Evidence map›Paper›PMID 25324353›Full record

Observational studyJournal of the American Heart Association2014

HIV infection and cardiovascular disease in women.

Julie A Womack, Chung-Chou H Chang, Kaku A So-Armah, Charles Alcorn, Jason V Baker, Sheldon T Brown, Matthew Budoff, Adeel A Butt, Cynthia Gibert, Matthew Bidwell Goetz and 13 more

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 5 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

95 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Observational
  11. Article
  12. Article
  13. What Women with HIV Know about Heart Health and Cardiovascular Risk and Intervention Preferences.International journal of environmental research and public health · 2024
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

35 more citing papers are in PubMed but not listed here.

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

23 authors.

Julie A WomackYale School of Nursing, West Haven, CT (J.A.W.).
Chung-Chou H ChangUniversity of Pittsburgh School of Medicine, Pittsburgh, PA (C.C.H.C., A.A.B., H.T.) University of Pittsburgh Graduate School of Public Health, Pittsburgh, PA (C.C.H.C., C.A.).
Kaku A So-ArmahYale University School of Medicine, New Haven, CT (K.A.S.A., A.C.J., J.S.).
Charles AlcornUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA (C.C.H.C., C.A.).
Jason V BakerUniversity of Minnesota Department of Medicine, Hennepin County Medical Center, Minneapolis, MN (J.V.B.).
Sheldon T BrownJames J. Peters VA Medical Center, Bronx, NY (S.T.B.) Icahn School of Medicine at Mt. Sinai, New York, NY (S.T.B.).
Matthew BudoffHarbor-UCLA Medical Center and Los Angeles Biomedical Research Institute, Los Angeles, CA (M.B.).
Adeel A ButtUniversity of Pittsburgh School of Medicine, Pittsburgh, PA (C.C.H.C., A.A.B., H.T.) VA Pittsburgh Healthcare System, Pittsburgh, PA (A.A.B.) Sheikh Khalifa Medical City, Abu Dhabi, UAE (A.A.B.).
Cynthia GibertVA Medical Center and George Washington University School of Medicine, Washington, DC (C.G.).
Matthew Bidwell GoetzDavid Geffen School of Medicine, University of California, Los Angeles, CA (M.B.G., D.L., A.W.) VA Greater Los Angeles Health Care System, Los Angeles, CA (M.B.G., D.L., A.W.).
John GottdienerUniversity of Maryland School of Medicine, Baltimore, MD (J.G., S.G.).
Stephen GottliebUniversity of Maryland School of Medicine, Baltimore, MD (J.G., S.G.).
Amy C JusticeYale University School of Medicine, New Haven, CT (K.A.S.A., A.C.J., J.S.) Veterans Affairs Connecticut Health Care System, West Haven Veterans Administration Medical Center, West Haven, CT (A.C.J., K.M.G., J.S., M.S.).
David LeafDavid Geffen School of Medicine, University of California, Los Angeles, CA (M.B.G., D.L., A.W.) VA Greater Los Angeles Health Care System, Los Angeles, CA (M.B.G., D.L., A.W.).
Kathleen McGinnisVeterans Affairs Connecticut Health Care System, West Haven Veterans Administration Medical Center, West Haven, CT (A.C.J., K.M.G., J.S., M.S.).
David RimlandEmory University School of Medicine and Atlanta VA Medical Center, Atlanta, GA (D.R.).
Maria C Rodriguez-BarradasInfectious Diseases Section, Michael E. DeBakey VA Medical Center, and Department of Medicine, Baylor College of Medicine, Houston, TX (M.C.R.B.).
Jason SicoYale University School of Medicine, New Haven, CT (K.A.S.A., A.C.J., J.S.) Veterans Affairs Connecticut Health Care System, West Haven Veterans Administration Medical Center, West Haven, CT (A.C.J., K.M.G., J.S., M.S.).
Melissa SkandersonVeterans Affairs Connecticut Health Care System, West Haven Veterans Administration Medical Center, West Haven, CT (A.C.J., K.M.G., J.S., M.S.).
Hilary TindleUniversity of Pittsburgh School of Medicine, Pittsburgh, PA (C.C.H.C., A.A.B., H.T.).
Russell P TracyUniversity of Vermont College of Medicine, Burlington, VT (R.P.T.).
Alberta WarnerDavid Geffen School of Medicine, University of California, Los Angeles, CA (M.B.G., D.L., A.W.) VA Greater Los Angeles Health Care System, Los Angeles, CA (M.B.G., D.L., A.W.).
Matthew S FreibergVanderbilt University School of Medicine, Nashville, TN (M.S.F.).

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
Alcohol Associated Outcomes Among HIV+/-Aging VeteransU01AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2002 to 2005
$10.1M
Alcohol and Multisubstance Use in the Veterans Aging Cohort StudyU01AA020790 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$7.7M
Cardiovascular Disease Mechanisms in HIV Infected and Uninfected VeteransR01HL095136 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHANG, CHUNG-CHOU HO, JUSTICE, AMY CAROLINE · 2008 to 2012
$5.6M
Sex Disparities in Overall Response to ART Among HIV Infected IndividualsU24AA020794 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$5.5M
Alcohol Associated Outcomes Among HIV+/-Aging VeteransR01AA013566 · NIAAA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JUSTICE, AMY CAROLINE · 2001 to 2002
$1.6M
HIV Infection and Falls: Epidemiology and Risk AssessmentK01NR013437 · NINR · YALE UNIVERSITY · PI WOMACK, JULIE A · 2012 to 2014
$277k
NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1 TR000142NCRR NIH HHS UL1 RR024139NHLBI NIH HHS HL095136NHLBI NIH HHS R01 HL095136NIAAA NIH HHS AA013566-10NIAAA NIH HHS AA020790NIAAA NIH HHS AA020794NIAAA NIH HHS R01 AA013566NIAAA NIH HHS U01 AA013566NIAAA NIH HHS U01 AA020790NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U24 AA020794NINR NIH HHS K01 NR013437
6 · The paper itself

Abstract

backgroundHIV infection is associated with increased risk of cardiovascular disease (CVD) in men. Whether HIV is an independent risk factor for CVD in women has not yet been established. METHODS AND

resultsWe analyzed data from the Veterans Aging Cohort Study on 2187 women (32% HIV infected [HIV(+)]) who were free of CVD at baseline. Participants were followed from their first clinical encounter on or after April 01, 2003 until a CVD event, death, or the last follow-up date (December 31, 2009). The primary outcome was CVD (acute myocardial infarction [AMI], unstable angina, ischemic stroke, and heart failure). CVD events were defined using clinical data, International Classification of Diseases, Ninth Revision, Clinical Modification codes, and/or death certificate data. We used Cox proportional hazards models to assess the association between HIV and incident CVD, adjusting for age, race/ethnicity, lipids, smoking, blood pressure, diabetes, renal disease, obesity, hepatitis C, and substance use/abuse. Median follow-up time was 6.0 years. Mean age at baseline of HIV(+) and HIV uninfected (HIV(-)) women was 44.0 versus 43.2 years (P<0.05). Median time to CVD event was 3.1 versus 3.7 years (P=0.11). There were 86 incident CVD events (53%, HIV(+)): AMI, 13%; unstable angina, 8%; ischemic stroke, 22%; and heart failure, 57%. Incident CVD/1000 person-years was significantly higher among HIV(+) (13.5; 95% confidence interval [CI]=10.1, 18.1) than HIV(-) women (5.3; 95% CI=3.9, 7.3; P<0.001). HIV(+) women had an increased risk of CVD, compared to HIV(-) (hazard ratio=2.8; 95% CI=1.7, 4.6; P<0.001).

conclusionsHIV is associated with an increased risk of CVD in women.

Indexed as

AdultAgedAge DistributionCardiovascular DiseasesCase-Control StudiesComorbidityConfidence IntervalsFemaleHIV InfectionsHumansLongitudinal StudiesMiddle AgedPrevalenceProportional Hazards ModelsProspective StudiesRisk AssessmentAIDSCVD risk factorsWomen

Identifiers

PMID25324353
PMCPMC4323817

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.