Evidence map›Paper›PMID 26716982›Full record

Observational studyPloS one2015

Mortality, Causes of Death and Associated Factors Relate to a Large HIV Population-Based Cohort.

César Garriga, Patricia García de Olalla, Josep M Miró, Inma Ocaña, Hernando Knobel, Maria Jesús Barberá, Victoria Humet, Pere Domingo, Josep M Gatell, Esteve Ribera and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

13 citing papers in PubMed, 34 citations in OpenAlex.

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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

14 authors at 7 institutions in 1 country.

César GarrigaEpidemiology Service, Public Health Agency of Barcelona, Barcelona, Spain.
Patricia García de OlallaEpidemiology Service, Public Health Agency of Barcelona, Barcelona, Spain.
Josep M MiróHospital Clinic- August Pi i Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
Inma OcañaInfectious Diseases, Hospital Vall de Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Hernando KnobelInternal Medicine-Infectious Diseases, Hospital del Mar, Barcelona, Spain.
Maria Jesús BarberáInfectious Diseases, Hospital Vall de Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Victoria HumetDirecció General de Serveis Penitenciaris i de Rehabilitació, Departament de Justícia, Barcelona, Spain.
Pere DomingoInfectious Diseases Unit, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Josep M GatellHospital Clinic- August Pi i Sunyer Biomedical Research Institute, University of Barcelona, Barcelona, Spain.
Esteve RiberaInfectious Diseases, Hospital Vall de Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain.
Mercè GurguíInfectious Diseases Unit, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Andrés MarcoDirecció General de Serveis Penitenciaris i de Rehabilitació, Departament de Justícia, Barcelona, Spain.
Joan A CaylàEpidemiology Service, Public Health Agency of Barcelona, Barcelona, Spain.
Barcelona HIV/AIDS working group
Universitat Autònoma de Barcelona · ESHospital de Sant Pau · ESUniversitat de Barcelona · ESAgencia de Salud Pública de Barcelona · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESHospital Del Mar · ESInstituto de Salud Carlos III · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAntiretroviral therapy has led to a decrease in HIV-related mortality and to the emergence of non-AIDS defining diseases as competing causes of death. This study estimates the HIV mortality rate and their risk factors with regard to different causes in a large city from January 2001 to June 2013. MATERIALS AND

methodsWe followed-up 3137 newly diagnosed HIV non-AIDS cases. Causes of death were classified as HIV-related, non-HIV-related and external. We examined the effect of risk factors on survival using mortality rates, Kaplan-Meier plots and Cox models. Finally, we estimated survival for each main cause of death groups through Fine and Gray models. MORTALITY

results182 deaths were found [14.0/1000 person-years of follow-up (py); 95% confidence interval (CI):12.0-16.1/1000 py], 81.3% of them had a known cause of death. Mortality rate by HIV-related causes and non-HIV-related causes was the same (4.9/1000 py; CI:3.7-6.1/1000 py), external was lower [1.7/1000 py; (1.0-2.4/1000 py)]. SURVIVAL

resultsKaplan-Meier estimate showed worse survival in intravenous drug user (IDU) and heterosexuals than in men having sex with men (MSM). Factors associated with HIV-related causes of death include: IDU male (subHazard Ratio (sHR):3.2; CI:1.5-7.0) and <200 CD4 at diagnosis (sHR:2.7; CI:1.3-5.7) versus ≥500 CD4. Factors associated with non-HIV-related causes of death include: ageing (sHR:1.5; CI:1.4-1.7) and heterosexual female (sHR:2.8; CI:1.1-7.3) versus MSM. Factors associated with external causes of death were IDU male (sHR:28.7; CI:6.7-123.2) and heterosexual male (sHR:11.8; CI:2.5-56.4) versus MSM. CONCLUSION AND RECOMMENDATION: There are important differences in survival among transmission groups. Improved treatment is especially necessary in IDUs and heterosexual males.

Indexed as

Cause of DeathAcquired Immunodeficiency SyndromeAdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCohort StudiesDrug UsersFemaleHeterosexualityHIV InfectionsHomosexuality, MaleHumansKaplan-Meier EstimateMaleRisk FactorsSubstance Abuse, IntravenousAnti-HIV Agents

Identifiers

PMID26716982
PMCPMC4696823
OpenAlexW2214167913

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.