Evidence map›Paper›PMID 24815090›Full record

ArticleSurgical infections2014

Safety of excisional inguinal lymph node biopsies performed for research purposes in HIV-1-infected women and men.

Amie L Meditz, Elizabeth Connick, Martin McCarter

Open access · greenAbstract read
In one paragraph

Article in Surgical infections, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

Amie L Meditz1 Division of Infectious Diseases, Department of Medicine, University of Colorado-Denver , Aurora, Colorado.
Elizabeth Connick
Martin McCarter
University of Colorado Denver · US

Funding

U of Colorado Center for AIDS ResearchP30AI054907 · NIAID · UNIVERSITY OF COLORADO DENVER · PI MAWHINNEY-DELSON, SAMANTHA · 2003 to 2008
$9.6M
Immunopathogenesis of Acute HIV-1 InfectionP01AI055356 · NIAID · UNIVERSITY OF COLORADO DENVER · PI CONNICK, ELIZABETH · 2003 to 2007
$9.1M
IMMUNOPATHOGENESIS OF ACUTE HIV-1 INFECTIONU01AI041536 · NIAID · UNIVERSITY OF COLORADO DENVER · PI SCHOOLEY, ROBERT TURNER · 1997 to 2002
$2.9M
Sex Differences in Plasma HIV-1 RNA ConcentrationsR21HD051450 · NICHD · UNIVERSITY OF COLORADO DENVER · PI CONNICK, ELIZABETH · 2006 to 2010
$548k
COSTIMULATORY MOLECULES, CTL, AND HIV IN LYMPHOID TISSUER29AI042499 · NIAID · UNIVERSITY OF COLORADO DENVER · PI CONNICK, ELIZABETH · 1998 to 2002
$316k
NIAID NIH HHS P01-AI-55356NIAID NIH HHS P30-AI-054907NIAID NIH HHS R29AI-42499NIAID NIH HHS UO1AI-41536NICHD NIH HHS R21HD-051450
6 · The paper itself

Abstract

backgroundMost HIV-1 replication occurs in secondary lymphoid tissues, and evaluating these tissues is crucial to investigations of pathogenesis. Inguinal lymph nodes (LN) are obtained frequently for these studies as they are readily detectable in most individuals and provide abundant numbers of cells. Knowledge of the outcomes of inguinal LN excision for research purposes is important to inform accurately study participants and researchers of the potential risks.

methodsData on surgical complications were collected in real time in HIV-1-infected subjects who underwent excisional inguinal LN biopsies for research purposes from February 1997 through June 2011. Data were analyzed retrospectively to determine the frequency of surgical complications using the Fisher exact test and non-parametric testing.

resultsEighty-seven research subjects underwent a total of 95 LN excisions. Thirty-six percent of subjects were female, 53% were white, 26% were black, 16% Hispanic, and 2% Native American. Median age was 36 y (22-52). The median CD4+ T cell count was 478 cell/mm(3) (range, 57-1117) and the median plasma HIV-1 RNA concentration was 4.1 log10copies/mL (range, 1.7-5.9). Minor complications including seroma, transient lymphedema, hematoma, and allergic reaction to surgical tape, occurred in 10% of procedures. Complications that required medical attention occurred in an additional 10% of procedures, and included cellulitis (5%), superficial incisional surgical site infection (3%), and seroma requiring aspiration (1%). Subjects with complications had a lower BMI (25; range, 16-38; n=12) than others (28; range, 19-57; n=40; p=0.05) and tended to have higher platelets, (median, 259×10(9)/L; range, 196-332; vs. 233×10(9)/L; range, 44-633; p=0.07). No other clinical or laboratory characteristics were associated with complications (p≥0.3).

conclusionsLymph node excision for research purposes is generally safe in a diverse group of chronically HIV-1-infected women and men, but can result in complications in a minority of subjects. No predictors of complications were identified.

Indexed as

AdultBiopsyFemaleHIV-1HIV InfectionsHumansLymph NodesMaleMiddle AgedYoung Adult

Identifiers

PMID24815090
PMCPMC4135314
OpenAlexW2313268194

What OpenQuestion holds

Textmetadata
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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.