Evidence map›Paper›PMID 24998532›Full record

SynthesisJournal of the International AIDS Society2014

Do HIV-1 non-B subtypes differentially impact resistance mutations and clinical disease progression in treated populations? Evidence from a systematic review.

Madhavi Bhargava, Jorge Martinez Cajas, Mark A Wainberg, Marina B Klein, Nitika Pant Pai

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of the International AIDS Society, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  6. Observational
  7. Article
  8. Impact of Protein NLife (Basel, Switzerland) · 2023
    Review
  9. Drug resistance in children and adolescents with HIV in Panama.The Journal of antimicrobial chemotherapy · 2023
    Article
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  12. Article
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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

5 authors.

Madhavi BhargavaDivision of Clinical Epidemiology & Infectious Diseases, McGill University Health Centre, Montreal, Canada.
Jorge Martinez CajasDivision of Infectious Diseases, Department of Medicine, Queen's University, Kingston, Canada.
Mark A WainbergLady Davis Institute, Jewish General Hospital, McGill University, Montreal, Canada.
Marina B KleinChronic Viral Illness Service, Division of Infectious Diseases & Clinical Epidemiology, Department of Medicine, McGill University and McGill University Health Centre, Montreal, Canada.
Nitika Pant PaiDivision of Clinical Epidemiology & Infectious Diseases, McGill University Health Centre, Montreal, Canada; Department of Medicine, McGill University, Montreal, Canada; nitika.pai@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are 31 million adults living with HIV-1 non-B subtypes globally, and about 10 million are on antiretroviral therapy (ART). Global evidence to guide clinical practice on ART response in HIV-1 non-B subtypes remains limited. We systematically searched 11 databases for the period 1996 to 2013 for evidence. Outcomes documented included time to development of AIDS and/or death, resistance mutations, opportunistic infections, and changes in CD4 cell counts and viral load. A lack of consistent reporting of all clinical end points precluded a meta-analysis. In sum, genetic diversity that precipitated differences in disease progression in ART-naïve populations was minimized in ART-experienced populations, although variability in resistance mutations persisted across non-B subtypes. To improve the quality of patient care in global settings, recording HIV genotypes at baseline and at virologic failure with targeted non-B subtype-based point-of-care resistance assays and timely phasing out of resistance-inducing ART regimens is recommended.

Indexed as

Anti-HIV AgentsDisease ProgressionDrug Resistance, ViralHIV-1HIV InfectionsHumansMutationTreatment OutcomeAnti-HIV Agentsdifferential impactdisease progressionevidenceHIV-1non-B subtypesresistance mutationsystematic review

Identifiers

PMID24998532
PMCPMC4083185

What OpenQuestion holds

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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.