Evidence map›Paper›PMID 20482865›Full record

ArticleRetrovirology2010

Undetectable plasma viral load predicts normal survival in HIV-2-infected people in a West African village.

Maarten F Schim van der Loeff, Natasha Larke, Steve Kaye, Neil Berry, Koya Ariyoshi, Abraham Alabi, Carla van Tienen, Aleksandra Leligdowicz, Ramu Sarge-Njie, Zacharias da Silva and 7 more

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In one paragraph

Article in Retrovirology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
3.0field-weighted citation impact, top 8% 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.

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

42 citing papers in PubMed, 93 citations in OpenAlex.

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  15. The first case of HIV-2 in Scotland.Access microbiology · 2020
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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

17 authors at 6 institutions in 4 countries.

Maarten F Schim van der LoeffMRC Laboratories Fajara, PO Box 273, Banjul, The Gambia.
Natasha Larke
Steve Kaye
Neil Berry
Koya Ariyoshi
Abraham Alabi
Carla van Tienen
Aleksandra Leligdowicz
Ramu Sarge-Njie
Zacharias da Silva
Assan Jaye
Dominique Ricard
Tim Vincent
Sarah Rowland Jones
Peter Aaby
Shabbar Jaffar
Hilton Whittle
MRC Unit the Gambia · GMBandim Health Project · GWLondon School of Hygiene & Tropical Medicine · GBNagasaki University · JPNational Institute for Biological Standards and Control · GBUniversity of London · GB

Funding

Medical Research Council G0600007Medical Research Council G0700837Medical Research Council MC_U190085854
6 · The paper itself

Abstract

backgroundThere have been no previous studies of the long-term survival and temporal changes in plasma viral load among HIV-2 infected subjects.

methods133 HIV-2 infected and 158 HIV-uninfected subjects from a rural area in North-west Guinea-Bissau, West Africa were enrolled into a prospective cohort study in 1991 and followed-up to mid-2009. Data were collected on four occasions during that period on HIV antibodies, CD4% and HIV-2 plasma viral load.

resultsMedian age (interquartile range [IQR]) of HIV-2 infected subjects at time of enrollment was 47 (36, 60) years, similar to that of HIV-uninfected control subjects, 49 (38, 62) (p = 0.4). Median (IQR) plasma viral load and CD4 percentage were 347 (50, 4,300) copies/ml and 29 (22, 35) respectively.Overall loss to follow-up to assess vital status was small, at 6.7% and 6.3% for HIV-2 infected and uninfected subjects respectively. An additional 17 (12.8%) and 16 (10.1%) of HIV-2 infected and uninfected subjects respectively were censored during follow-up due to infection with HIV-1. The mortality rate per 100 person-years (95% CI) was 4.5 (3.6, 5.8) among HIV-2 infected subjects compared to 2.1 (1.6, 2.9) among HIV-uninfected (age-sex adjusted rate ratio 1.9 (1.3, 2.8, p < 0.001) representing a 2-fold excess mortality rate associated with HIV-2 infection.Viral load measurements were available for 98%, 78%, 77% and 61% HIV-2 infected subjects who were alive and had not become super-infected with HIV-1, in 1991, 1996, 2003 and 2006 respectively. Median plasma viral load (RNA copies per ml) (IQR) did not change significantly over time, being 150 (50, 1,554; n = 77) in 1996, 203 (50, 2,837; n = 47) in 2003 and 171 (50, 497; n = 31) in 2006. Thirty seven percent of HIV-2 subjects had undetectable viraemia (<100 copies/ml) at baseline: strikingly, mortality in this group was similar to that of the general population.

conclusionsA substantial proportion of HIV-2 infected subjects in this cohort have stable plasma viral load, and those with an undetectable viral load (37%) at study entry had a normal survival rate. However, the sequential laboratory findings need to be interpreted with caution given the number of individuals who could not be re-examined.

Indexed as

Viral LoadAdultAnimalsCD4 Lymphocyte CountCohort StudiesFemaleGuinea-BissauHIV-2HIV AntibodiesHIV InfectionsHumansMaleMiddle AgedPlasmaPrognosisProspective StudiesHIV Antibodies

Identifiers

PMID20482865
PMCPMC2887382
OpenAlexW2154724842

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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.