Evidence map›Paper›PMID 26690344›Full record

ArticleThe Journal of infectious diseases2016

Anemia and Red Blood Cell Indices Predict HIV-Associated Neurocognitive Impairment in the Highly Active Antiretroviral Therapy Era.

Asha R Kallianpur, Quan Wang, Peilin Jia, Todd Hulgan, Zhongming Zhao, Scott L Letendre, Ronald J Ellis, Robert K Heaton, Donald R Franklin, Jill Barnholtz-Sloan and 10 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

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

  1. Anemia, Iron Status, and HIV: A Systematic Review of the Evidence.Advances in nutrition (Bethesda, Md.) · 2020
    Pooled it
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  19. CD71mBio · 2019
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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

20 authors.

Asha R KallianpurDepartment of Genomic Medicine/Lerner Research Institute and Medicine Institute, Cleveland Clinic Foundation, Department of Molecular Medicine, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University.
Quan WangDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Peilin JiaDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Todd HulganDepartment of Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Zhongming ZhaoDepartment of Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Scott L LetendreDepartment of Medicine, University of California, San Diego.
Ronald J EllisDepartment of Neurosciences, University of California, San Diego.
Robert K HeatonDepartment of Psychiatry, University of California, San Diego.
Donald R FranklinDepartment of Medicine, University of California, San Diego.
Jill Barnholtz-SloanDepartment of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio.
Ann C CollierDepartment of Medicine, University of Washington, Seattle.
Christina M MarraDepartment of Neurology, University of Washington, Seattle.
David B CliffordDepartment of Neurology, Washington University School of Medicine, St Louis, Missouri.
Benjamin B GelmanDepartment of Pathology, University of Texas Medical Branch, Galveston, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Justin C McArthurDepartment of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Susan MorgelloDepartment of Neurology, Icahn School of Medicine of Mount Sinai, New York, New York.
David M SimpsonDepartment of Neurology, Icahn School of Medicine of Mount Sinai, New York, New York.
J A McCutchanDepartment of Medicine, University of California, San Diego.
Igor GrantDepartment of Psychiatry, University of California, San Diego.
CHARTER Study Group

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DAVID J MOORE · 2001 to 2026
$50.4M
Texas NeuroAIDS Research CenterU24MH100930 · NIMH · UNIVERSITY OF TEXAS MED BR GALVESTON · PI GELMAN, BENJAMIN B. · 2013 to 2023
$12.1M
Age related determinants of HAND: A 12 year follow-up of CHARTER participantsR01MH107345 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI HEATON, ROBERT KERNACHAN, LETENDRE, SCOTT L · 2015 to 2021
$7.9M
Iron and Mitochondrial Genomics in Neuro-inflammation and HAND: A CHARTER StudyR01MH095621 · NIMH · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HULGAN, TODD M, KALLIANPUR, ASHA R · 2011 to 2015
$3.1M
Midcareer Investigator Award in Patient-Oriented NeuroAIDS ResearchK24MH097673 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LETENDRE, SCOTT L · 2013 to 2017
$917k
CNS HIV ANTI-RETROVIRAL THERAPY EFFECTS RESEARCH /CHARTER/ -278022005-278022005N01MH022005 · NIMH · UNIVERSITY OF CA -SAN DIEGO · PI GRANT, IGOR · 2003 to 2006
–
NIMH NIH HHS HHSN271201000036CNIMH NIH HHS N01 MH022005NIMH NIH HHS R01 MH095621
6 · The paper itself

Abstract

backgroundAnemia has been linked to adverse human immunodeficiency virus (HIV) outcomes, including dementia, in the era before highly active antiretroviral therapy (HAART). Milder forms of HIV-associated neurocognitive disorder (HAND) remain common in HIV-infected persons, despite HAART, but whether anemia predicts HAND in the HAART era is unknown.

methodsWe evaluated time-dependent associations of anemia and cross-sectional associations of red blood cell indices with neurocognitive impairment in a multicenter, HAART-era HIV cohort study (N = 1261), adjusting for potential confounders, including age, nadir CD4(+) T-cell count, zidovudine use, and comorbid conditions. Subjects underwent comprehensive neuropsychiatric and neuromedical assessments.

resultsHAND, defined according to standardized criteria, occurred in 595 subjects (47%) at entry. Mean corpuscular volume and mean corpuscular hemoglobin were positively associated with the global deficit score, a continuous measure of neurocognitive impairment (both P < .01), as well as with all HAND, milder forms of HAND, and HIV-associated dementia in multivariable analyses (all P < .05). Anemia independently predicted development of HAND during a median follow-up of 72 months (adjusted hazard ratio, 1.55; P < .01).

conclusionsAnemia and red blood cell indices predict HAND in the HAART era and may contribute to risk assessment. Future studies should address whether treating anemia may help to prevent HAND or improve cognitive function in HIV-infected persons.

Indexed as

Antiretroviral Therapy, Highly ActiveErythrocyte IndicesAdultAIDS Dementia ComplexAnemiaAnti-HIV AgentsCohort StudiesCross-Sectional StudiesErythrocyte CountFemaleHIV InfectionsHumansMaleMiddle AgedMultivariate AnalysisOdds RatioAnti-HIV AgentsanemiaHIV-associated neurocognitive disorderhuman immunodeficiency virus (HIV)iron metabolismmitochondrial dysfunctionneurocognitive impairmentred blood cell indices

Identifiers

PMID26690344
PMCPMC4779306

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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.