Evidence map›Paper›PMID 25512624›Full record

ArticleThe Journal of infectious diseases2015

Hospitalization Rates and Reasons Among HIV Elite Controllers and Persons With Medically Controlled HIV Infection.

Trevor A Crowell, Kelly A Gebo, Joel N Blankson, P Todd Korthuis, Baligh R Yehia, Richard M Rutstein, Richard D Moore, Victoria Sharp, Ank E Nijhawan, W Christopher Mathews and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 1 pooled it
12.3field-weighted citation impact, top 1% 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

91 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.

  1. Guideline
  2. Antiretroviral Therapy Reduces T-cell Activation and Immune Exhaustion Markers in Human Immunodeficiency Virus Controllers.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Trial
  3. ART in HIV-Positive Persons With Low Pretreatment Viremia: Results From the START Trial.Journal of acquired immune deficiency syndromes (1999) · 2019
    Trial
  4. Article
  5. Article
  6. Article
  7. The HIV Reservoir and Immune Landscape Across the Life Course of Women: Implications for Cure Strategies.American journal of reproductive immunology (New York, N.Y. : 1989) · 2026
    Review
  8. The elite controller phenotype.Current opinion in HIV and AIDS · 2026
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Risk of Non-AIDS-Defining Events Is Lower in Antiretroviral Therapy (ART)-Naive HIV Controllers Than in Normal Progressors on Suppressive ART.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 13 institutions in 4 countries.

Trevor A CrowellDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Kelly A GeboDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Joel N BlanksonDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
P Todd KorthuisDepartment of Public Health/Preventive Medicine, Oregon Health and Science University, Portland.
Baligh R YehiaDepartment of Medicine, University of Pennsylvania Perelman School of Medicine.
Richard M RutsteinDivision of General Pediatrics, Children's Hospital of Philadelphia.
Richard D MooreDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Victoria SharpCenter for Comprehensive Care, St Luke's Roosevelt Hospital Center.
Ank E NijhawanDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.
W Christopher MathewsDepartment of Medicine, University of California, San Diego.
Lawrence H HanauDepartment of Medicine, Montefiore Medical Center.
Roberto B CoralesTrillium Health, Rochester, New York.
Robert BeilMontefiore Medical Group, Bronx.
Charurut SomboonwitTampa General Health Care, Florida.
Howard EdelsteinDepartment of Internal Medicine, Alameda County Medical Center, Oakland, California.
Sara L AllenDepartment of Medicine, Drexel University College of Medicine, Pennsylvania.
Stephen A BerryDepartment of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
HIV Research Network
Johns Hopkins University · USDrexel University · USAlameda Health System · USJohns Hopkins Medicine · USMontefiore Medical Center · USOregon Health & Science University · USRoosevelt Hospital · GTTampa General Hospital · USThe University of Texas Southwestern Medical Center · USTrillium Health Centre · CAUniversity of California, San Diego · USUniversity of Pennsylvania · USYeshiva University · US

Funding

Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
UT Southwestern Center for Translational Medicine (UL1/KL2/TL1KL2TR001103 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$4.0M
Universal Screening of HIV-Infected Persons for Gonorrhea and ChlamydiaK23AI084854 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BERRY, STEPHEN ARTHUR · 2010 to 2014
$671k
NCATS NIH HHS KL2 TR001103NCATS NIH HHS KL2TR001103NCATS NIH HHS UL1 TR001105NIAID NIH HHS K23 AI084854NIAID NIH HHS P30 AI045008PHS HHS HHSA290201100007CPHS HHS HHSH250201200008C
6 · The paper itself

Abstract

backgroundElite controllers spontaneously suppress human immunodeficiency virus (HIV) viremia but also demonstrate chronic inflammation that may increase risk of comorbid conditions. We compared hospitalization rates and causes among elite controllers to those of immunologically intact persons with medically controlled HIV.

methodsFor adults in care at 11 sites from 2005 to 2011, person-years with CD4 T-cell counts ≥350 cells/mm(2) were categorized as medical control, elite control, low viremia, or high viremia. All-cause and diagnostic category-specific hospitalization rates were compared between groups using negative binomial regression.

resultsWe identified 149 elite controllers (0.4%) among 34 354 persons in care. Unadjusted hospitalization rates among the medical control, elite control, low-viremia, and high-viremia groups were 10.5, 23.3, 12.6, and 16.9 per 100 person-years, respectively. After adjustment for demographic and clinical factors, elite control was associated with higher rates of all-cause (adjusted incidence rate ratio, 1.77 [95% confidence interval, 1.21-2.60]), cardiovascular (3.19 [1.50-6.79]) and psychiatric (3.98 [1.54-10.28]) hospitalization than was medical control. Non-AIDS-defining infections were the most common reason for admission overall (24.1% of hospitalizations) but were rare among elite controllers (2.7%), in whom cardiovascular hospitalizations were most common (31.1%).

conclusionsElite controllers are hospitalized more frequently than persons with medically controlled HIV and cardiovascular hospitalizations are an important contributor.

Indexed as

AdolescentAdultAgedFemaleHIV-1HIV InfectionsHospitalizationHumansMaleMiddle AgedRetrospective StudiesRisk FactorsUnited StatesViremiaYoung Adultantiretroviral therapyelite controlHIVhospitalizationinflammationpsychiatric disease

Identifiers

PMID25512624
PMCPMC4447832
OpenAlexW2101147051

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.