Evidence map›Paper›PMID 26181706›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2015

Statin Use Is Associated With Incident Diabetes Mellitus Among Patients in the HIV Outpatient Study.

Kenneth A Lichtenstein, Rachel L D Hart, Kathleen C Wood, Samuel Bozzette, Kate Buchacz, John T Brooks, HIV Outpatient Study Investigators

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
5.0field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Rosuvastatin Worsens Insulin Resistance in HIV-Infected Adults on Antiretroviral Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Trial
  5. Review
  6. Statin Use and Hyperglycemia: Do Statins Cause Diabetes?Current atherosclerosis reports · 2024
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Observational
  16. Review
  17. Immune responses during spontaneous control of HIV and AIDS: what is the hope for a cure?Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2014
    Review
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 1 country.

Kenneth A Lichtenstein*Department of Medicine, National Jewish Health, Denver, CO; †Research Department, Cerner Corporation, Kansas City, MO; ‡University of California, San Diego, CA; and §Divisions of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA.
Rachel L D Hart
Kathleen C Wood
Samuel Bozzette
Kate Buchacz
John T Brooks
HIV Outpatient Study Investigators
Centers for Disease Control and Prevention · USCerner (United States) · USUniversity of California, San Diego · USUniversity of Colorado Denver · US

Funding

Intramural CDC HHS CC999999PHS HHS 200-2001-00133PHS HHS 200-2006-18797PHS HHS 200-2011-41872
6 · The paper itself

Abstract

introductionStatin therapy is effective in the prevention of cardiovascular disease in the general population but has been shown to modestly increase the risk for incident diabetes mellitus (DM).

methodsWe analyzed incident DM in HIV Outpatient Study (HOPS) participants followed at 8 HIV clinic sites during 2002-2011, comparing rates among those who initiated statin therapy during that period with those who did not. Using Cox proportional hazards models, we examined the association between cumulative years of statin exposure and the risk of developing DM, after controlling for age, sex, race/ethnicity, antiretroviral history, prevalent hepatitis C, body mass index, and cumulative exposure to protease inhibitor therapy. We also adjusted for propensity scores to account for residual confounding by indication.

resultsOf 4692 patients analyzed, 590 (12.6%) initiated statin therapy and 355 (7.2%) developed DM. Incident DM was independently associated with statin therapy (adjusted hazard ratio, 1.14 per year of statin use), as well as older age, Hispanic/Latino ethnicity, non-Hispanic/Latino black race, antiretroviral-naive status, prevalent hepatitis C, and body mass index ≥30 kg/m² (P < 0.05 for all). The association of statin use with incident DM was similar in the model adjusted for propensity score.

conclusionsStatin use was associated with a modestly increased risk of incident DM in an HIV-infected population, similar to existing data for the general population. HIV-infected patients should be monitored for glucose intolerance, but statins should not be withheld if clinically indicated for cardiovascular disease risk reduction.

Indexed as

AdultCardiovascular DiseasesCohort StudiesDiabetes MellitusFemaleHIV InfectionsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsMaleMiddle AgedProportional Hazards ModelsRisk FactorsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID26181706
PMCPMC4657745
OpenAlexW2322502550

What OpenQuestion holds

Texttitle and abstract
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.