Evidence map›Paper›PMID 26961354›Full record

Observational studyAntiviral therapy2016

Improved survival in HIV treatment programmes in Asia.

Nicole L De La Mata, Nagalingeswaran Kumarasamy, Vohith Khol, Oon Tek Ng, Kinh Van Nguyen, Tuti Parwati Merati, Thuy Thanh Pham, Man Po Lee, Nicolas Durier, Matthew Law

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Antiviral therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–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

20 citing papers in PubMed.

  1. Article
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  14. Patterns of detectable viraemia among children and adults with HIV infection taking antiretroviral therapy in Zimbabwe.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2019
    Article
  15. Survival and associated factors among people living with HIV/AIDS: A 30-year national survey in Iran.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2019
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. HIV and Aging: Demographic Change in the Asia-Pacific Region.Journal of acquired immune deficiency syndromes (1999) · 2017
    Article
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

10 authors.

Nicole L De La MataThe Kirby Institute, UNSW Australia, Sydney, NSW, Australia.
Nagalingeswaran KumarasamyChennai Antiviral Research and Treatment Clinical Research Site (CART CRS), YRGCARE Medical Centre, VHS, Chennai, India.
Vohith KholNational Center for HIV/AIDS, Dermatology & STDs, Phnom Penh, Cambodia.
Oon Tek NgDepartment of Infectious Diseases, Tan Tock Seng Hospital, Singapore.
Kinh Van NguyenNational Hospital for Tropical Diseases, Hanoi, Vietnam.
Tuti Parwati MeratiDepartment of Internal Medicine, Faculty of Medicine Udayana University & Sanglah Hospital, Bali, Indonesia.
Thuy Thanh PhamBach Mai Hospital, Hanoi, Vietnam.
Man Po LeeDepartment of Medicine, Queen Elizabeth Hospital, Hong Kong SAR, China.
Nicolas DurierTREAT Asia, amfAR, The Foundation for AIDS Research, Bangkok, Thailand.
Matthew LawThe Kirby Institute, UNSW Australia, Sydney, NSW, Australia.

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 AI069907
6 · The paper itself

Abstract

backgroundAntiretroviral treatment (ART) for HIV-positive patients has expanded rapidly in Asia over the last 10 years. Our study aimed to describe the time trends and risk factors for overall survival in patients receiving first-line ART in Asia.

methodsWe included HIV-positive adult patients who initiated ART between 2003-2013 (n=16,546), from seven sites across six Asia-Pacific countries. Patient follow-up was to May 2014. We compared survival for each country and overall by time period of ART initiation using Kaplan-Meier curves. Factors associated with mortality were assessed using Cox regression, stratified by site. We also summarized first-line ART regimens, CD4

resultsThere were 880 deaths observed over 54,532 person-years of follow-up, a crude rate of 1.61 (95% CI 1.51, 1.72) per 100 person-years. Survival significantly improved in more recent years of ART initiation. The survival probability at 4 years follow-up for those initiating ART in 2003-2005 was 92.1%, 2006-2009 was 94.3% and 2010-2013 was 94.5% (P<0.001). Factors associated with higher mortality risk included initiating ART in earlier time periods, older age, male sex, injecting drug use as HIV exposure and lower pre-ART CD4

conclusionsOur results suggest that HIV-positive patients from Asia have improved survival in more recent years of ART initiation. This is likely a consequence of improvements in treatment, patient management and monitoring over time.

Indexed as

AdolescentAdultAnti-HIV AgentsAsiaCD4 Lymphocyte CountCohort StudiesFemaleHIV InfectionsHumansKaplan-Meier EstimateMaleMiddle AgedRetrospective StudiesRisk FactorsViral LoadYoung AdultAnti-HIV Agents

Identifiers

PMID26961354
PMCPMC4980281

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.