Evidence map›Paper›PMID 26658651›Full record

ReviewCurrent opinion in infectious diseases2016

Statins to improve cardiovascular outcomes in treated HIV infection.

Chris T Longenecker, Allison R Eckard, Grace A McComsey

Abstract readReview
In one paragraph

Review in Current opinion in infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.7field-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

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Lung Function, Coronary Artery Disease, and Mortality in HIV.Annals of the American Thoracic Society · 2019
    Article
  9. Review
  10. Projecting 10-year, 20-year, and Lifetime Risks of Cardiovascular Disease in Persons Living With Human Immunodeficiency Virus in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  11. Article
  12. Review
  13. Review
  14. Statin Utilization and Recommendations Among HIV- and HCV-infected Veterans: A Cohort Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Article
  15. Article
  16. 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

3 authors at 3 institutions in 2 countries.

Chris T LongeneckeraUniversity Hospitals Harrington Heart and Vascular Institute bCase Western Reserve University School of Medicine, Cleveland, Ohio cMedical University of South Carolina, Charleston, South Carolina dUniversity Hospitals Rainbow Babies and Children's Hospital, Cleveland, Ohio, USA.
Allison R Eckard
Grace A McComsey
Case Western Reserve University · USMedical University of South Carolina · USUniversity School · US

Funding

Inflammation, Heart and BoneR01NR012642 · NINR · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2010 to 2014
$2.5M
Vitamin D, drug metabolism, and cardiovascular complications in pediatric HIVR01HD070490 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI MCCOMSEY, GRACE A · 2011 to 2015
$1.7M
Pericardial fat, inflammation, and structural heart disease in HIVK23HL123341 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LONGENECKER, CHRIS TODD · 2014 to 2018
$885k
Vitamin D status and HIV-related complications in children and young adultsK23HD069199 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ECKARD, ALLISON ROSS · 2012 to 2016
$631k
NHLBI NIH HHS K23 HL123341NICHD NIH HHS K23 HD069199NICHD NIH HHS R01 HD070490NINR NIH HHS R01 NR012642
6 · The paper itself

Abstract

purpose of reviewTo evaluate evidence that statins reduce cardiovascular risk in patients living with HIV. RECENT

findingsModerate to high-dose atorvastatin and rosuvastatin appear to reduce noncalcified coronary plaque volume and slow progression of carotid intima-media thickness in patients with treated HIV infection. Expected lipoprotein changes with statins on the background of modern antiretroviral therapy are similar to the general population. In addition to lipids, the statin benefit may be mediated in part by improvements in vascular inflammation and levels of T-cell and monocyte activation. One concern is the potential for rosuvastatin to cause insulin resistance. Decisions to prescribe statins must be done in the context of global risk assessment, but traditional risk calculators such as the Framingham Risk Score or the American College of Cardiology/American Heart Association pooled-risk equations underestimate risk in this population. Furthermore, many patients with subclinical disease would not be recommended for statins according to the most recent American College of Cardiology/American Heart Association guidelines. SUMMARY: Statins are likely to improve cardiovascular outcomes for patients with HIV, but results of the first outcome study are not expected until 2020. In the meantime, clinicians should individualize statin prescriptions, and should consider using more potent statins (rosuvastatin, atorvastatin, and pitavastatin) when possible.

Indexed as

AtorvastatinCarotid Intima-Media ThicknessCoronary DiseaseHIV InfectionsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsInsulin ResistancePractice Guidelines as TopicPractice Patterns, Physicians'Precision MedicinePrimary PreventionRandomized Controlled Trials as TopicRosuvastatin CalciumTreatment OutcomeUnited StatesAtorvastatinHydroxymethylglutaryl-CoA Reductase InhibitorsRosuvastatin Calcium

Identifiers

PMID26658651
PMCPMC4689655
OpenAlexW2411306489

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.