Evidence map›Paper›PMID 26684817›Full record

Observational studyAIDS (London, England)2016

Rates of non-confounded HIV-associated neurocognitive disorders in men initiating combination antiretroviral therapy during primary infection.

Teresa H Evering, Allison Applebaum, Melissa La Mar, Donald Garmon, David Dorfman, Martin Markowitz

Erratum issuedAbstract readObservational Study
In one paragraph

Observational study in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Neurological Complications of HIV Infection.Current infectious disease reports · 2017
    Review
  10. Neurologic Complications in Treated HIV-1 Infection.Current neurology and neuroscience reports · 2016
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Teresa H EveringaAaron Diamond AIDS Research Center, an affiliate of the Rockefeller University bMemorial Sloan-Kettering Cancer Center cIcahn School of Medicine at Mount Sinai, New York, New York, USA. *Current address for Donald Garmon: Columbia University Medical Center, New York, New York, United States of America.
Allison Applebaum
Melissa La Mar
Donald Garmon
David Dorfman
Martin Markowitz

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Transforming Translational Science and Education to Benefit Human HealthUL1TR000043 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2012 to 2015
$26.8M
The Role of HIV-1 Evolution in NeuroadaptationK08MH090900 · NIMH · AARON DIAMOND AIDS RESEARCH CENTER · PI EVERING, TERESA · 2010 to 2014
$950k
NCATS NIH HHS 8 UL1 TR000043NCATS NIH HHS UL1 TR000043NCI NIH HHS P30 CA008748NIMH NIH HHS K08 MH090900NIMH NIH HHS K08MH090900
6 · The paper itself

Abstract

objectiveTo determine the prevalence of HIV-associated neurocognitive disorders (HAND) in HIV-infected participants who initiated combination antiretroviral therapy (cART) during primary infection.

designCross-sectional observational study.

methodsHIV-infected men without neuropsychiatric confounds who had initiated cART during primary infection were administered a neuropsychological battery as well as questionnaires evaluating depression and quality of life. Eligibility was determined by a medical examination with history and review of records.

resultsTwenty-six primarily non-Hispanic white (73%), male (100%) participants were enrolled and underwent neurocognitive assessment. Mean age was 44 (28-71) years, with a median of 17 years of education (13-24). Median current and nadir CD4 T-cell counts were 828 (506-1411) and 359 (150-621) cells/μl. All participants had plasma HIV-1 RNA less than 50 copies/ml. Median duration of cART prior to enrolment was 5.7 years (2.2-9.9). Median global deficit score was 0.17 (0.00-0.60). Only one (4%) participant was impaired.

conclusionRates of HAND in this cohort of HIV-infected men without comorbid conditions who initiated early cART are low. Our findings suggest a possible neuroprotective benefit of early cART and an important contribution of comorbidities to observed HAND prevalence.

Indexed as

Antiretroviral Therapy, Highly ActiveAdultAgedAnti-Retroviral AgentsCross-Sectional StudiesDepressionHIV InfectionsHumansMaleMiddle AgedNeurocognitive DisordersNeuropsychological TestsPrevalenceQuality of LifeAnti-Retroviral Agents

Identifiers

PMID26684817
PMCPMC4685724

What OpenQuestion holds

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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.