Evidence map›Paper›PMID 23405098›Full record

ArticlePloS one2013

HIV drug resistance and its impact on antiretroviral therapy in Chinese HIV-infected patients.

Hui Xing, Yuhua Ruan, Jingyun Li, Hong Shang, Ping Zhong, Xia Wang, Lingjie Liao, Hanping Li, Min Zhang, Yile Xue and 16 more

Abstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  10. Investigation on Task Shifting of HIV/AIDS Follow-Up Management Workers in New Launched Areas, China.International journal of environmental research and public health · 2018
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  13. [HIV related risky behavioral network and molecular epidemiology of HIV seroconcordant couples in Taizhou municipality of Zhejiang Province].Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2016
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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

26 authors.

Hui XingState Key Laboratory for Infectious Disease Prevention and Control, and National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Yuhua Ruan
Jingyun Li
Hong Shang
Ping Zhong
Xia Wang
Lingjie Liao
Hanping Li
Min Zhang
Yile Xue
Zhe Wang
Bin Su
Wei Liu
Yonghui Dong
Yanling Ma
Huiqin Li
Guangming Qin
Lin Chen
Xiaohong Pan
Xi Chen
Guoping Peng
Jihua Fu
Ray Y Chen
Laiyi Kang
Yiming Shao
Chinese National HIVDR Surveillance and Monitoring Network

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHighly active antiretroviral therapy (HAART) has significantly decreased mortality among Chinese HIV patients. However, emerging HIV drug resistance (HIVDR) poses a growing threat to the long-term success and durability of HAART.

methodsThree cross-sectional surveys were conducted across the country from 2004 to 2006, respectively. Patients completed a questionnaire and provided blood for CD4 cell count, HIV viral load (VL), and HIV resistance genotyping. Factors associated with HIVDR were identified by logistic regression.

results3667 unique patients were included across the three surveys. Among 2826 treatment-experienced patients, median duration of treatment was 17.4 (IQR 8.6-28.4) months and HIVDR was identified in 543 (19.2%). Factors significantly associated with HIVDR included ART drug distribution location, CD4 cell count, initial HAART regimen, self-reported medication adherence, and province.

conclusionsVirologic failure increased over time on therapy but a significant proportion of patients in failure had no resistance mutations identified, suggesting that treatment adherence is suboptimal and must be emphasized. Due to the significantly higher risk of HIVDR in certain provinces, additional steps to reduce HIVDR should be taken.

Indexed as

AdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveAsian PeopleCD4 Lymphocyte CountCross-Sectional StudiesDrug Resistance, ViralFemaleGenotypeHIV-1HIV InfectionsHumansMaleMiddle AgedMutationRisk FactorsAnti-HIV Agents

Identifiers

PMID23405098
PMCPMC3566114

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.