtenberg M, Zegers-van Schaick JM, Westert GP, Burgers JS (2009b) Why don't physicians adhere to guideline recommendations in practice? An analysis of barriers among Dutch general practitioners. Implementation Science 4: 54. https://doi.org/10.1186/1748-5908-4-54
- Madiega PA, Jones G, Prince RJ, Geissler PW (2013) 'She's My Sister-In-Law, My Visitor, My Friend' – Challenges of Staff Identity in Home Follow-Up in an HIV Trial in Western Kenya. Developing World Bioethics 13: 21–29. https://doi.org/10.1111/dewb.12019
- Mahfoud Z, Afifi R, Ramia S, El Khoury D, Kassak K, El Barbir F, Ghanem M, El-Nakib M, DeJong J (2010) HIV/AIDS among female sex workers, injecting drug users and men who have sex with men in Lebanon: results of the first biobehavioral surveys. Aids 24 Suppl 2: S45–54. https://doi.org/10.1097/01.aids.0000386733.02425.98
- Masenga SK, Mweene BC, Luwaya E, Muchaili L, Chona M, Kirabo A (2023) HIV-Host Cell Interactions. Cells 12. https://doi.org/10.3390/cells12101351
- McCarthy M (2013) Providing high quality of care drives physician satisfaction, US study says. The BMJ 347: f6198. https://doi.org/10.1136/bmj.f6198
- Mikhael EM, Al-Jumaili AA, Jamal MY, Abdulazeez ZD (2025) Current status and perceived challenges of collaborative research in a leading pharmacy college in Iraq: a qualitative study. BMC Medical Education 25: 61. https://doi.org/10.1186/s12909-025-06653-6
- Mikhael EM, Jebur NJ, Jamal MY, Hameed TA (2024) Perception, experience, and practice of Iraqi community pharmacists towards customers with substance use disorder. SAGE Open Medicine 12: 20503121241275472. https://doi.org/10.1177/20503121241275472
- Muhamadi L, Nsabagasani X, Tumwesigye MN, Wabwire-Mangen F, Ekström AM, Peterson S, Pariyo G (2010) Inadequate pre-antiretroviral care, stock-out of antiretroviral drugs and stigma: policy challenges/bottlenecks to the new WHO recommendations for earlier initiation of antiretroviral therapy (CD<350 cells/microL) in eastern Uganda. Health Policy 97: 187–194. https://doi.org/10.1016/j.healthpol.2010.06.003
- Naif HM, Hwaid AH, Hasan A-RS, Khalifa RM, Humadi AT (2019) Knowledge and awareness about HIV and AIDS among Iraqi College Students. The Open AIDS Journal 13. https://doi.org/10.2174/1874613601913010017
- Namulindwa A, Wasswa JH, Muyindike W, Tamukong R, Oloro J (2022) Prevalence and factors associated with adverse drug events among patients on dolutegravir-based regimen at the Immune Suppression Syndrome Clinic of Mbarara Regional Referral Hospital, Uganda: a mixed design study. AIDS Research and Therapy 19: 18. https://doi.org/10.1186/s12981-022-00442-7
- Ngcobo SJ, Makhado L, Sehularo LA (2022) HIV care and support services offered in mobile health clinics: a systematic review. HIV & AIDS Review 21: 191–207. https://doi.org/10.5114/hivar.2022.117888
- Nursalam N, Sukartini T, Misutarno M, Priyantini D (2024) Adherence to antiretroviral therapy, CD4 count, viral load and opportunistic infections in people with HIV/AIDS: a cross-sectional study. Jurnal Ners 19: 88. https://doi.org/10.20473/jn.v19i1.49958
- Ottesen TD, Wickersham JA, Lawrence JC, Antoniak S, Zezuilin O, Polonsky M, Antonyak S, Rozanova J, Dvoriak S, Pykalo I, Filippovych M, Altice FL (2024) High rates of deferring antiretroviral treatment for patients with HIV and substance use disorders: Results from a national sample of HIV physicians in Ukraine. PLoS One 19: e0305086. https://doi.org/10.1371/journal.pone.0305086
- Pant R, Valan AS, Anusuya GS, Allam RR, Chowdavarapu P (2022) Perceptions and practice of physicians treating HIV patients in the private sector in India: A cross sectional study. Journal of Family Medicine and Primary Care 11: 5540–5545. https://doi.org/10.4103/jfmpc.jfmpc_1875_21
- Phillips AN, Venter F, Havlir D, Pozniak A, Kuritzkes D, Wensing A, Lundgren JD, De Luca A, Pillay D, Mellors J, Cambiano V, Bansi-Matharu L, Nakagawa F, Kalua T, Jahn A, Apollo T, Mugurungi O, Clayden P, Gupta RK, Barnabas R, Revill P, Cohn J, Bertagnolio S, Calmy A (2019) Risks and benefits of dolutegravir-based antiretroviral drug regimens in sub-Saharan Africa: a modelling study. Lancet HIV 6: e116–e127. https://doi.org/10.1016/S2352-3018(18)30317-5
- Pyarali FF, Iordanov R, Palacio A, Tamariz L (2020) Excess mortality risk from sepsis in patients with HIV - A meta-analysis. Journal of Critical and Intensive Care 59: 101–107. https://doi.org/10.1016/j.jcrc.2020.05.018
- Renju J, Moshabela M, McLean E, Ddaaki W, Skovdal M, Odongo F, Bukenya D, Wamoyi J, Bonnington O, Seeley J, Zaba B, Wringe A (2017) 'Side effects' are 'central effects' that challenge retention in HIV treatment programmes in six sub-Saharan African countries: a multicountry qualitative study. Sexually Transmitted Infections (STIs) 93. https://doi.org/10.1136/sextrans-2016-052971
- Rivero-Méndez M, Dawson-Rose CS, Solís-Báez SS (2010) A Qualitative Study of Providers' Perception of Adherence of Women Living with HIV/AIDS in Puerto Rico. The Qualitative Report 15: 232–251.
- Saleh JI, Numan H, Khalil NS (2020) HIV/AIDS Status in Baghdad/ Iraq Over Ten Years (2010–2019). Indian Journal of Forensic Medicine & Toxicology 15: 2253–2259. https://doi.org/10.37506/ijfmt.v15i1.13738
- Scheier TC, Tufa TB, Feldt T, Hardy Y, Minga A, Moh R, Damasceno A, Chambal L, Ntoumi F, Kades C, Bitunguhari L, Sebatunzi OR, Missanga M, Njekwa K, Muyoyeta M, Rangarajan S, Meintjes G, Mertz D, Eikelboom JW, Wasserman S (2025) Standard of care in advanced HIV disease: review of HIV treatment guidelines in sub-Saharan African countries – an extension study of eight countries. AIDS Research and Therapy 22: 39. https://doi.org/10.1186/s12981-025-00733-9
- Simonsen L, Kane A, Lloyd J, Zaffran M, Kane M (1999) Unsafe injections in the developing world and transmission of bloodborne pathogens: a review. Bull World Health Organ 77: 789–800.
- Sisay M, Edessa D, Ayele Y, Getachew M (2019) Pattern of and reasons for antiretroviral therapy regimen change among adult HIV/AIDS patients at regional hospital in Eastern Ethiopia: A 10-year retrospective study. SAGE Open Med 7: 2050312119827092. https://doi.org/10.1177/2050312119827092
- Spaan P, van Luenen S, Garnefski N, Kraaij V (2020) Psychosocial interventions enhance HIV medication adherence: A systematic review and meta-analysis. Journal of Health Psychology 25: 1326–1340. https://doi.org/10.1177/1359105318755545
- Suárez-García I, Sobrino-Vegas P, Tejada A, Viciana P, Ribas M, Iribarren J, Díaz Menéndez M, Rivero M, Arazo P, Del Amo J, Moreno S (2014) Compliance with national guidelines for HIV treatment and its association with mortality and treatment outcome: a study in a Spanish cohort. HIV Medicine 15: 86–97. https://doi.org/10.1111/hiv.12078
- Talabani SN, Mikhael EM (2025) Exploring Adherence, Treatment Experiences, and Quality of Healthcare Services in HIV Management Among Iraqi Patients: Challenges and Influential Factors. HIV AIDS (Auckl) 17: 227–240. https://doi.org/10.2147/HIV.S539087
- Tandon N, Mao J, Shprecher A, Anderson AJ, Cao F, Jiao X, Brown K (2019) Compliance with clinical guidelines and adherence to antiretroviral therapy among patients living with HIV. Current Medical Research and Opinion 35: 63–71. https://doi.org/10.1080/03007995.2018.1519499
- Tariq MA, Mikhael EM (2025) Determining the perceptions and practices of oncologists regarding venous thromboembolism risk assessment in ambulatory cancer patients: A qualitative study. PLoS One 20: e0316801. https://doi.org/10.1371/journal.pone.0316801
- Tegegne BA, Alehegn AA, Kassahun M (2024) Drug Use Evaluation of Tenofovir/Lamivudine/Dolutegravir (TLD) Fixed-Dose Combination for Initiation and Transition Among HIV-Infected Individuals Attending Lumame Primary Hospital, North West Ethiopia. Integrated Pharmacy Research and Practice 13: 31–42. https://doi.org/10.2147/IPRP.S455351
- Tseng A, Szadkowski L, Walmsley S, Salit I, Raboud J (2013) Association of age with polypharmacy and risk of drug interactions with antiretroviral medications in HIV-positive patients. Ann Pharmacother 47: 1429–1439. https://doi.org/10.1177/1060028013504075
- UN (2024) Demographics of Iraq. World Population Prospects: https://statisticstimes.com/demographics/country/iraq-demographics.php
- UNAIDS (2025) Prevalence of HIV, total (% of population ages 15–49) - Iraq. UNAIDS estimates, Joint United Nations Programme on HIV/AIDS (UNAIDS) . https://data.worldbank.org/indicator/SH.DYN.AIDS.ZS?locations=IQ
- Urano K, Ishibashi M, Matsumoto T, Ohishi K, Muraki Y, Iwamoto T, Kunimasa J, Okuda M (2020) Impact of physician-pharmacist collaborative protocol-based pharmacotherapy management for HIV outpatients: a retrospective cohort study.Journal of Pharmaceutical Health Care and Sciences Sci 6: 9. https://doi.org/10.1186/s40780-020-00165-9
- Vajpayee M, Mohan T (2011) Current practices in laboratory monitoring of HIV infection. Indian Journal of Medical Research 134: 801–822. https://doi.org/10.4103/0971-5916.92627
- WHO (2018) HIV/AIDS. https://www.emro.who.int/iraq/priority-areas/communicable-diseases-surveillance-and-outbreak-response.html
- WHO (2024) Understanding the private health sector in Iraq. Cairo: WHO Regional Office for the Eastern Mediterranean. Licence: CC BYNC-SA 3.0 IGO.
- Woodward EN, Pantalone DW (2012) The role of social support and negative affect in medication adherence for HIV-infected men who have sex with men. Journal of the Association of Nurses in AIDS Care 23: 388–396. https://doi.org/10.1016/j.jana.2011.09.004
- Yaya I, Landoh DE, Saka B, Patchali PNM, Wasswa P, Aboubakari A-s, N'Dri MK, Patassi AA, Kombaté K, Pitche P (2014) Predictors of adherence to antiretroviral therapy among people living with HIV and AIDS at the regional hospital of Sokodé, Togo. BMC Public Health 14: 1308. https://doi.org/10.1186/1471-2458-14-1308
- Yu G, Fadrosh D, Ma B, Ravel J, Goedert JJ (2014) Anal microbiota profiles in HIV-positive and HIV-negative MSM. Aids 28: 753–760. https://doi.org/10.1097/QAD.0000000000000154