Evidence map›Paper›PMID 27942541›Full record

ArticleOpen forum infectious diseases2016

Early Antiretroviral Therapy at High CD4 Counts Does Not Improve Arterial Elasticity: A Substudy of the Strategic Timing of AntiRetroviral Treatment (START) Trial.

Jason V Baker, Katherine Huppler Hullsiek, Nicole Wyman Engen, Ray Nelson, Ploenchan Chetchotisakd, Jan Gerstoft, Heiko Jessen, Marcelo Losso, Norman Markowitz, Paula Munderi and 9 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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Epidemiology of ischemic heart disease in HIV.Current opinion in HIV and AIDS · 2017
    Review
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

19 authors.

Jason V BakerDepartment ofMedicine and; Infectious Diseases, Hennepin County Medical Center, Minneapolis, Minnesota.
Katherine Huppler HullsiekDivision of Biostatistics, University of Minnesota , Minneapolis.
Nicole Wyman EngenDivision of Biostatistics, University of Minnesota , Minneapolis.
Ray NelsonDivision of Biostatistics, University of Minnesota , Minneapolis.
Ploenchan ChetchotisakdDepartment of Medicine, Faculty of Medicine, Khon Kaen University , Thailand.
Jan GerstoftDepartment of Infectious Diseases, Rigshospitalet University of Copenhagen , Denmark.
Heiko JessenPraxis Jessen2 + Kollegen, ID, Teaching Practice of Medical School , Charité, Berlin , Germany.
Marcelo LossoHIV Unit, Hospital GA JM Ramos Mejia and Coordinacion de Investigacion Clinica Academica en Latinoamerica , Buenos Aires, Argentina.
Norman MarkowitzDepartment of Medicine, Henry Ford Hospital and Wayne State University , Detroit, Michagan.
Paula MunderiUganda Virus Research Institute , Entebbe.
Antonios PapadopoulosDepartment of Internal Medicine, University General Hospital "ATTIKON'', Medical School, National and Kapodistrian University of Athens , Greece.
Jonathan ShuterDepartment of Medicine, Division of Infectious Diseases, Montefiore Medical Center and the Albert Einstein College of Medicine , Bronx, New York.
Claire RappoportDivision of HIV, Infectious Diseases and Global Medicine, University of California , San Francisco.
Mary T PearsonCenter for Health and Infectious Disease Research, Department of Infectious Diseases, Rigshospitalet, University of Copenhagen , Demark.
Elizabeth FinleyInfectious Diseases, Veterans Affairs Medical Center , Washington, District of Columbia.
Abdel BabikerMedical Research Council Clinical Trials Unit, University College London , United Kingdom.
Sean EmeryKirby Institute, University of New South Wales , Sydney , Australia.
Daniel DuprezDepartment of Medicine and.
INSIGHT START Arterial Elasticity Substudy Team

Funding

International Network for Strategic Initiatives in Global HIV Trials (INSIGHT)UM1AI068641 · NIAID · UNIVERSITY OF MINNESOTA · PI NEATON, JAMES DENNIS · 2011 to 2014
$83.5M
International Network for Strategic Initiatives in Global HIV Trials (INSIGHT): STARTUM1AI120197 · NIAID · UNIVERSITY OF MINNESOTA · PI NEATON, JAMES DENNIS · 2015 to 2017
$65.1M
Medical Research Council MC_UU_12023/23NIAID NIH HHS UM1 AI068641NIAID NIH HHS UM1 AI120197
6 · The paper itself

Abstract

backgroundBoth human immunodeficiency virus (HIV) infection and antiretroviral therapy (ART) may increase cardiovascular disease (CVD) risk. Vascular function assessments can be used to study CVD pathogenesis. We compared the effect of immediate versus deferred ART initiation at CD4 counts >500 cells/mm

methodsRadial artery blood pressure waveforms were recorded noninvasively. Small arterial elasticity and LAE were derived from analysis of the diastolic pulse waveform. Randomized treatment groups were compared with linear models at each visit and longitudinal mixed models.

resultsStudy visits involved 332 participants in 8 countries: mean (standard deviation [SD]) age 35 (10), 70% male, 66% nonwhite, 30% smokers, and median CD4 count 625 cells/mm

conclusionsAmong a diverse global population of HIV-positive persons with high CD4 counts, these randomized data suggest that ART treatment does not have a substantial influence on vascular function among younger HIV-positive individuals with preserved immunity.

Indexed as

antiretroviral therapyarterial elasticitycardiovascular diseaseHIV infectionvascular dysfunction.

Identifiers

PMID27942541
PMCPMC5144656

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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.