Evidence map›Paper›PMID 23449225›Full record

ReviewAIDS reviews

Effects of political conflict-induced treatment interruptions on HIV drug resistance.

Marita Mann, Mark N Lurie, Sylvester Kimaiyo, Rami Kantor

Abstract readReview
In one paragraph

Review in AIDS reviews. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. HIV/AIDS in Conflict-Affected Countries, 2024-2025.Journal of epidemiology and global health · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. 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

4 authors.

Marita MannBrown University, Providence, RI 02908, USA.
Mark N Lurie
Sylvester Kimaiyo
Rami Kantor

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI AGGREY SEMWENDERO SEMEERE, Kara Kay Wools-Kaloustian · 2006 to 2026
$57.7M
Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI LARRY K BROWN · 1998 to 2026
$51.7M
Spatial Analysis CoreR24HD041020 · NICHD · BROWN UNIVERSITY · PI FOSTER, ANDREW D. · 2001 to 2016
$7.4M
HIV-1 Drug Resistance in Different SubtypesR01AI066922 · NIAID · STANFORD UNIVERSITY · PI KANTOR, RAMI, KATZENSTEIN, DAVID ALLENBERG · 2008 to 2012
$3.6M
Interdisciplinary Framework in Global Health at Brown UniversityR25TW008102 · FIC · BROWN UNIVERSITY · PI CU-UVIN, SUSAN · 2008 to 2010
$410k
FIC NIH HHS R25 TW 008102FIC NIH HHS R25 TW008102NIAID NIH HHS P30 AI 042853NIAID NIH HHS P30 AI042853NIAID NIH HHS R01 AI066922NIAID NIH HHS R01 AI 66922NIAID NIH HHS U01 AI069911NICHD NIH HHS R24 HD041020
6 · The paper itself

Abstract

Thirty-four million people worldwide were living with the HIV by the end of 2010. Despite significant advances in antiretroviral therapy, drug resistance remains a major deterrent to successful, enduring treatment. Unplanned interruptions in antiretroviral therapy have negative effects on HIV treatment outcomes, including increased morbidity and mortality, as well as development of drug resistance. Treatment interruptions due to political conflicts, not infrequent in resource-limited settings, result in disruptions in health care, infrastructure, or treatment facilities and patient displacement. Such circumstances are ideal bases for antiretroviral therapy resistance development, but there is limited awareness of and data available on the association between political conflict and the development of HIV drug resistance. In this review we identify and discuss this association and review how varying antiretroviral therapy half-lives, genetic barriers, different HIV subtypes, and archived resistance can lead to lack of medication effectiveness upon post-conflict resumption of care. Optimized antiretroviral therapy stopping strategies as well as infrastructural concerns and stable HIV treatment systems to ensure continuity of care and rapid resumption of care must be addressed in order to mitigate risks of HIV drug resistance development during and after political conflicts. Increased awareness of such associations by clinicians as well as politicians and stakeholders is essential.

Indexed as

DisastersWarfareAnti-HIV AgentsContinuity of Patient CareDeveloping CountriesDrug Administration ScheduleDrug Resistance, ViralFemaleHealth ResourcesHealth Services AccessibilityHIV-1HIV InfectionsHumansMaleRNA, ViralViral LoadAnti-HIV AgentsRNA, Viral

Identifiers

PMID23449225
PMCPMC3774601

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.