Evidence map›Paper›PMID 27831953›Full record

ArticleAIDS (London, England)2017

Life expectancy in HIV-positive persons in Switzerland: matched comparison with general population.

Aysel Gueler, André Moser, Alexandra Calmy, Huldrych F Günthard, Enos Bernasconi, Hansjakob Furrer, Christoph A Fux, Manuel Battegay, Matthias Cavassini, Pietro Vernazza and 3 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 119 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 2 pooled it
–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

119 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Diagnosis, prevention, and treatment of bone fragility in people living with HIV: a position statement from the Swiss Association against Osteoporosis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
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  7. Evaluation of the ELITe InGenius PCR assay compared with immunofluorescence for Pneumocystis jirovecii detection in respiratory samples.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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59 more citing papers are in PubMed but not listed here.

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

13 authors.

Aysel GueleraInstitute of Social and Preventive Medicine (ISPM) bDepartment of Geriatrics, Inselspital, Bern University Hospital, University of Bern cDivision of Infectious Diseases, University of Geneva, Geneva dDivision of Infectious Diseases and Hospital Epidemiology, University Hospital of Zurich eInstitute of Medical Virology, University of Zurich, Zurich fDivision of Infectious Diseases, Regional Hospital Lugano, Lugano gDepartment of Infectious Diseases, Bern University Hospital, and University of Bern hDivision of Infectious Diseases, Cantonal Hospital Aarau, Aarau iDivision of Infectious Diseases & Hospital Epidemiology, University of Basel, Basel jDivision of Infectious Diseases, Department of Medicine, University Hospital of Lausanne, University of Lausanne, Lausanne kDivision of Infectious Diseases, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland lCentre for Infectious Disease Epidemiology and Research (CIDER), University of Cape Town, Cape Town, South Africa.
André Moser
Alexandra Calmy
Huldrych F Günthard
Enos Bernasconi
Hansjakob Furrer
Christoph A Fux
Manuel Battegay
Matthias Cavassini
Pietro Vernazza
Marcel Zwahlen
Matthias Egger
Swiss HIV Cohort Study, Swiss National Cohort

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo estimate life expectancy over 25 years in HIV-positive people and to compare their life expectancy with recent estimates for the general population, by education.

methodsPatients aged 20 years or older enrolled in the Swiss HIV Cohort Study 1988-2013 were eligible. Patients alive in 2001 were matched to up to 100 Swiss residents, by sex, year of birth, and education. Life expectancy at age 20 was estimated for monotherapy (1988-1991), dual therapy (1992-1995), early combination antiretroviral therapy (cART, 1996-1998), later cART (1999-2005) and recent cART (2006-2013) eras. Parametric survival regression was used to model life expectancy.

resultsIn all, 16 532 HIV-positive patients and 927 583 residents were included. Life expectancy at age 20 of HIV-positive individuals increased from 11.8 years [95% confidence interval (CI) 11.2-12.5] in the monotherapy era to 54.9 years (95% CI 51.2-59.6) in the most recent cART era. Differences in life expectancy across educational levels emerged with cART. In the most recent cART period, life expectancy at age 20 years was 52.7 years (95% CI 46.4-60.1) with compulsory education, compared to 60.0 years (95% CI 53.4-67.8) with higher education. Estimates for the general population were 61.5 and 65.6 years, respectively. Male sex, smoking, injection drug use, and low CD4 cell counts at enrolment were also independently associated with mortality.

conclusionIn Switzerland, educational inequalities in life expectancy were larger among HIV-infected persons than in the general population. Highly educated HIV-positive people have an estimated life expectancy similar to Swiss residents with compulsory education. Earlier start of cART and effective smoking-cessation programs could improve HIV-positive life expectancy further and reduce inequalities.

Indexed as

Life ExpectancyAdultAnti-Retroviral AgentsAntiretroviral Therapy, Highly ActiveFemaleHIV InfectionsHumansMaleMiddle AgedProspective StudiesSurvival AnalysisSwitzerlandAnti-Retroviral Agents

Identifiers

PMID27831953
PMCPMC5302412

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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.