Evidence map›Paper›PMID 26529316›Full record

Trial reportPloS one2015

Anemia and Red Blood Cell Abnormalities in HIV-Infected and HIV-Exposed Breastfed Infants: A Secondary Analysis of the Kisumu Breastfeeding Study.

Collins Odhiambo, Clement Zeh, Pascale Ondoa, Paul Omolo, Benta Akoth, Humphrey Lwamba, Richard Lando, John Williamson, Juliana Otieno, Rose Masaba and 3 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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

13 authors at 5 institutions in 3 countries.

Collins OdhiamboCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Clement ZehDivision of HIV/AIDS Prevention, U.S. Centers for Disease Control and Prevention (CDC), Kisumu, Kenya.
Pascale OndoaCenter for Poverty-related Communicable Diseases, Department of Internal Medicine, Center for Infection and Immunity, Amsterdam Institute for Global Health and Development, University of Amsterdam, Amsterdam, Netherlands.
Paul OmoloCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Benta AkothCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Humphrey LwambaCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Richard LandoCentre for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
John WilliamsonDivision of HIV/AIDS Prevention, U.S. Centers for Disease Control and Prevention (CDC), Kisumu, Kenya.
Juliana OtienoJaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, Kenya.
Rose MasabaFamily Health International, Nairobi, Kenya.
Paul WeidleDivision of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, CDC, Atlanta, GA, United States of America.
Timothy ThomasDivision of HIV/AIDS Prevention, U.S. Centers for Disease Control and Prevention (CDC), Kisumu, Kenya.
KiBS Study Team
Kenya Medical Research Institute · KECenters for Disease Control and Prevention · KEJaramogi Oginga Odinga University of Science and Technology · KENational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · USUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnemia results in increased morbidity and mortality, underscoring the need to better understand its pathophysiology amongst HIV-exposed and infected children in sub-Saharan Africa, the region where most infant HIV exposure and infections occur.

methodsThis analysis used samples obtained from children in the Kisumu Breastfeeding Study (KiBS). KiBS was a longitudinal phase IIB, open-label, one-arm clinical trial, designed to investigate the safety, tolerability and effectiveness of a maternal triple-antiretroviral (ARV) regimen for prevention of mother-to-child transmission (PMTCT) of HIV, during late pregnancy and early infancy while breastfeeding. Blood samples from 482 children were obtained at birth, 2, 6, 10 and 14 weeks and 6, 9, 12, 18 and 24 months. Severity of anemia was graded using the NIH Division of AIDS (DAIDS) toxicity tables. We describe the proportion of children with anemia and anomalies in red blood cell parameters at various time points over 24 months and compare rates of anemia between HIV-infected and HIV-uninfected children and by mothers' ARV regimen and infant malaria infection.

resultsThe proportion of children with anemia significantly increased after the breastfeeding period in both HIV-infected and HIV-uninfected children with higher proportion among HIV-infected children compared to HIV-uninfected children (RR: 1.72; CI: 1.22-2.44, p = 0.002). Maternal triple-antiretroviral regimen was not associated with infant anemia (p = 0.11). There was no significant difference in mean hemoglobin between HIV-uninfected children with and without malaria at each time point except at 24 months.

conclusionA relatively lower proportion of children with severe anemia during the breastfeeding period suggest that exposure to mother's triple antiretroviral combinations through breast milk, posed minimal risk of hematologic toxicity.

Indexed as

AnemiaBreast FeedingErythrocytes, AbnormalHIV InfectionsAdolescentAdultAnti-Retroviral AgentsFemaleHumansInfantInfant, NewbornKenyaMalePregnancyAnti-Retroviral Agents

Identifiers

PMID26529316
PMCPMC4631368
OpenAlexW2252896331

What OpenQuestion holds

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Registered trials

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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.