Evidence map›Paper›PMID 27419163›Full record

ArticleOpen forum infectious diseases2016

A Single Quantifiable Viral Load Is Predictive of Virological Failure in Human Immunodeficiency Virus (HIV)-Infected Patients on Combination Antiretroviral Therapy: The Austrian HIV Cohort Study.

Gisela Leierer, Katharina Grabmeier-Pfistershammer, Andrea Steuer, Mario Sarcletti, Maria Geit, Bernhard Haas, Ninon Taylor, Manfred Kanatschnig, Michaela Rappold, Bruno Ledergerber and 1 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. A Lower CD4 Count Predicts Most Causes of Death except Cardiovascular Deaths. The Austrian HIV Cohort Study.International journal of environmental research and public health · 2021
    Article
  11. Article
  12. Persistent Low-level Viremia While on Antiretroviral Therapy Is an Independent Risk Factor for Virologic Failure.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  13. Human Immunodeficiency Virus Drug Resistance: 2018 Recommendations of the International Antiviral Society-USA Panel.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  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
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

11 authors.

Gisela LeiererDepartment of Dermatology and Venereology, Medical University of Innsbruck,; Austrian HIV Cohort Study, Innsbruck.
Katharina Grabmeier-PfistershammerDepartment of Dermatology , Medical University of Vienna .
Andrea SteuerOtto-Wagner Hospital , Vienna .
Mario SarclettiDepartment of Dermatology and Venereology , Medical University of Innsbruck .
Maria GeitDepartment of Dermatology , General Hospital Linz .
Bernhard HaasDepartment of Internal Medicine , General Hospital Graz-West .
Ninon TaylorDepartment of Internal Medicine III With Hematology, Medical Oncology, Hemostaseology, Infectious Diseases, Rheumatology , Oncologic Center, Laboratory for Immunological and Molecular Cancer Research, Paracelsus Medical University , Salzburg .
Manfred Kanatschnig1st Medical Department , General Hospital Klagenfurt , Austria.
Michaela RappoldDepartment of Dermatology and Venereology, Medical University of Innsbruck,; Austrian HIV Cohort Study, Innsbruck.
Bruno LedergerberDivision of Infectious Diseases and Hospital Epidemiology , University Hospital Zurich, University of Zurich , Switzerland.
Robert ZangerleDepartment of Dermatology and Venereology , Medical University of Innsbruck .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background.  Viral loads (VLs) detectable at low levels are not uncommon in patients on combination antiretroviral therapy (cART). We investigated whether a single quantifiable VL predicted virological failure (VF). Methods.  We analyzed patients receiving standard regimens with at least 1 VL measurement below the limit of quantification (BLQ) in their treatment history. The first VL measurement after 6 months of unmodified cART served as baseline VL for the subsequent analyses of the time to reach single VL levels of ≥200, ≥400, and ≥1000 copies/mL. Roche TaqMan 2.0 was used to quantify human immunodeficiency virus-1 ribonucleic acid. Factors associated with VF were determined by Cox proportional hazards models. Results.  Of 1614 patients included in the study, 68, 44, and 34 experienced VF ≥200, ≥400, and ≥1000 copies/mL, respectively. In multivariable analyses, compared with patients who were BLQ, a detectable VL ≤ 50 and VL 51-199 copies/mL predicted VF ≥ 200 copies/mL (hazards ratio [HR] = 2.19, 95% confidence interval [CI] = 1.06-4.55 and HR = 4.21, 95% CI = 2.15-8.22, respectively). In those with VL 51-199 copies/mL, a trend for an increased risk of VF ≥400 and VF ≥1000 copies/mL could be found (HR = 2.13, 95% CI = 0.84-5.39 and HR = 2.52, 95% CI = 0.96-6.60, respectively). Conclusions.  These findings support closer monitoring and adherence counseling for patients with a single measurement of quantifiable VL <200 copies/mL.

Indexed as

cARTHIVlow-level viremiaviral loadvirological failure

Identifiers

PMID27419163
PMCPMC4943568

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.