Evidence map›Paper›PMID 21214375›Full record

ArticleAIDS patient care and STDs2011

Association of age and comorbidity with physical function in HIV-infected and uninfected patients: results from the Veterans Aging Cohort Study.

Krisann K Oursler, Joseph L Goulet, Stephen Crystal, Amy C Justice, Kristina Crothers, Adeel A Butt, Maria C Rodriguez-Barradas, Knachelle Favors, David Leaf, Leslie I Katzel and 1 more

Abstract readMulticenter Study
In one paragraph

Article in AIDS patient care and STDs, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
12.7field-weighted citation impact, top 1% 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

67 citing papers in PubMed, 113 citations in OpenAlex.

  1. Trial
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  7. "Call 911 - That's my [Advance Care] Plan": Factors that Inform Advance Care Planning Conversation Readiness Among Aging Persons Living With HIV.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2024
    Article
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  16. HIV and Aging: Reconsidering the Approach to Management of Comorbidities.Infectious disease clinics of North America · 2019
    Review
  17. Trajectory of Physical Functioning Among Persons Living With HIV in Nursing Homes.Journal of the American Medical Directors Association · 2019
    Article
  18. Article
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

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

11 authors at 8 institutions in 1 country.

Krisann K OurslerDepartement of Medicine, University of Maryland School of Medicine, Veterans Affairs Maryland Healthcare System, Baltimore, Maryland 21201-1524, USA. koursler@grecc.umaryland.edu
Joseph L Goulet
Stephen Crystal
Amy C Justice
Kristina Crothers
Adeel A Butt
Maria C Rodriguez-Barradas
Knachelle Favors
David Leaf
Leslie I Katzel
John D Sorkin
University of Maryland, Baltimore · USVA Connecticut Healthcare System · USVA Maryland Health Care System · USMichael E. DeBakey VA Medical Center · USRutgers, The State University of New Jersey · USUniversity of Washington · USVA Greater Los Angeles Healthcare System · USVA Pittsburgh Healthcare System · US

Funding

University of Maryland Claude D. Pepper Older Americans Independence Center (UM-OAIC)P30AG028747 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI ALICE S. RYAN · 2006 to 2026
$28.9M
Alcohol Associated Outcomes Among HIV+/-Aging VeteransU01AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2002 to 2005
$10.1M
Longitudinal Studies of HIV-Associated Lung Infections and ComplicationsR01HL090342 · NHLBI · YALE UNIVERSITY · PI CROTHERS, KRISTINA ANNE · 2007 to 2011
$4.0M
MAJOR MENTAL DISORDERS AND HIV--HEALTH SERVICES USER01MH058984 · NIMH · RUTGERS THE ST UNIV OF NJ NEW BRUNSWICK · PI CRYSTAL, STEPHEN · 2000 to 2009
$3.0M
Aging and Physical Functioning in HIVK23AG024896 · NIA · UNIVERSITY OF MARYLAND BALTIMORE · PI OURSLER, KRISANN K · 2006 to 2009
$597k
NHLBI NIH HHS R01HL090342NIAAA NIH HHS U01AA13566NIA NIH HHS K23 AG024896NIA NIH HHS K23AG024896NIA NIH HHS P60AG028747NIMH NIH HHS R01MH058984
6 · The paper itself

Abstract

HIV clinical care now involves prevention and treatment of age-associated comorbidity. Although physical function is an established correlate to comorbidity in older adults without HIV infection, its role in aging of HIV-infected adults is not well understood. To investigate this question we conducted cross-sectional analyses including linear regression models of physical function in 3227 HIV-infected and 3240 uninfected patients enrolled 2002-2006 in the Veterans Aging Cohort Study-8-site (VACS-8). Baseline self-reported physical function correlated with the Short Form-12 physical subscale (ρ = 0.74, p < 0.001), and predicted survival. Across the age groups decline in physical function per year was greater in HIV-infected patients (β(coef) -0.25, p < 0.001) compared to uninfected patients (β(coef) -0.08, p = 0.03). This difference, although statistically significant (p < 0.01), was small. Function in the average 50-year old HIV-infected subject was equivalent to the average 51.5-year-old uninfected subject. History of cardiovascular disease was a significant predictor of poor function, but the effect was similar across groups. Chronic pulmonary disease had a differential effect on function by HIV status (Δβ(coef) -3.5, p = 0.03). A 50-year-old HIV-infected subject with chronic pulmonary disease had the equivalent level of function as a 68.1-year-old uninfected subject with chronic pulmonary disease. We conclude that age-associated comorbidity affects physical function in HIV-infected patients, and may modify the effect of aging. Longitudinal research with markers of disease severity is needed to investigate loss of physical function with aging, and to develop age-specific HIV care guidelines.

Indexed as

AgingAdultCohort StudiesComorbidityFemaleHIV InfectionsHumansMaleMiddle AgedMotor ActivityRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeteransViral Load

Identifiers

PMID21214375
PMCPMC3030913
OpenAlexW2071944467

What OpenQuestion holds

Textmetadata
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.