Evidence map›Paper›PMID 24391801›Full record

Trial reportPloS one2013

Outcomes among HIV-1 infected individuals first starting antiretroviral therapy with concurrent active TB or other AIDS-defining disease.

André R S Périssé, Laura Smeaton, Yun Chen, Alberto La Rosa, Ann Walawander, Apsara Nair, Beatriz Grinsztejn, Breno Santos, Cecilia Kanyama, James Hakim and 7 more

Abstract readClinical Trial, Phase IVMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

17 authors.

André R S PérisséDepartamento de Ciências Biológicas, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil.
Laura SmeatonCenter for Biostatistics in AIDS Research, Harvard School of Public Health, Boston, Massachusetts, United States of America.
Yun ChenCenter for Biostatistics in AIDS Research, Harvard School of Public Health, Boston, Massachusetts, United States of America.
Alberto La RosaAsociacion Civil Impacta Salud y Educacion - Barranco, Lima, Peru.
Ann WalawanderFrontier Science and Technology Research Foundation, Amherst, New York, United States of America.
Apsara NairFrontier Science and Technology Research Foundation, Amherst, New York, United States of America.
Beatriz GrinsztejnEvandro Chagas Clinical Research Institute, Fiocruz, Rio de Janeiro, Brazil.
Breno SantosHospital Nossa Senhora da Conceição, Porto Alegre, Brazil.
Cecilia KanyamaKamuzu Central Hospital, Lilongwe, Malawi.
James HakimUniversity of Zimbabwe College of Health Sciences, Harare, Zimbabwe.
Mulinda NyirendaMulinda Nyirenda, College of Medicine, University of Malawi, Blantyre, Malawi.
Nagalingeswaran KumarasamyYRG Centre for AIDS Research and Education, Chennai, India.
Umesh G LallooNelson R. Mandela School of Medicine, Durban, South Africa.
Timothy FlaniganBrown Medical School, Providence, Rhode Island, United States of America.
Thomas B CampbellDivision of Infectious Diseases, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Michael D HughesDepartment of Biostatistics, Harvard School of Public Health, Boston, Massachusetts, United States of America.
P E A R L S study team of the ACTG

Funding

University of North Carolina Global HIV Prevention and Treatment Clinical Trials Unit 2024 SupplementUM1AI069423 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Joseph J Eron, MINA CHRISTINE HOSSEINIPOUR · 2012 to 2026
$71.8M
Harvard Medical School Vaccine Clinical Trials UnitUM1AI069412 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Lindsey Robert Baden, Daniel R. Kuritzkes · 2012 to 2026
$57.2M
Clinical and Translational Science CenterUL1TR000457 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IMPERATO-MCGINLEY, JULIANNE L · 2012 to 2016
$46.0M
The Malawi Clinical Trials UnitUM1AI069518 · NIAID · JOHNS HOPKINS UNIVERSITY · PI JACKY M JENNINGS, TAHA E TAHA · 2012 to 2026
$43.8M
NCATS NIH HHS UL1 TR000457NIAID NIH HHS UM1 AI069412NIAID NIH HHS UM1 AI069423NIAID NIH HHS UM1 AI069518PHS HHS UMAI068634PHS HHS UMAI068636
6 · The paper itself

Abstract

backgroundTuberculosis (TB) is common among HIV-infected individuals in many resource-limited countries and has been associated with poor survival. We evaluated morbidity and mortality among individuals first starting antiretroviral therapy (ART) with concurrent active TB or other AIDS-defining disease using data from the "Prospective Evaluation of Antiretrovirals in Resource-Limited Settings" (PEARLS) study.

methodsPARTICIPANTS WERE CATEGORIZED RETROSPECTIVELY INTO THREE GROUPS ACCORDING TO PRESENCE OF ACTIVE CONFIRMED OR PRESUMPTIVE DISEASE AT ART INITIATION: those with pulmonary and/or extrapulmonary TB ("TB" group), those with other non-TB AIDS-defining disease ("other disease"), or those without concurrent TB or other AIDS-defining disease ("no disease"). Primary outcome was time to the first of virologic failure, HIV disease progression or death. Since the groups differed in characteristics, proportional hazard models were used to compare the hazard of the primary outcome among study groups, adjusting for age, sex, country, screening CD4 count, baseline viral load and ART regimen.

results31 of 102 participants (30%) in the "TB" group, 11 of 56 (20%) in the "other disease" group, and 287 of 1413 (20%) in the "no disease" group experienced a primary outcome event (p = 0.042). This difference reflected higher mortality in the TB group: 15 (15%), 0 (0%) and 41 (3%) participants died, respectively (p<0.001). The adjusted hazard ratio comparing the "TB" and "no disease" groups was 1.39 (95% confidence interval: 0.93-2.10; p = 0.11) for the primary outcome and 3.41 (1.72-6.75; p<0.001) for death.

conclusionsActive TB at ART initiation was associated with increased risk of mortality in HIV-1 infected patients.

Indexed as

HIV-1AdultAIDS-Related Opportunistic InfectionsAntiretroviral Therapy, Highly ActiveDeveloping CountriesFemaleHIV InfectionsHumansMaleMiddle AgedProspective StudiesRetrospective StudiesRisk FactorsTreatment OutcomeTuberculosisTuberculosis, Pulmonary

Identifiers

PMID24391801
PMCPMC3877069

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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.