Evidence map›Paper›PMID 25734156›Full record

ArticleOpen forum infectious diseases2014

Aspirin Use for Primary and Secondary Prevention in Human Immunodeficiency Virus (HIV)-Infected and HIV-Uninfected Patients.

Sujit Suchindran, Susan Regan, James B Meigs, Steven K Grinspoon, Virginia A Triant

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.1field-weighted citation impact, top 6% 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

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
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  4. Review
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  6. Observational
  7. Article
  8. Review
  9. Review
  10. Stroke in HIV.The Canadian journal of cardiology · 2019
    Review
  11. Article
  12. Article
  13. Epidemiology of ischemic heart disease in HIV.Current opinion in HIV and AIDS · 2017
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Graying of the HIV epidemic: a challenge for inpatient medicine providers.Journal of community hospital internal medicine perspectives · 2015
    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

5 authors at 3 institutions in 2 countries.

Sujit SuchindranDivision of Infectious Diseases , Brigham and Women's Hospital , Boston, Massachusetts ; Division of Infectious Diseases.
Susan ReganDivision of General Internal Medicine.
James B MeigsDivision of General Internal Medicine.
Steven K GrinspoonProgram in Nutritional Metabolism , Massachusetts General Hospital , Boston.
Virginia A TriantDivision of Infectious Diseases ; Division of General Internal Medicine.
General Department of Preventive Medicine · VNBrigham and Women's Hospital · USMassachusetts General Hospital · US

Funding

PROGRAM FOR AIDS CLINICAL RESEARCH TRAINING (PACRT)T32AI007433 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MARK J SIEDNER · 1992 to 2026
$11.4M
Epidemiology of Precursors to Type 2 DiabetesK24DK080140 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MEIGS, JAMES B · 2007 to 2016
$1.9M
Strategies to Improve CAD Risk In HIV DiseaseK24DK064545 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI GRINSPOON, STEVEN K. · 2003 to 2012
$1.6M
Evaluation and development of cardiovascular risk prediction algorithms in HIVR56HL125029 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI TRIANT, VIRGINIA ATHENA · 2014 to 2014
$821k
Incidence and Predictors of Myocardial Infarction Among HIV-Infected PatientsK01AI073109 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI TRIANT, VIRGINIA ATHENA · 2008 to 2012
$687k
NHLBI NIH HHS R56 HL125029NIAID NIH HHS K01 AI073109NIAID NIH HHS T32 AI007433NIDDK NIH HHS K24 DK064545NIDDK NIH HHS K24 DK080140
6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus (HIV) infection is associated with increased risk of myocardial infarction (MI). The use of aspirin for primary and secondary MI prevention in HIV infection has not been extensively studied.

methodsWe performed a cross-sectional study of 4037 patients infected with HIV and 36 338 demographics-matched control patients in the Partners HealthCare System HIV cohort. We developed an algorithm to ascertain rates of nonepisodic acetylsalicylic acid (ASA) use using medication and electronic health record free text data. We assessed rates of ASA use among HIV-infected and HIV-uninfected (negative) patients with and without coronary heart disease (CHD).

resultsRates of ASA use were lower among HIV-infected compared with HIV-uninfected patients (12.4% vs 15.3%, P < .001), with a relatively greater difference among patients with ≥2 CHD risk factors (22.1% vs 42.4%, P < .001). This finding was present among men and among patients in the 30-39 and 40-49 age groups. Among patients with prevalent CHD using ASA for secondary prevention, rates of ASA use were also lower among HIV-infected patients compared with HIV-uninfected patients (51.6% vs 65.4%, P < .001).

conclusionsRates of ASA use were lower among HIV-infected patients compared with controls, with a greater relative difference among those with elevated CHD risk and those with known CHD. Further studies are needed to investigate the optimal strategies for ASA use among patients infected with HIV.

Indexed as

aspirincoronary diseaseHIVpreventionprimary care

Identifiers

PMID25734156
PMCPMC4324233
OpenAlexW2076888835

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.