Evidence map›Paper›PMID 24368930›Full record

ArticleFuture virology2013

Primary prophylaxis for cryptococcal meningitis and impact on mortality in HIV: a systematic review and meta-analysis.

Richard Ssekitoleko, Moses R Kamya, Arthur L Reingold

Open access · greenAbstract read
In one paragraph

Article in Future virology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
0.4field-weighted citation impact, top 31% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Characteristics and Distribution of Fungal Meningitis: A Systematic Review.Infectious diseases & clinical microbiology · 2025
    Article
  5. Review
  6. Review
  7. The war on cryptococcosis: A Review of the antifungal arsenal.Memorias do Instituto Oswaldo Cruz · 2018
    Review
  8. Review
  9. Article
  10. Journal of fungi (Basel, Switzerland) · 2015
    Review
  11. Article
  12. Clinical and microbiological characteristics of cryptococcosis at an university hospital in China from 2013 to 2017.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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

3 authors at 2 institutions in 2 countries.

Richard SsekitolekoSchool of Public Health, University of California, Berkeley 50 University Hall, 7360 Berkeley, CA 94720, USA ; Department of Medicine Makerere University College of Health Sciences, PO Box 7072, Kampala, Uganda.
Moses R KamyaDepartment of Medicine Makerere University College of Health Sciences, PO Box 7072, Kampala, Uganda.
Arthur L ReingoldSchool of Public Health, University of California, Berkeley 50 University Hall, 7360 Berkeley, CA 94720, USA.
Makerere University · UGUniversity of California, Berkeley · US

Funding

University of California, Berkeley (UCB)/University of *D43TW000003 · FIC · UNIVERSITY OF CALIFORNIA BERKELEY · PI REINGOLD, ARTHUR L · 1988 to 2013
$16.7M
FIC NIH HHS D43 TW000003
6 · The paper itself

Abstract

aimTo determine the role of primary antifungal prophylaxis in the prevention of cryptococcal meningitis and all-cause mortality in advanced HIV infection. MATERIALS &

methodsThis was a systematic review and meta-analysis of randomized trials and observational studies. Google Scholar™, PubMed and Embase databases were searched for relevant studies. Quality was assessed using different criteria, depending on study type. Publication bias was assessed and subgroup and sensitivity analyses were performed. When the results of the meta-analysis were homogeneous, the fixed-effects model was used; when the results of the meta-analysis were heterogenous, the random effects model was used.

resultsPrimary prophylaxis prevented cryptococcal meningitis but did not confer protection against overall mortality, although there was evidence of a reduction in cryptococcal-specific mortality in resource-limited settings.

conclusionPrimary antifungal prophylaxis should be recommended in patients with advanced HIV infection in resource-limited settings with a high incidence of cryptococcal meningitis.

Indexed as

advanced HIV infectionall-cause mortalitycryptococcal meningitisfluconazoleitraconazoleprevention of cryptococcal meningitisprimary antifungal prophylaxisresource-limited settings

Identifiers

PMID24368930
PMCPMC3869998
OpenAlexW2171915016

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.