Evidence map›Paper›PMID 22138766›Full record

ReviewJournal of acquired immune deficiency syndromes (1999)2012

Unresolved antiretroviral treatment management issues in HIV-infected children.

Shirin Heidari, Lynne M Mofenson, Charlotte V Hobbs, Mark F Cotton, Richard Marlink, Elly Katabira

Abstract readReview
In one paragraph

Review in Journal of acquired immune deficiency syndromes (1999), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Bedside paediatric HIV testing in Malawi: Impact on testing rates.Malawi medical journal : the journal of Medical Association of Malawi · 2017
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. The challenges of success: adolescents with perinatal HIV infection.Journal of the International AIDS Society · 2013
    Article
  15. Article
  16. Article
  17. Article
  18. PEPFAR scale-up of pediatric HIV services: innovations, achievements, and challenges.Journal of acquired immune deficiency syndromes (1999) · 2012
    Review
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

6 authors at 5 institutions in 4 countries.

Shirin HeidariDepartment of Research Promotion, International AIDS Society, Geneva, Switzerland. shirin.heidari@iasociety.org
Lynne M Mofenson
Charlotte V Hobbs
Mark F Cotton
Richard Marlink
Elly Katabira
Eunice Kennedy Shriver National Institute of Child Health and Human Development · USHarvard University · USInternational AIDS Society · CHMakerere University · UGStellenbosch University · ZA

Funding

HIV Drugs and Their Impact on Malaria Infection and ImmunityZIAAI001149 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI HOBBS, CHARLOTTE · 2011 to 2015
$1.9M
Intramural NIH HHS ZIA AI001149NIAID NIH HHS L40 AI075916
6 · The paper itself

Abstract

Antiretroviral therapy in children has expanded dramatically in low-income and middle-income countries. The World Health Organization revised its pediatric HIV guidelines to recommend initiation of antiretroviral therapy in all HIV-infected children younger than 2 years, regardless of CD4 count or clinical stage. The number of children starting life-long antiretroviral therapy should therefore expand dramatically over time. The early initiation of antiretroviral therapy has indisputable benefits for children, but there is a paucity of definitive information on the potential adverse effects. In this review, a comprehensive literature search was conducted to provide an overview of our knowledge about the complications of treating pediatric HIV. Antiretroviral therapy in children, as in adults, is associated with enhanced survival, reduction in opportunistic infections, improved growth and neurocognitive function, and better quality of life. Despite antiretroviral therapy, HIV-infected children may continue to lag behind their uninfected peers in growth and development. In addition, epidemic concurrent conditions, such as tuberculosis, malaria, and malnutrition, can combine with HIV to yield more rapid disease progression and poor treatment outcomes. Additional studies are required to evaluate the long-term effects of antiretroviral therapy in HIV-infected infants, children, and adolescents, particularly in resource-limited countries where concomitant infections and conditions may enhance the risk of adverse effects. There is an urgent need to evaluate drug-drug interactions in children to determine optimal treatment regimens for both HIV and coinfections.

Indexed as

AdolescentAIDS-Related Opportunistic InfectionsAnti-Retroviral AgentsBone DevelopmentChildChild, PreschoolCognitionDisease ManagementDrug InteractionsFemaleHIV InfectionsHumansInfantMaleMalnutritionAnti-Retroviral Agents

Identifiers

PMID22138766
PMCPMC4825866
OpenAlexW2156861027

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.