Evidence map›Paper›PMID 27413359›Full record

ArticleInfectious diseases in obstetrics and gynecology2016

Antiretroviral Resistance and Pregnancy Characteristics of Women with Perinatal and Nonperinatal HIV Infection.

Gweneth B Lazenby, Okeoma Mmeje, Barbra M Fisher, Adriana Weinberg, Erika K Aaron, Maria Keating, Amneris E Luque, Denise Willers, Deborah Cohan, Deborah Money

Abstract read
In one paragraph

Article in Infectious diseases in obstetrics and gynecology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. The next generation: Pregnancy in adolescents and women living with perinatally acquired HIV in South Africa.South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2021
    Article
  5. Article
  6. Observational
  7. 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.

Gweneth B LazenbyDepartment of Obstetrics and Gynecology, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 624, Charleston, SC 29425, USA.ORCID 0000-0002-5233-442X
Okeoma MmejeDepartment of Obstetrics and Gynecology, University of Michigan, L4100 Women's Hospital, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA.
Barbra M FisherDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, 12700 E. 19th Box B168, Aurora, CO 80045, USA.
Adriana WeinbergDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, 12700 E. 19th Box B168, Aurora, CO 80045, USA.
Erika K AaronDepartment of Medicine, Drexel University, 1427 Vine Street, 2nd Floor, Philadelphia, PA 19102, USA.
Maria KeatingDepartment of Medicine, Drexel University, 1427 Vine Street, 2nd Floor, Philadelphia, PA 19102, USA.
Amneris E LuqueDepartment of Medicine, University of Rochester, 601 Elmwood Avenue, Box 689, Rochester, NY 14642, USA.
Denise WillersDepartment of Obstetrics and Gynecology, Washington University, 4921 Parkview Place, St. Louis, MO 63110, USA.
Deborah CohanDepartment of Obstetrics and Gynecology, University of California, 350 Parnassus Avenue No. 908, San Francisco, CA 94117, USA.
Deborah MoneyDepartment of Obstetrics and Gynecology, University of British Columbia, 1190 Hornby Street, 4th Floor, Vancouver, BC, Canada V6Z 2K5.

Funding

University of Rochester HIV/AIDS Clinical Trials Unit Administrative SupplementUM1AI069511 · NIAID · UNIVERSITY OF ROCHESTER · PI Paul R Bohjanen, MICHAEL C KEEFER · 2012 to 2026
$25.7M
NIAID NIH HHS UM1 AI069511
6 · The paper itself

Abstract

Objective. To compare HIV drug resistance in pregnant women with perinatal HIV (PHIV) and those with nonperinatal HIV (NPHIV) infection. Methods. We conducted a multisite cohort study of PHIV and NPHIV women from 2000 to 2014. Sample size was calculated to identify a fourfold increase in antiretroviral (ARV) drug resistance in PHIV women. Continuous variables were compared using Student's t-test and Wilcoxon rank-sum tests. Categorical variables were compared using χ (2) and Fisher's exact tests. Univariate analysis was used to determine factors associated with antiretroviral drug resistance. Results. Forty-one PHIV and 41 NPHIV participants were included. Women with PHIV were more likely to have drug resistance than those with NPHIV ((55% versus 17%, p = 0.03), OR 6.0 (95% CI 1.0-34.8), p = 0.05), including multiclass resistance (15% versus 0, p = 0.03), and they were more likely to receive nonstandard ARVs during pregnancy (27% versus 5%, p = 0.01). PHIV and NPHIV women had similar rates of preterm birth (11% versus 28%, p = 0.08) and cesarean delivery (47% versus 46%, p = 0.9). Two infants born to a single NPHIV woman acquired HIV infection. Conclusions. PHIV women have a high frequency of HIV drug resistance mutations, leading to nonstandard ARVs use during pregnancy. Despite nonstandard ARV use during pregnancy, PHIV women did not experience increased rates of adverse pregnancy outcomes.

Indexed as

Anti-HIV AgentsDrug Resistance, ViralHIV InfectionsPregnancy Complications, InfectiousCohort StudiesFemaleHIV-1HumansInfectious Disease Transmission, VerticalPregnancyAnti-HIV Agents

Identifiers

PMID27413359
PMCPMC4930810

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.