Evidence map›Paper›PMID 21330902›Full record

Trial reportAIDS (London, England)2011

Peripheral neuropathy in HIV: prevalence and risk factors.

Scott R Evans, Ronald J Ellis, Huichao Chen, Tzu-min Yeh, Anthony J Lee, Giovanni Schifitto, Kunling Wu, Ronald J Bosch, Justin C McArthur, David M Simpson and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 2 pooled it
7.8field-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

89 citing papers in PubMed, 2 syntheses or guidelines pooled it, 203 citations in OpenAlex.

  1. Pooled it
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  9. Acu/Moxa for distal sensory peripheral neuropathy in HIV: a randomized control pilot study.The Journal of the Association of Nurses in AIDS Care : JANAC
    Trial
  10. Review
  11. Article
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  19. Observational
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29 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 6 institutions in 1 country.

Scott R EvansHarvard School of Public Health, 651 Huntington Avenue, Boston, MA 02115, USA. evans@sdac.harvard.edu
Ronald J Ellis
Huichao Chen
Tzu-min Yeh
Anthony J Lee
Giovanni Schifitto
Kunling Wu
Ronald J Bosch
Justin C McArthur
David M Simpson
David B Clifford
Harvard University · USIcahn School of Medicine at Mount Sinai · USJohns Hopkins University · USUniversity of California, San Diego · USUniversity of Rochester · USWashington University in St. Louis · US

Funding

Leadership and Operations Center (LOC), AIDS Clinical Trials Group (ACTG); LOC 1/UM1AI068636 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, RAJESH T GANDHI · 2011 to 2026
$1073.1M
Statistical and Data Management Center (SDMC), AIDS Clinical Trials Group (ACTG)UM1AI068634 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Marlene Ann Cooper, Michael David Hughes · 2011 to 2026
$246.6M
AIDS Clinical Trials Group NetworkU01AI068636 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI KURITZKES, DANIEL R. · 2006 to 2010
$147.1M
NEUROLOGIC AIDS RESEARCH CONSORTIUMU01NS032228 · NINDS · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 2003 to 2008
$11.4M
NIMODIPINE AND MEMANTINE FOR THE NEUROLOGICAL MANIFESTATIONS OF HIV-1R01NS032228 · NINDS · WASHINGTON UNIVERSITY · PI CLIFFORD, DAVID B · 1997 to 2001
$2.7M
NIAID NIH HHS AI068636NIAID NIH HHS U01 AI068636NIAID NIH HHS UM1 AI068634NIAID NIH HHS UM1 AI068636NINDS NIH HHS NS32228NINDS NIH HHS R01 NS032228NINDS NIH HHS U01 NS032228PHS HHS 1 U01 068634
6 · The paper itself

Abstract

objectivesTo estimate neuropathic sign/symptom rates with initiation of combination antiretroviral therapy (cART) in HIV-infected ART-naive patients, and to investigate risk factors for: peripheral neuropathy and symptomatic peripheral neuropathy (SPN), recovery from peripheral neuropathy/SPN after neurotoxic ART (nART) discontinuation, and the absence of peripheral neuropathy/SPN while on nART.

designAIDS Clinical Trials Group (ACTG) Longitudinal Linked Randomized Trial participants who initiated cART in randomized trials for ART-naive patients were annually screened for symptoms/signs of peripheral neuropathy. ART use and disease characteristics were collected longitudinally.

methodsPeripheral neuropathy was defined as at least mild loss of vibration sensation in both great toes or absent/hypoactive ankle reflexes bilaterally. SPN was defined as peripheral neuropathy and bilateral symptoms. Generalized estimating equation logistic regression was used to estimate associations.

resultsTwo thousand, one hundred and forty-one participants were followed from January 2000 to June 2007. Rates of peripheral neuropathy/SPN at 3 years were 32.1/8.6% despite 87.1% with HIV-1RNA 400 copies/ml or less and 70.3% with CD4 greater than 350 cells/μl. Associations with higher odds of peripheral neuropathy included older patient age and current nART use. Associations with higher odds of SPN included older patient age, nART use, and history of diabetes mellitus. Associations with lower odds of recovery after nART discontinuation included older patient age. Associations with higher odds of peripheral neuropathy while on nART included older patient age and current protease inhibitor use. Associations with higher odds of SPN while on nART included older patient age, history of diabetes, taller height, and protease inhibitor use.

conclusionSigns of peripheral neuropathy remain despite virologic/immunologic control but frequently occurs without symptoms. Aging is a risk factor for peripheral neuropathy/SPN.

Indexed as

HIV-1AdolescentAdultAnti-HIV AgentsCD4 Lymphocyte CountChildFemaleHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedPeripheral Nervous System DiseasesPrevalenceRisk FactorsRNA, ViralAnti-HIV AgentsRNA, Viral

Identifiers

PMID21330902
PMCPMC3196556
OpenAlexW2142833591

What OpenQuestion holds

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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.