Evidence map›Paper›PMID 28453572›Full record

Trial reportPloS one2017

Assessment of coronary artery calcium by chest CT compared with EKG-gated cardiac CT in the multicenter AIDS cohort study.

Divay Chandra, Aman Gupta, Joseph K Leader, Meghan Fitzpatrick, Lawrence A Kingsley, Eric Kleerup, Sabina A Haberlen, Matthew J Budoff, Mallory Witt, Wendy S Post and 2 more

Open access · goldAbstract readClinical TrialComparative StudyMulticenter Study
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Coronary artery calcification: Effects on severity and survival in patients with COVID-19.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2022
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Lung Function, Coronary Artery Disease, and Mortality in HIV.Annals of the American Thoracic Society · 2019
    Article
  12. The SCFFBXO3 ubiquitin E3 ligase regulates inflammation in atherosclerosis.Journal of molecular and cellular cardiology · 2019
    Article
  13. Article
  14. Coronary artery calcification in lung cancer screening.Translational lung cancer research · 2018
    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

12 authors at 4 institutions in 1 country.

Divay ChandraDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Aman GuptaDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Joseph K LeaderDepartment of Radiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Meghan FitzpatrickDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Lawrence A KingsleyDepartment of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Eric KleerupDepartment of Medicine, University of California at Los Angeles, Los Angeles, California, United States of America.
Sabina A HaberlenDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, United States of America.
Matthew J BudoffDepartment of Medicine, University of California at Los Angeles, Los Angeles, California, United States of America.
Mallory WittDepartment of Medicine, University of California at Los Angeles, Los Angeles, California, United States of America.
Wendy S PostDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, United States of America.
Frank C SciurbaDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
Alison MorrisDepartment of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, United States of America.
University of Pittsburgh · USUniversity of California, Los Angeles · USJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

Multicenter Aids Cohort Study- Part B (Baltimore Site)U01AI035042 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BROWN, TODD T, MARGOLICK, JOSEPH B. · 1993 to 2018
$61.5M
Center for the Analysis & Management of the Multicenter AIDS Cohort StudyUM1AI035043 · NIAID · JOHNS HOPKINS UNIVERSITY · PI D'SOUZA, GYPSYAMBER, JACOBSON, LISA P · 2012 to 2018
$20.7M
Autoimmunity as a Mechanism for Atherosclerosis in COPDK23HL126912 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHANDRA, DIVAY · 2015 to 2019
$797k
Mentoring and Patient-Oriented Research in HIV Obstructive Lung DiseaseK24HL123342 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI MORRIS, ALISON · 2014 to 2018
$571k
NHLBI NIH HHS K23 HL126912NHLBI NIH HHS K24 HL123342NIAID NIH HHS U01 AI035042NIAID NIH HHS UM1 AI035043
6 · The paper itself

Abstract

rationaleIndividuals with HIV are at increased risk for coronary artery disease (CAD). Early detection of subclinical CAD by assessment of coronary artery calcium (CAC) may help risk stratify and prevent CAD events in these individuals. However, the current standard to quantify CAC i.e. Agatston scoring requires EKG-gated cardiac CT imaging.

objectiveTo determine if the assessment of CAC using non-EKG-gated chest CT and the Weston scoring system is a useful surrogate for Agatston scores in HIV-infected and HIV-uninfected individuals. METHODS AND MEASUREMENTS: CAC was assessed by both the Weston and Agatston score in 108 men enrolled in the Multicenter AIDS Cohort Study.

resultsParticipants were 55.2 (IQR 50.4; 59.9) years old and 62 (57.4%) were seropositive for HIV. Inter-observer agreement (rs = 0.94, κ = 90.0%, p<0.001, n = 21) and intra-observer agreement (rs = 0.95, κ = 95.2%, p<0.001, n = 97) for category of Weston score were excellent. Weston scores were associated with similar CAD risk factors as Agatston scores (age, race, HDL cholesterol level, all p<0.05) in our cohort. There was excellent correlation (rs = 0.92, p<0.001) and agreement (κw = 0.77, p<0.001) between Weston and Agatston scores.

conclusionsThis study is the first to examine calcium scoring using chest CT in HIV-infected individuals and to independently validate the Weston score as a surrogate for the Agatston score. In clinical or research settings where EKG-gated cardiac CT is not feasible for the assessment of coronary calcium, Weston scoring by using chest CT should be considered.

Indexed as

Cardiac-Gated Imaging TechniquesElectrocardiographyTomography, X-Ray ComputedAcquired Immunodeficiency SyndromeCalciumCohort StudiesCoronary VesselsHumansMaleMiddle AgedRadiography, ThoracicCalcium

Identifiers

PMID28453572
PMCPMC5409142
OpenAlexW2609546924

What OpenQuestion holds

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Registered trials

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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.