Evidence map›Paper›PMID 28584853›Full record

ArticleOpen forum infectious diseases2017

The Presence of Human Immunodeficiency Virus-Associated Neurocognitive Disorders Is Associated With a Lower Adherence to Combined Antiretroviral Treatment.

Susan Kamal, Isabella Locatelli, Gilles Wandeler, Asemaneh Sehhat, Olivier Bugnon, Melanie Metral, Renaud Du Pasquier, Klemens Gutbrod, Matthias Cavassini, Marie P Schneider and 1 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

  1. Article
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  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Emerging Role of Nef in the Development of HIV Associated Neurological Disorders.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2021
    Review
  17. Integrase Strand Transfer Inhibitor Start or Switch Impacts Learning in Women With HIV.Journal of acquired immune deficiency syndromes (1999) · 2021
    Article
  18. Observational
  19. Article
  20. Article
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.

Susan KamalCommunity Pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Switzerland.
Isabella LocatelliCommunity Pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Switzerland.
Gilles WandelerDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Switzerland.
Asemaneh SehhatCommunity Pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Switzerland.
Olivier BugnonCommunity Pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Switzerland.
Melanie MetralNeurology Service and.
Renaud Du PasquierNeurology Service and.
Klemens GutbrodDepartment of Neuropsychology, University Hospital and University of Bern, Switzerland; and.
Matthias CavassiniInfectious Disease Service, Lausanne University Hospital and University of Lausanne, Switzerland.
Marie P SchneiderCommunity Pharmacy, School of Pharmaceutical Sciences, University of Geneva, University of Lausanne, Switzerland.
and the Swiss HIV Cohort Study

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus (HIV)-associated neurocognitive disorders (HAND) are defined according to their diagnostic degrees as follows: asymptomatic neurocognitive impairment, mild neurocognitive disorder, and HIV-associated dementia. Because high adherence to combined antiretroviral therapy (cART) is required to maintain viral suppression among HIV-infected patients, it is important to investigate the impact of HAND on medication adherence. Our study hypothesis was that patients with HAND had a lower medication adherence than patients who did not have HAND.

methodsThis was an observational, exploratory, 2-center pilot study of patients who had a state-of-the-art neurocognitive assessment performed between January 2011 and June 2015 while also being followed at their respective adherence clinics. Adherence was measured with electronic monitors. Patients' sociodemographic characteristics, HIV viral load, and CD4 counts were retrieved from the Swiss HIV Cohort Study database. At each time

resultsWe included 59 patients, with a median (Q1, Q3) age of 53 years (47-58) and 39 (66%) were male participants. Twenty-two patients (35%) had no neurocognitive deficits, 16 (27%) patients had HAND, and 21 (35%) patients had non-HAND (mostly depression). Implementation over 3 years showed a significant decline (50%) in medication adherence among patients diagnosed with HAND in comparison with patients who had a normal neuropsychological status or a non-HIV-related cognitive deficit (implementation stayed 90% during follow-up).

conclusionsOur findings support the hypothesis that HAND is associated with reduced cART adherence.

Indexed as

HIVHIV-associated neurocognitive disordersmedication adherence.

Identifiers

PMID28584853
PMCPMC5450901

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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.