Evidence map›Paper›PMID 21504399›Full record

ReviewExpert review of anti-infective therapy2011

Pathogenesis and prevention of immune reconstitution disease during antiretroviral therapy.

Stephen D Lawn, Graeme Meintjes

Abstract readReview
In one paragraph

Review in Expert review of anti-infective therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Pathogenesis of Human Immunodeficiency Virus-Journal of clinical medicine · 2020
    Review
  6. Observational
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Maraviroc in PML-IRIS: A separate ball game under HIV infection and natalizumab?Neurology(R) neuroimmunology & neuroinflammation · 2017
    Article
  14. Article
  15. Article
  16. A little-known relationship between immune recovery syndrome and herpes zoster.Journal of the Korean Association of Oral and Maxillofacial Surgeons · 2016
    Article
  17. Review
  18. Article
  19. Review
  20. Article
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

2 authors.

Stephen D LawnThe Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa. stevelawn@yahoo.co.uk
Graeme Meintjes

Funding

South Africa Tuberculosis AIDS Training (SATBAT)U2RTW007370 · FIC · WITS HEALTH CONSORTIUM (PTY), LTD · PI MARTINSON, NEIL A · 2007 to 2011
$1.9M
South Africa Tuberculosis/AIDS TrainingU2RTW007373 · FIC · UNIV OF NORTH CAROLINA CHAPEL HILL · PI VAN DER HORST, CHARLES MICHAEL · 2007 to 2012
$1.4M
FIC NIH HHS U2R TW007370FIC NIH HHS U2R TW007373PHS HHS U2RTW007370-01A1PHS HHS U2RTW007373-01A1Wellcome Trust 088590
6 · The paper itself

Abstract

The risks of unmasking and paradoxical forms of immune reconstitution disease in HIV-infected patients starting antiretroviral therapy (ART) are fuelled by a combination of the late presentation of patients with advanced immunodeficiency, the associated high rates of opportunistic infections (OIs) and the need for rapid initiation of ART to minimize overall mortality risk. We review the risk factors and our current knowledge of the immunopathogenesis of immune reconstitution disease, leading to a discussion of strategies for prevention. Initiation of ART at higher CD4 counts, use of OI-preventive therapies prior to ART eligibility, intensified screening for OIs prior to ART initiation and optimum therapy for OIs are all needed. In addition, use of a range of pharmacological agents with immunosuppressive and immunomodulatory activity is being explored.

Indexed as

AIDS-Related Opportunistic InfectionsAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountClinical Trials as TopicHIVHIV InfectionsHumansImmune Reconstitution Inflammatory SyndromeIncidenceRisk FactorsTime FactorsViral LoadAnti-HIV Agents

Identifiers

PMID21504399
PMCPMC3252684

What OpenQuestion holds

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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.