Evidence map›Paper›PMID 19607726›Full record

ArticleJournal of the International AIDS Society2009

Early initiation of antiretroviral therapy results in decreased morbidity and mortality among patients with TB and HIV.

Payam Tabarsi, Ali S Saber-Tehrani, Parvaneh Baghaei, Mojgan Padyab, Davood Mansouri, Majid Amiri, Mohammad Reza Masjedi, Frederick L Altice

Abstract read
In one paragraph

Article in Journal of the International AIDS Society, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Initiation of antiretroviral therapy.Indian journal of sexually transmitted diseases and AIDS · 2014
    Review
  7. Recurrent tuberculosis risk among HIV-infected adults in Tanzania with prior active tuberculosis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013
    Article
  8. Article
  9. Article
  10. HIV & immune reconstitution inflammatory syndrome (IRIS).The Indian journal of medical research · 2011
    Review
  11. Review
  12. HIV and tuberculosis: a deadly human syndemic.Clinical microbiology reviews · 2011
    Review
  13. Review
  14. Article
  15. Review
  16. Brief review: who 2009 guidelines for anti-retroviral theraphy: its implication for primary care physician.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2010
    Article
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

8 authors.

Payam TabarsiMycobacteriology Research Center, National Research Institute of Tuberculosis and Lung Disease, Shahid Beheshti University of Medical Science, Tehran, Iran. tabarsi@nritld.ac.ir.
Ali S Saber-Tehrani
Parvaneh Baghaei
Mojgan Padyab
Davood Mansouri
Majid Amiri
Mohammad Reza Masjedi
Frederick L Altice

Funding

Enhancing Health Outcomes Among HIV+ Substance AbusersK24DA017072 · NIDA · YALE UNIVERSITY · PI ALTICE, FREDERICK LEWIS · 2003 to 2012
$1.5M
NIDA NIH HHS K24 DA017072
6 · The paper itself

Abstract

introductionThe overlapping drug toxicity profiles, drug-drug interactions and complications of management of both HIV and tuberculosis (TB) in patients with advanced HIV have not been fully delineated.

methodsWe conducted a retrospective chart review of the outcomes of tuberculosis treatment among 69 HIV-infected patients with TB, who were hospitalized in Masih Daneshvari Hospital in Tehran, Iran between 2002 and 2006, and who received standard category 1 (CAT-1) regimens. Group I (N = 47) included those treated from 2002 to 2005 with highly active antiretroviral therapy (HAART) initiated after eight weeks of TB treatment for those whose CD4 count was <200 cells/mm3. Group II (N = 22) included TB patients treated from 2005 to 2006, with HAART initiated after two weeks of TB treatment if their CD4 count was <100 cells/mm3 and eight weeks after initiation of TB treatment for those whose CD4 count was between 101 and 200 cells/mm3.

resultsThere were no differences between Groups I and II with regard to: adverse drug reactions [four (8.5%) versus two (9%), p = ns]; IRIS [six (12.7%) versus three (10.7%), p = ns]; and new opportunistic infections [eight (17.0%) versus two (9.1%), p = ns]. Death, however, occurred more frequently in Group I than in Group II [13 (27.7%) versus (4.5%), p = 0.03], where HAART was initiated earlier. Injection of drugs was the most common route of HIV transmission in both groups (72.3% in Group I and 77.3% in Group II).

conclusionThis manuscript shows that in a retrospective review of HIV/TB patients hospitalized in Tehran, improved survival was associated with earlier initiation of antiretroviral therapy in HIV/TB patients with CD4 counts of below 100 cells/mm3.

Identifiers

PMID19607726
PMCPMC2734561

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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.