Evidence map›Paper›PMID 28081884›Full record

ArticleThe Journal of pediatrics2017

Mortality in Children with Human Immunodeficiency Virus Initiating Treatment: A Six-Cohort Study in Latin America.

Marco T Luque, Cathy A Jenkins, Bryan E Shepherd, Denis Padgett, Vanessa Rouzier, Regina Célia M Succi, Daisy M Machado, Catherine C McGowan, Sten H Vermund, Jorge A Pinto

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 43% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Using Observational Data to Inform HIV Policy Change for Children and Youth.Journal of acquired immune deficiency syndromes (1999) · 2018
    Observational
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 at 4 institutions in 3 countries.

Marco T LuqueDepartment of Pediatrics, Social Security Honduran Institute, Tegucigalpa, Honduras.
Cathy A JenkinsDepartments of Biostatistics, Medicine, and Pediatrics, Vanderbilt University School of Medicine, and Vanderbilt Institute for Global Health, Nashville, TN.
Bryan E ShepherdDepartments of Biostatistics, Medicine, and Pediatrics, Vanderbilt University School of Medicine, and Vanderbilt Institute for Global Health, Nashville, TN.
Denis PadgettDepartment of Pediatrics, Social Security Honduran Institute, Tegucigalpa, Honduras.
Vanessa RouzierHaitian Group for Studies of Kaposi Sarcoma and Opportunistic Infections, Port-au-Prince, Haiti.
Regina Célia M SucciDepartment of Pediatrics, School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
Daisy M MachadoDepartment of Pediatrics, School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
Catherine C McGowanDepartments of Biostatistics, Medicine, and Pediatrics, Vanderbilt University School of Medicine, and Vanderbilt Institute for Global Health, Nashville, TN.
Sten H VermundDepartments of Biostatistics, Medicine, and Pediatrics, Vanderbilt University School of Medicine, and Vanderbilt Institute for Global Health, Nashville, TN.
Jorge A PintoDepartment of Pediatrics, School of Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil. Electronic address: jpinto@medicina.ufmg.br.
Vanderbilt University · USUniversidade Federal de São Paulo · BRGheskio Centers · HTUniversidade Federal de Minas Gerais · BR

Funding

CCASAnet: Caribbean, Central and South America NetworkU01AI069923 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Pedro Enrique Cahn, Jessica L Castilho · 2006 to 2026
$41.6M
NIAID NIH HHS U01 AI069923
6 · The paper itself

Abstract

objectivesTo assess the risks of and factors associated with mortality, loss to follow-up, and changing regimens after children with HIV infected perinatally initiate combination antiretroviral therapy (cART) in Latin America and the Caribbean. STUDY

designThis 1997-2013 retrospective cohort study included 1174 antiretroviral therapy-naïve, perinatally infected children who started cART age when they were younger than 18 years of age (median 4.7 years; IQR 1.7-8.8) at 1 of 6 cohorts from Argentina, Brazil, Haiti, and Honduras, within the Caribbean, Central and South America Network for HIV Epidemiology. Median follow-up was 5.6 years (IQR 2.3-9.3). Study outcomes were all-cause mortality, loss to follow-up, and major changes in cART. We used Cox proportional hazards models stratified by site to examine the association between predictors and times to death or changing regimens.

resultsOnly 52% started cART at younger than 5 years of age; 19% began a protease inhibitor. At cART initiation, median CD4 count was 472 cells/mm

conclusionsInnovative clinical and community approaches are needed for quality improvement in the pediatric care of HIV in the Americas.

Indexed as

Antiretroviral Therapy, Highly ActiveCause of DeathAdolescentAnti-HIV AgentsChildChild, PreschoolCohort StudiesConfidence IntervalsDatabases, FactualDose-Response Relationship, DrugDrug Administration ScheduleFemaleHIV InfectionsHumansIncidenceLatin AmericaAnti-HIV AgentsHIV/AIDSinfectious diseases

Identifiers

PMID28081884
PMCPMC5328796
OpenAlexW2569972592

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.