Evidence map›Paper›PMID 25425638›Full record

Trial reportJournal of the International Association of Providers of AIDS Care

Development of Severe Anemia and Changes in Hemoglobin in a Cohort of HIV-Infected Ugandan Adults Receiving Zidovudine-, Stavudine-, and Tenofovir-Containing Antiretroviral Regimens.

Rosalind Parkes-Ratanshi, David Katende, Jonathan Levin, Katie Wakeham, Grosskurth Heiner, Anatoli Kamali, David G Lalloo

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 24% 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

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

  1. Anemia, Iron Status, and HIV: A Systematic Review of the Evidence.Advances in nutrition (Bethesda, Md.) · 2020
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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

7 authors at 4 institutions in 3 countries.

Rosalind Parkes-RatanshiMRC/UVRI Uganda Research Unit on AIDS, Uganda Virus Research Institute (UVRI), Entebbe, Uganda Liverpool School of Tropical Medicine, Liverpool, United Kingdom Infectious Diseases Insitute, Kampala, Uganda rratanshi@idi.co.ug.
David KatendeMRC/UVRI Uganda Research Unit on AIDS, Uganda Virus Research Institute (UVRI), Entebbe, Uganda.
Jonathan LevinMRC/UVRI Uganda Research Unit on AIDS, Uganda Virus Research Institute (UVRI), Entebbe, Uganda University of Witwatersrand, Johannesburg, South Africa.
Katie WakehamMRC/UVRI Uganda Research Unit on AIDS, Uganda Virus Research Institute (UVRI), Entebbe, Uganda Liverpool School of Tropical Medicine, Liverpool, United Kingdom Epidemiology and Genetics Unit, University of York, York, United Kingdom.
Grosskurth HeinerMRC/UVRI Uganda Research Unit on AIDS, Uganda Virus Research Institute (UVRI), Entebbe, Uganda London School of Tropical Medicine and Hygiene, London, United Kingdom.
Anatoli KamaliMRC/UVRI Uganda Research Unit on AIDS, Uganda Virus Research Institute (UVRI), Entebbe, Uganda.
David G LallooLiverpool School of Tropical Medicine, Liverpool, United Kingdom Infectious Diseases Insitute, Kampala, Uganda.
Uganda Virus Research Institute · UGLiverpool School of Tropical Medicine · GBUniversity of the Witwatersrand · ZAUniversity of York · GB

Funding

Medical Research Council G0601028
6 · The paper itself

Abstract

introductionAnemia is a common problem in HIV in sub-Saharan Africa. We describe the contribution of antiretroviral therapy (ART) regimen to the incidence of anemia and changes in hemoglobin (Hb) in HIV-infected patients in Uganda.

methodsThis study was nested in a prevention of cryptococcal disease trial (CRYPTOPRO; ISCRTN7648152). Patients received 3 different backbones of nucleoside reverse transcriptase inhibitor in a nonrandomized manner.

resultsOf the 852 patients (161 on zidovudine [ZDV], 628 on stavudine [d4T], and 63 on tenofovir [TDF]; all received lamuvidine), the risk of developing grade 4 anemia was higher (adjusted hazard ratio 2.7) for those receiving ZDV than those receiving d4T. Those receivingd4T had a higher average increase in Hb than those receiving ZDV (P = .024) or TDF (P = .014).

conclusionIn this observational study, ZDV was associated with severe anemia compared to d4T or TDF; those receiving ZDV and TDF had smaller increases in Hb after ART initiation. We encourage publication of data on cohorts using TDF from Africa.

Indexed as

AdultAnemiaAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveDouble-Blind MethodFemaleHemoglobinsHIV InfectionsHumansMaleReverse Transcriptase InhibitorsStavudineTenofovirUgandaZidovudineAnti-HIV AgentsHemoglobinsReverse Transcriptase InhibitorsStavudineTenofovirZidovudineAfricaanemiaARThemoglobintenofovirUgandazidovudine

Identifiers

PMID25425638
PMCPMC4944840
OpenAlexW2143429738

What OpenQuestion holds

Textmetadata
LicenceTDM
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.