Evidence map›Paper›PMID 20923373›Full record

ArticleThe Journal of infectious diseases2010

Antiretroviral adherence and development of drug resistance are the strongest predictors of genital HIV-1 shedding among women initiating treatment.

Susan M Graham, Linnet Masese, Ruth Gitau, Zahra Jalalian-Lechak, Barbra A Richardson, Norbert Peshu, Kishor Mandaliya, James N Kiarie, Walter Jaoko, Jeckoniah Ndinya-Achola and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 10% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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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

12 authors at 6 institutions in 3 countries.

Susan M GrahamUniversity of Washington, Seattle, Washington 98104-2499, USA. grahamsm@u.washington.edu
Linnet Masese
Ruth Gitau
Zahra Jalalian-Lechak
Barbra A Richardson
Norbert Peshu
Kishor Mandaliya
James N Kiarie
Walter Jaoko
Jeckoniah Ndinya-Achola
Julie Overbaugh
R Scott McClelland
University of Nairobi · KEFred Hutch Cancer Center · USKenya Medical Research Institute · KEKenyatta National Hospital · KEUniversity of Washington · USUniversity of Washington Applied Physics Laboratory · US

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI Judith Tsui · 1988 to 2026
$104.9M
Antiretroviral Therapy and HIV-1 Infectivity in WomenR01AI058698 · NIAID · UNIVERSITY OF WASHINGTON · PI MCCLELLAND, RAYMOND SCOTT · 2005 to 2010
$2.8M
Genital HIV-1 Shedding among Women Starting Second-Line Antiretroviral TherapyK23AI069990 · NIAID · UNIVERSITY OF WASHINGTON · PI GRAHAM, SUSAN MARIE · 2006 to 2010
$633k
Antiretroviral Therapy and HIV-1 Infectivity in WomenR56AI058698 · NIAID · UNIVERSITY OF WASHINGTON · PI MCCLELLAND, RAYMOND SCOTT · 2011 to 2011
$390k
NIAID NIH HHS AI-58698NIAID NIH HHS K23 AI069990NIAID NIH HHS P30 AI027757NIAID NIH HHS R01 AI058698NIAID NIH HHS R56 AI058698
6 · The paper itself

Abstract

Persistent genital human immunodeficiency virus type 1 (HIV-1) shedding among women receiving antiretroviral therapy (ART) may present a transmission risk. We investigated the associations between genital HIV-1 suppression after ART initiation and adherence, resistance, pretreatment CD4 cell count, and hormonal contraceptive use. First-line ART was initiated in 102 women. Plasma and genital HIV-1 RNA levels were measured at months 0, 3, and 6. Adherence was a strong and consistent predictor of genital HIV-1 suppression (P < .001), whereas genotypic resistance was associated with higher vaginal HIV-1 RNA level at month 6 (P = .04). These results emphasize the importance of adherence to optimize the potential benefits of ART for reducing HIV-1 transmission risk.

Indexed as

Drug Resistance, Multiple, ViralPatient ComplianceAdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCervix UteriDisease Transmission, InfectiousFemaleHIV-1HIV InfectionsHumansKenyaLamivudineNevirapineRisk FactorsRNA, ViralAnti-HIV AgentsLamivudineNevirapineRNA, ViralStavudine

Identifiers

PMID20923373
PMCPMC2957525
OpenAlexW2161348345

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.