Evidence map›Paper›PMID 21930666›Full record

ArticleJournal of tropical pediatrics2012

Virologic suppression in nevirapine-exposed HIV-infected infants initiating antiretroviral therapy in rural Uganda.

Jenna Kay, Humphrey Wanzira, Taylor Sandison, Abel Kakuru, Victor Bigira, Moses Kamya, Jaco Homsy, Jordan W Tappero, Diane Havlir, Grant Dorsey and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of tropical pediatrics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.1field-weighted citation impact, top 57% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Outcomes of Infants Starting Antiretroviral Therapy in Southern Africa, 2004-2012.Journal of acquired immune deficiency syndromes (1999) · 2015
    Article
  3. Review
  4. Getting to 90-90-90 in paediatric HIV: What is needed?Journal of the International AIDS Society · 2015
    Article
  5. 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

11 authors at 5 institutions in 2 countries.

Jenna KayDepartment of Medicine, San Francisco General Hospital, University of California-San Francisco, CA 94110, USA.
Humphrey Wanzira
Taylor Sandison
Abel Kakuru
Victor Bigira
Moses Kamya
Jaco Homsy
Jordan W Tappero
Diane Havlir
Grant Dorsey
Theodore Ruel
Infectious Diseases Research Collaboration · UGSan Francisco General Hospital · USCenter for Global Health · USGlobal Brain Health Institute · USUniversity of Washington · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Therapeutic Strategies for HIV DiseaseK24AI051982 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAVLIR, DIANE V · 2002 to 2012
$1.3M
HIV Disease Progression in African ChildrenK23HD060459 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RUEL, THEODORE DUMONT · 2010 to 2014
$627k
NIAID NIH HHS K24 AI051982NIAID NIH HHS P30 AI027763NICHD NIH HHS K23 HD060459PEPFARPHS HHS K23-60459-01A2PHS HHS U62P024421
6 · The paper itself

Abstract

We measured virologic suppression among 34 nevirapine (NVP)-exposed HIV-infected children with median age of 8.6 months (range: 3.2-19.9) initiating NVP-based antiretroviral therapy (ART) in rural Uganda. In Kaplan-Meier analysis, the cumulative probability of virologic suppression, defined as having two consecutive HIV-1 RNA <400 copies ml(-1) by 18 months was 56%. In multivariate Cox proportional hazard modeling, the following pre-ART measurements were independently associated with an increased probability of viral suppression: increasing age [hazard ratio (HR) =1.28 per 1 month increase in age, p = 0.002], lower viral load (HR = 3.54 for HIV RNA > 7 50 000 copies ml(-1), p = 0.03) and high CD4% (HR = 6.0 for CD4% > 25, p = 0.003). These results lend additional support to the 2010 World Health Organization recommendations that protease inhibitors be used to treat NVP-exposed children, but that NVP-based ART should be initiated before the decline of CD4% to optimize outcomes in NVP-exposed children when protease inhibitors are not available.

Indexed as

HIV-1Anti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountChild, PreschoolFemaleFollow-Up StudiesHIV InfectionsHumansInfantKaplan-Meier EstimateMaleNevirapinePolymerase Chain ReactionProportional Hazards ModelsRNA, ViralAnti-HIV AgentsNevirapineRNA, Viral

Identifiers

PMID21930666
PMCPMC3530275
OpenAlexW2020954835

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.