Evidence map›Paper›PMID 26933963›Full record

Observational studyPloS one2016

Hepatitis B and C Co-Infection in HIV Patients from the TREAT Asia HIV Observational Database: Analysis of Risk Factors and Survival.

Marcelo Chen, Wing-Wai Wong, Matthew G Law, Sasisopin Kiertiburanakul, Evy Yunihastuti, Tuti Parwati Merati, Poh Lian Lim, Romanee Chaiwarith, Praphan Phanuphak, Man Po Lee and 16 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  3. Hepatitis B Vaccination Induced TNF-Journal of immunology research · 2018
    Trial
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  12. Observational
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  18. Observational
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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

26 authors at 20 institutions in 12 countries.

Marcelo ChenCenter for Infectious Disease and Cancer Research, Kaohsiung Medical University, Kaohsiung, Taiwan.
Wing-Wai WongDepartment of Infectious Diseases, Taipei Veterans General Hospital, Taipei, Taiwan.
Matthew G LawThe Kirby Institute, UNSW Australia, Sydney, Australia.
Sasisopin KiertiburanakulDivision of Infectious Diseases, Department of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Evy YunihastutiWorking Group on AIDS Faculty of Medicine, University of Indonesia/Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Tuti Parwati MeratiFaculty of Medicine Udayana University & Sanglah Hospital, Bali, Indonesia.
Poh Lian LimTan Tock Seng Hospital, Singapore, Singapore.
Romanee ChaiwarithResearch Institute for Health Sciences, Chiang Mai, Thailand.
Praphan PhanuphakHIV-NAT/ Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Man Po LeeQueen Elizabeth Hospital, Hong Kong, China.
Nagalingeswaran KumarasamyChennai Antiviral Research and Treatment Clinical Research Site (CART CRS), YRGCARE Medical Centre, VHS, Chennai, India.
Vonthanak SaphonnNational Center for HIV/AIDS, Dermatology & STDs, and University of Health Sciences, Phnom Penh, Cambodia.
Rossana DitangcoResearch Institute for Tropical Medicine, Manila, Philippines.
Benedict L H SimHospital Sungai Buloh, Sungai Buloh, Malaysia.
Kinh Van NguyenNational Hospital for Tropical Diseases, Hanoi, Vietnam.
Sanjay PujariInstitute of Infectious Diseases, Pune, India.
Adeeba KamarulzamanUniversity Malaya Medical Centre, Kuala Lumpur, Malaysia.
Fujie ZhangBeijing Ditan Hospital, Capital Medical University, Beijing, China.
Thuy Thanh PhamBach Mai Hospital, Hanoi, Vietnam.
Jun Yong ChoiDivision of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Shinichi OkaNational Center for Global Health and Medicine, Tokyo, Japan.
Pacharee KantipongChiangrai Prachanukroh Hospital, Chiang Rai, Thailand.
Mahiran MustafaHospital Raja Perempuan Zainab II, Kota Bharu, Malaysia.
Winai RatanasuwanFaculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Nicolas DurierTREAT Asia, amfAR-The Foundation for AIDS Research, Bangkok, Thailand.
Yi-Ming Arthur ChenCenter for Infectious Disease and Cancer Research, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung Medical University · TWBạch Mai Hospital · VNCapital Medical University · CNChiangRai Prachanukroh Hospital · THHIV Netherlands Australia Thailand Research Collaboration · THHospital for Tropical Diseases · VNHospital Raja Perempuan Zainab II · MYHospital Sungai Buloh · MYMahidol University · THNational Center for Global Health and Medicine · JPQueen Elizabeth Hospital · CNRamathibodi Hospital · THResearch Institute for Tropical Medicine · PHTaipei Veterans General Hospital · TWTan Tock Seng Hospital · SGUdayana University · IDUniversity Malaya Medical Centre · MYUniversity of Health Science · KHUniversity of Indonesia · IDYonsei University · KR

Funding

The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
NIAID NIH HHS U01 AI069907NIAID NIH HHS U01AI069907
6 · The paper itself

Abstract

backgroundWe assessed the effects of hepatitis B (HBV) or hepatitis C (HCV) co-infection on outcomes of antiretroviral therapy (ART) in HIV-infected patients enrolled in the TREAT Asia HIV Observational Database (TAHOD), a multi-center cohort of HIV-infected patients in the Asia-Pacific region.

methodsPatients testing HBs antigen (Ag) or HCV antibody (Ab) positive within enrollment into TAHOD were considered HBV or HCV co-infected. Factors associated with HBV and/or HCV co-infection were assessed by logistic regression models. Factors associated with post-ART HIV immunological response (CD4 change after six months) and virological response (HIV RNA <400 copies/ml after 12 months) were also determined. Survival was assessed by the Kaplan-Meier method and log rank test.

resultsA total of 7,455 subjects were recruited by December 2012. Of patients tested, 591/5656 (10.4%) were HBsAg positive, 794/5215 (15.2%) were HCVAb positive, and 88/4966 (1.8%) were positive for both markers. In multivariate analysis, HCV co-infection, age, route of HIV infection, baseline CD4 count, baseline HIV RNA, and HIV-1 subtype were associated with immunological recovery. Age, route of HIV infection, baseline CD4 count, baseline HIV RNA, ART regimen, prior ART and HIV-1 subtype, but not HBV or HCV co-infection, affected HIV RNA suppression. Risk factors affecting mortality included HCV co-infection, age, CDC stage, baseline CD4 count, baseline HIV RNA and prior mono/dual ART. Shortest survival was seen in subjects who were both HBV- and HCV-positive.

conclusionIn this Asian cohort of HIV-infected patients, HCV co-infection, but not HBV co-infection, was associated with lower CD4 cell recovery after ART and increased mortality.

Indexed as

AdultAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveAsiaCD4 Lymphocyte CountCohort StudiesCoinfectionFemaleHepatitis BHepatitis CHIV-1HIV InfectionsHumansMaleMiddle AgedRisk FactorsAnti-Retroviral Agents

Identifiers

PMID26933963
PMCPMC4774987
OpenAlexW2291221466

What OpenQuestion holds

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LicenceCC BY
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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.