Evidence map›Paper›PMID 26562018›Full record

ArticlePloS one2015

A Second Look at the Association between Gender and Mortality on Antiretroviral Therapy.

Serena P Koenig, Alexandra Bornstein, Karine Severe, Elizabeth Fox, Jessy G Dévieux, Patrice Severe, Patrice Joseph, Adias Marcelin, Dgndy Alexandre Bright, Ngoc Pham and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 92% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

12 authors at 5 institutions in 2 countries.

Serena P KoenigHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Alexandra BornsteinAnalysis Group, Boston, MA, United States of America.
Karine SevereHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Elizabeth FoxDivision of Nutritional Sciences, Cornell University, Ithaca, NY, United States of America.
Jessy G DévieuxAIDS Prevention Program, Florida International University, Miami, FL, United States of America.
Patrice SevereHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Patrice JosephHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Adias MarcelinHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Dgndy Alexandre BrightHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Ngoc PhamAnalysis Group, Boston, MA, United States of America.
Pierre CremieuxAnalysis Group, Boston, MA, United States of America.
Jean William PapeHaitian Study Group for Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-au-Prince, Haiti.
Gheskio Centers · HTAnalysis Group (United States) · USCornell University · USFlorida International University · USHarvard University · US

Funding

Same-Day HIV Testing and Treatment Initiation to Improve Retention in CareR01AI104344 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI KOENIG, SERENA PATRICIA · 2013 to 2015
$1.9M
Research training to improve ART adherence among HIV-infected adolescents in HaitiD43TW009606 · FIC · WEILL MEDICAL COLL OF CORNELL UNIV · PI FITZGERALD, DANIEL W · 2013 to 2017
$1.6M
FIC NIH HHS D43 TW009606FIC NIH HHS D43TW009606NIAID NIH HHS R01 AI104344NIAID NIH HHS R01AI104344
6 · The paper itself

Abstract

objectiveWe assessed the association between gender and mortality on antiretroviral therapy (ART) using identical models with and without sex-specific categories for weight and hemoglobin.

designCohort study of adult patients on ART.

settingGHESKIO Clinic in Port-au-Prince, Haiti.

participants4,717 ART-naïve adult patients consecutively enrolled on ART at GHESKIO from 2003 to 2008.

main outcome measureMortality on ART; multivariable analyses were conducted with and without sex-specific categories for weight and hemoglobin.

resultsIn Haiti, male gender was associated with mortality (OR 1.61; 95% CI: 1.30-2.00) in multivariable analyses with hemoglobin and weight included as control variables, but not when sex-specific interactions with hemoglobin and weight were used.

conclusionsIf sex-specific categories are omitted, multivariable analyses indicate a higher risk of mortality for males vs. females of the same weight and hemoglobin. However, because males have higher normal values for weight and hemoglobin, the males in this comparison would generally have poorer health status than the females. This may explain why gender differences in mortality are sometimes observed after controlling for differences in baseline variables when gender-specific interactions with weight and hemoglobin are omitted.

Indexed as

AdolescentAdultAgedAnalysis of VarianceAnti-Retroviral AgentsCD4 Lymphocyte CountFemaleHaitiHIV InfectionsHumansMaleMass ScreeningMiddle AgedOutcome Assessment, Health CareProportional Hazards ModelsRisk FactorsAnti-Retroviral Agents

Identifiers

PMID26562018
PMCPMC4643042
OpenAlexW2178701405

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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.