Evidence map›Paper›PMID 26044289›Full record

ArticleThe Journal of infectious diseases2015

Mortality Risk After AIDS-Defining Opportunistic Illness Among HIV-Infected Persons--San Francisco, 1981-2012.

Kpandja Djawe, Kate Buchacz, Ling Hsu, Miao-Jung Chen, Richard M Selik, Charles Rose, Tiffany Williams, John T Brooks, Sandra Schwarcz

Abstract 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 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
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  6. HIV infection.Nature reviews. Disease primers · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Kpandja DjaweDivision of HIV/AIDS Prevention Epidemic Intelligence Service Program.
Kate BuchaczDivision of HIV/AIDS Prevention.
Ling HsuHIV Epidemiology Section, AIDS Office, San Francisco Department of Public Health.
Miao-Jung ChenHIV Epidemiology Section, AIDS Office, San Francisco Department of Public Health.
Richard M SelikDivision of HIV/AIDS Prevention.
Charles RoseDivision of HIV/AIDS Prevention.
Tiffany WilliamsDivision of HIV/AIDS Prevention ICF International, Assigned Full-time to Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Epidemiology Branch, Atlanta, Georgia.
John T BrooksDivision of HIV/AIDS Prevention.
Sandra SchwarczHIV Epidemiology Section, AIDS Office, San Francisco Department of Public Health Department of Epidemiology and Biostatistics, University of California San Francisco.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectiveTo examine whether improved human immunodeficiency virus (HIV) treatment was associated with better survival after diagnosis of AIDS-defining opportunistic illnesses (AIDS-OIs) and how survival differed by AIDS-OI.

designWe used HIV surveillance data to conduct a survival analysis.

methodsWe estimated survival probabilities after first AIDS-OI diagnosis among adult patients with AIDS in San Francisco during 3 treatment eras: 1981-1986; 1987-1996; and 1997-2012. We used Cox proportional hazards models to determine adjusted mortality risk by AIDS-OI in the years 1997-2012.

resultsAmong 20 858 patients with AIDS, the most frequently diagnosed AIDS-OIs were Pneumocystis pneumonia (39.1%) and Kaposi sarcoma (20.1%). Overall 5-year survival probability increased from 7% in 1981-1986 to 65% in 1997-2012. In 1997-2012, after adjustment for known confounders and using Pneumocystis pneumonia as the referent category, mortality rates after first AIDS-OI were highest for brain lymphoma (hazard ratio [HR], 5.14; 95% confidence interval [CI], 2.98-8.87) and progressive multifocal leukoencephalopathy (HR, 4.22; 95% CI, 2.49-7.17).

conclusionsSurvival after first AIDS-OI diagnosis has improved markedly since 1981. Some AIDS-OIs remain associated with substantially higher mortality risk than others, even after adjustment for known confounders. Better prevention and treatment strategies are still needed for AIDS-OIs occurring in the current HIV treatment era.

Indexed as

Acquired Immunodeficiency SyndromeAdolescentAdultAIDS-Related Opportunistic InfectionsAntiretroviral Therapy, Highly ActiveFemaleFollow-Up StudiesHIV InfectionsHumansLeukoencephalopathiesMaleMiddle AgedPneumonia, PneumocystisProportional Hazards ModelsRisk FactorsSan FranciscoAIDSAIDS-defining illnessHIVmortalitysurvival

Identifiers

PMID26044289
PMCPMC11323282

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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.