Evidence map›Paper›PMID 25409510›Full record

ArticlePloS one2014

Chest computed tomography findings in HIV-infected individuals in the era of antiretroviral therapy.

Emily Clausen, Catherine Wittman, Matthew Gingo, Khaled Fernainy, Carl Fuhrman, Cathy Kessinger, Renee Weinman, Deborah McMahon, Joseph Leader, Alison Morris

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Chronic obstructive pulmonary disease in HIV.Expert review of respiratory medicine · 2021
    Review
  5. Article
  6. Article
  7. Long-term pulmonary complications in perinatally HIV-infected youth.The Journal of allergy and clinical immunology · 2017
    Article
  8. Article
  9. Lung Malignancies in HIV Infection.Seminars in respiratory and critical care medicine · 2016
    Review
  10. Review
  11. Maintaining lung health with longstanding HIV.Current opinion in infectious diseases · 2016
    Review
  12. Article
  13. Article
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

10 authors at 2 institutions in 1 country.

Emily ClausenDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Catherine WittmanKaiser Permanente, Denver, Colorado.
Matthew GingoDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Khaled FernainyDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Carl FuhrmanDepartment of Radiology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Cathy KessingerDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Renee WeinmanDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Deborah McMahonDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Joseph LeaderDepartment of Radiology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Alison MorrisDepartment of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America; Department of Immunology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
University of Pittsburgh · USKaiser Permanente · US

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Prevalence & Pathogenesis of Pulmonary Disease in a Large Multicenter HIV CohortR01HL090339 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MORRIS, ALISON · 2007 to 2011
$4.0M
Pneumocystis in Pathogenesis of HIV-associated EmphysemaR01HL083461 · NHLBI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MORRIS, ALISON · 2005 to 2009
$2.2M
NCATS NIH HHS UL1 TR000005NHLBI NIH HHS R01 HL083461NHLBI NIH HHS R01HL083461NHLBI NIH HHS R01 HL090339NHLBI NIH HHS R01HL090339
6 · The paper itself

Abstract

backgroundChest radiographic abnormalities were common in HIV-infected individuals in the pre-combination antiretroviral therapy era, but findings may differ now due to a changing spectrum of pulmonary complications.

methodsCross-sectional study of radiographic abnormalities in an HIV-infected outpatient population during the antiretroviral therapy era. Demographics, chest computed tomography, and pulmonary function tests were obtained in HIV-infected volunteers without acute respiratory illness from the University of Pittsburgh HIV/AIDS clinic. Overall prevalence of radiographic abnormalities and potential risk factors for having any abnormality, nodules, or emphysema were evaluated using univariate and multivariable analyses.

resultsA majority of the 121 participants (55.4%) had a radiographic abnormality with the most common being emphysema (26.4%), nodules (17.4%), and bronchiectasis (10.7%). In multivariate models, age (odds ratio [OR] per year  = 1.07, 95% confidence interval [CI] 1.04-1.14, p<0.001), pneumonia history (OR  = 3.60, 95% CI  = 1.27-10.20, p = 0.016), and having ever smoked (OR  = 3.66, p = 0.013, 95% CI  = 1.31-10.12) were significant predictors of having any radiographic abnormality. Use of antiretroviral therapy, CD4 cell count, and HIV viral load were not associated with presence of abnormalities. Individuals with radiographic emphysema were more likely to have airway obstruction on pulmonary function tests. Only 85.8% participants with nodules had follow-up imaging resulting in 52.4% having stable nodules, 23.8% resolution of their nodules, 4.8% development of a new nodule, and 4.8% primary lung cancer.

conclusionsRadiographic abnormalities remain common in HIV-infected individuals with emphysema, nodules, and bronchiectasis being the most common. Age, smoking, and pneumonia were associated with radiographic abnormalities, but HIV-associated factors did not seem to predict risk.

Indexed as

AdultAgedAntiretroviral Therapy, Highly ActiveCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMiddle AgedPulmonary Disease, Chronic ObstructiveRespiratory Function TestsTomography, X-Ray ComputedYoung Adult

Identifiers

PMID25409510
PMCPMC4237318
OpenAlexW2037180482

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.