Evidence map›Paper›PMID 20299964›Full record

ArticleAIDS (London, England)2010

Incidence and nature of cognitive decline over 1 year among HIV-infected former plasma donors in China.

Lucette A Cysique, Scott L Letendre, Christopher Ake, Hua Jin, Donald R Franklin, Saurabh Gupta, Chuan Shi, Xin Yu, Zunyou Wu, Ian S Abramson and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in AIDS (London, England), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01340950 (Clinical Trial of CNS Penetrating ART to Prevent NeuroAIDS in China), which is not on this map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 pooled it
1.5field-weighted citation impact, top 20% 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.

NCT01340950 phase4completednot on this map

Clinical Trial of CNS Penetrating ART to Prevent NeuroAIDS in China

TypeinterventionalSponsorUniversity of California, San DiegoRan2010 to 2015Enrolled250ConditionsHIV Infections, Central Nervous System Diseases, DementiaArmszidovudine-lamivudine-nevirapine, tenofovir-lamivudine-efavirenz
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  19. HIV-Associated Neurocognitive Disorders: A Global Perspective.Journal of the International Neuropsychological Society : JINS · 2017
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Lucette A CysiqueDepartment of Psychiatry, HIV Neurobehavioral Research Center (HNRC), University of California at San Diego, La Jolla, CA 92093-0603, USA.
Scott L Letendre
Christopher Ake
Hua Jin
Donald R Franklin
Saurabh Gupta
Chuan Shi
Xin Yu
Zunyou Wu
Ian S Abramson
Igor Grant
Robert K Heaton
HIV Neurobehavioral Research Center group
University Surgical Associates · USPeking University Sixth Hospital · CNNational Center for AIDS/STD Control and Prevention,China CDC · CNUniversity of California, San Diego · USUNSW Sydney · AU

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Neurobehavioral Effects of HIV &Host Genetics in ChinaR01MH073433 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HEATON, ROBERT KERNACHAN · 2005 to 2009
$3.2M
NIMH NIH HHS 5 R01 MH073433-04NIMH NIH HHS MH 62512NIMH NIH HHS P30 MH062512NIMH NIH HHS R01 MH073433
6 · The paper itself

Abstract

objectiveTo quantify and characterize the nature of cognitive change over 1 year in a cohort of HIV-positive former plasma donors in rural China.

designThe present study is an observational cohort study.

methodsOne hundred and ninety-two HIV-positive and 101 demographically comparable HIV-negative individuals, all former plasma donors, who lived in a rural part of China, received comprehensive medical and neuropsychological examinations. At study entry, 56% of HIV-positive group was on combination antiretroviral treatment and 60.9% at follow-up. Multiple regression change score approach was used with the HIV-negative sample to develop norms for change that would be then applied to the HIV-positive participants. Follow-up test scores adjusted for the control group practice effect.

resultsFifty-three HIV-positive individuals (27%) developed significant cognitive decline as compared with five (5%) HIV-negative individuals. Cognitive decline was predicted at baseline by AIDS status, lower nadir CD4, and worse processing speed; at follow-up, it was associated with lower current CD4 cell count and failure of viral suppression on combination antiretroviral treatment. Neuropsychological decline also was associated with decreased independence in activities of daily living. Using neuropsychological impairment scores that were corrected for 'practice' on repeated testing, we found that among the decliners, 41.5% (N = 22) had incident impairment, whereas 38% (N = 20) declined within the impaired range and another 20.7% (N = 11) declined within the normal range.

conclusionThe present study demonstrates that despite ongoing combination antiretroviral treatment, cognitive decline in HIV-positive people is common over a 1-year follow-up. Regression-based norms for change on western neuropsychological tests can be used to detect disease-related cognitive decline in a developing country.

Indexed as

AdultBlood DonorsCD4 Lymphocyte CountChinaCognition DisordersCohort StudiesFemaleHIV InfectionsHumansIncidenceMaleNeuropsychological TestsRisk FactorsTime Factors

Identifiers

PMID20299964
PMCPMC2898923
OpenAlexW2061097043

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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 OpenQuestion graph.