Evidence map›Paper›PMID 27332039›Full record

ArticleArthritis care & research2017

Rates of Serious Infections in HIV-Infected Patients Receiving Tumor Necrosis Factor Inhibitor Therapy for Concomitant Autoimmune Diseases.

Sintawat Wangsiricharoen, Colin Ligon, Lydia Gedmintas, Admad Dehrab, Marisa Tungsiripat, Clifton Bingham, Carlos Lozada, Leonard Calabrese

Abstract readMulticenter Study
In one paragraph

Article in Arthritis care & research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.1field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 20 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

8 authors at 5 institutions in 2 countries.

Sintawat WangsiricharoenChiang Mai University, Chiang Mai, Thailand.
Colin LigonJohns Hopkins School of Medicine, Baltimore, Maryland.
Lydia GedmintasBrigham and Women's Hospital, Boston, Massachusetts.
Admad DehrabUniversity of Miami School of Medicine, Miami, Florida.
Marisa TungsiripatCleveland Clinic Foundation, Cleveland, Ohio.
Clifton BinghamJohns Hopkins School of Medicine, Baltimore, Maryland.
Carlos LozadaUniversity of Miami School of Medicine, Miami, Florida.
Leonard CalabreseCleveland Clinic Foundation, Cleveland, Ohio.
Cleveland Clinic · USJohns Hopkins University · USUniversity of Miami · USBrigham and Women's Hospital · USChiang Mai University · TH

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Sample Processing and Immunoassay Research CoreP30AR070254 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI Antony Rosen · 2016 to 2026
$8.9M
Phenotype-Specific Immune Responses in the Systemic VasculitidesP30AR053503 · NIAMS · JOHNS HOPKINS UNIVERSITY · PI ROSEN, ANTONY · 2006 to 2015
$6.4M
NCATS NIH HHS UL1 TR001079NIAMS NIH HHS P30 AR053503NIAMS NIH HHS P30 AR070254
6 · The paper itself

Abstract

objectiveTo estimate the incidence of serious infections in patients with HIV infection and autoimmune disease who were treated with tumor necrosis factor (TNF) inhibitors, and to compare these rates by stratified viral load levels.

methodsUsing a unified search strategy, 4 centers identified HIV-infected patients exposed to TNF inhibitors. Patient characteristics and infection data were assessed via chart review in all patients who were ≥18 years old and who received TNF inhibitor therapy after HIV diagnosis, between January 1999 and March 2015.

resultsWe studied 23 patients with 26 uses of TNF inhibitor therapy (86.7 person-years of followup). Two (8.7%) experienced at least 1 serious infection episode, for an overall incidence rate of 2.55 per 100 patient-years (95% confidence interval [95% CI] 0.28-9.23). The incidence rate per 100 patient-years was 3.28 (95% CI 0.04-18.26) among patients with a viral load >500 copies/ml at therapy initiation and 2.09 (0.03-11.65) among patients with a viral load ≤500 copies/ml.

conclusionThis study suggests that the rate of serious infections in patients with HIV infection under active care who have received treatment with TNF inhibitors may be comparable to the rates observed in registry databases.

Indexed as

Immunocompromised HostAdultAgedAIDS-Related Opportunistic InfectionsAutoimmune DiseasesBiological ProductsFemaleHIV InfectionsHumansIncidenceMaleMiddle AgedRisk FactorsTime FactorsTumor Necrosis Factor-alphaUnited StatesBiological ProductsTumor Necrosis Factor-alpha

Identifiers

PMID27332039
PMCPMC5179316
OpenAlexW2601099967

What OpenQuestion holds

Textmetadata
LicenceTDM
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.