Evidence map›Paper›PMID 24991974›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2014

Minimal cognitive impairment in UK HIV-positive men who have sex with men: effect of case definitions and comparison with the general population and HIV-negative men.

Jeffrey McDonnell, Lewis Haddow, Marina Daskalopoulou, Fiona Lampe, Andrew Speakman, Richard Gilson, Andrew Phillips, Lorraine Sherr, Sonali Wayal, John Harrison and 7 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

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  12. Emerging Role of Nef in the Development of HIV Associated Neurological Disorders.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2021
    Review
  13. Cerebral alterations in West African HIV and non-HIV adults aged ≥50: An MRI study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2021
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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

17 authors at 4 institutions in 3 countries.

Jeffrey McDonnell*Research Department of Infection and Population Health, University College London, London, United Kingdom; †Department of Medicine, Faculty of Medicine, Imperial College London, London, United Kingdom; ‡National Institute for Infectious Diseases, Lazzaro Spallanzani, Rome, Italy; §CogState, Melbourne, Victoria, Australia; ‖Department of Sexual Health and HIV, Royal Free London NHS Foundation Trust, London, United Kingdom; and ¶HIV I-Base, London, United Kingdom.
Lewis Haddow
Marina Daskalopoulou
Fiona Lampe
Andrew Speakman
Richard Gilson
Andrew Phillips
Lorraine Sherr
Sonali Wayal
John Harrison
Andrea Antinori
Paul Maruff
Adrian Schembri
Margaret Johnson
Simon Collins
Alison Rodger
Cognitive Impairment in People with HIV in the European Region (CIPHER) Study Group
UCL Australia · AUImperial College London · GBIstituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITRoyal Brompton & Harefield NHS Foundation Trust · GB

Funding

Department of Health RP-PG-0608-10142
6 · The paper itself

Abstract

backgroundTo determine the prevalence of neurocognitive impairment (NCI) in UK HIV-positive and HIV-negative men who have sex with men (MSM).

methodsHIV-positive and HIV-negative participants were recruited to a cross-sectional study from 2 London clinics and completed computer-assisted neuropsychological tests and questionnaires of depression, anxiety, and activities of daily living. Published definitions of HIV-associated neurocognitive disorders (HAND) and global deficit scores were used. Age- and education-adjusted neuropsychological test scores were directly compared with reference population data.

resultsA total of 248 HIV-positive and 45 HIV-negative MSM participated. In the HIV-positive group, median time since diagnosis was 9.4 years, median CD4 count was 550 cells per cubic millimeter, and 88% were on antiretroviral therapy. Prevalence of HAND was 21.0% in HIV-positive MSM (13.7% asymptomatic neurocognitive impairment, 6.5% mild neurocognitive disorder, and 0.8% HIV-associated dementia). Using a global deficit score threshold of 0.5, the prevalence of NCI was 31.5% (when averaged over 5 neuropsychological domains) and 40.3% (over 10 neuropsychological test scores). These results were not significantly different from the HIV-negative study sample. No consistent pattern of impairment was seen in HIV-positive patients relative to general male population data (n = 380).

conclusionsWe found a prevalence of HAND and degree of impairment on neuropsychological testing of HIV-positive MSM that could represent a normal population distribution. These findings suggest that NCI may be overestimated in HIV-positive MSM, and that the attribution of NCI to HIV infection implied by the term HAND requires revision.

Indexed as

Homosexuality, MaleAdolescentAdultAgedCognition DisordersCross-Sectional StudiesHIV InfectionsHumansLondonMaleMiddle AgedNeuropsychological TestsSurveys and QuestionnairesYoung Adult

Identifiers

PMID24991974
PMCPMC4175121
OpenAlexW1987138995

What OpenQuestion holds

Textmetadata
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.