Evidence map›Paper›PMID 28567537›Full record

ReviewJournal of neurology2017

HIV-1-associated neurocognitive disorder: epidemiology, pathogenesis, diagnosis, and treatment.

Christian Eggers, Gabriele Arendt, Katrin Hahn, Ingo W Husstedt, Matthias Maschke, Eva Neuen-Jacob, Mark Obermann, Thorsten Rosenkranz, Eva Schielke, Elmar Straube and 1 more

Abstract readReview
In one paragraph

Review in Journal of neurology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 194 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
194citing papers in PubMed, 5 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

194 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  9. The physiological effects of APOE genotype in healthy young/middle-aged individuals.Biological reviews of the Cambridge Philosophical Society · 2026
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  19. Epigenetic mechanisms of HIV and opioid-induced neuropathology: Potential therapies and interventions.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
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134 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

11 authors.

Christian EggersDepartment of Neurology, Krankenhaus Barmherzige Brüder, Seilerstätte 2, 4021, Linz, Austria. Christian.Eggers@BBLinz.at.ORCID http://orcid.org/0000-0002-4232-8624
Gabriele ArendtNeurologische Klinik, Universitätsklinikum Düsseldorf, Düsseldorf, Germany.
Katrin HahnNeurologische Klinik, Charité, Berlin, Germany.
Ingo W HusstedtKlinik für Neurologie, Universitätsklinikum Münster, Münster, Germany.
Matthias MaschkeNeurologische Abteilung, Brüderkrankenhaus Trier, Trier, Germany.
Eva Neuen-JacobInstitut für Neuropathologie, Universitätsklinikum Düsseldorf, Düsseldorf, Germany.
Mark ObermannDirektor des Zentrums für Neurologie, Asklepios Kliniken Schildautal, Seesen, Germany.
Thorsten RosenkranzNeurologische Abteilung, Asklepios-Klinik Hamburg-St. Georg, Hamburg, Germany.
Eva SchielkePraxis für Neurologie Berlin-Mitte, 10117, Berlin, Germany.
Elmar StraubeHIV-Schwerpunktpraxis, 30890, Barsinghausen, Germany.
German Association of Neuro-AIDS und Neuro-Infectiology (DGNANI)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The modern antiretroviral treatment of human immunodeficiency virus (HIV-1) infection has considerably lowered the incidence of opportunistic infections. With the exception of the most severe dementia manifestations, the incidence and prevalence of HIV-associated neurocognitive disorders (HAND) have not decreased, and HAND continues to be relevant in daily clinical practice. Now, HAND occurs in earlier stages of HIV infection, and the clinical course differs from that before the widespread use of combination antiretroviral treatment (cART). The predominant clinical feature is a subcortical dementia with deficits in the domains concentration, attention, and memory. Motor signs such as gait disturbance and impaired manual dexterity have become less prominent. Prior to the advent of cART, the cerebral dysfunction could at least partially be explained by the viral load and by virus-associated histopathological findings. In subjects where cART has led to undetectable or at least very low viral load, the pathogenic virus-brain interaction is less direct, and an array of poorly understood immunological and probably toxic phenomena are discussed. This paper gives an overview of the current concepts in the field of HAND and provides suggestions for the diagnostic and therapeutic management.

Indexed as

HIV-1AIDS Dementia ComplexHumansAIDSDementiaHIV-1 infectionHIV-associated neurocognitive disorders (HAND)Neurocognitive disorder

Identifiers

PMID28567537
PMCPMC5533849

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.