Evidence map›Paper›PMID 29029103›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2018

Cardiovascular Disease Prevention Policy in Human Immunodeficiency Virus: Recommendations From a Modeling Study.

Mikaela Smit, Rosan A van Zoest, Brooke E Nichols, Ilonca Vaartjes, Colette Smit, Marc van der Valk, Ard van Sighem, Ferdinand W Wit, Timothy B Hallett, Peter Reiss and 1 more

Open access · greenAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.2field-weighted citation impact, top 7% 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

21 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. HIV and Cardiovascular Disease.Circulation research · 2024
    Review
  9. Article
  10. Assessing Biomarkers in Viral Infection.Advances in experimental medicine and biology · 2023
    Review
  11. Article
  12. Investigating vascular diseases in people living with HIV by nuclear imaging.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2022
    Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Observational
  20. 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

11 authors at 5 institutions in 3 countries.

Mikaela SmitStichting HIV Monitoring, Amsterdam, The Netherlands.
Rosan A van ZoestDepartment of Global Health, Academic Medical Center, and Amsterdam Institute for Global Health and Development.
Brooke E NicholsDepartment of Viroscience, Erasmus Medical Center, Rotterdam.
Ilonca VaartjesJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht.
Colette SmitStichting HIV Monitoring, Amsterdam, The Netherlands.
Marc van der ValkDepartment of Internal Medicine, Division of Infectious Diseases, Academic Medical Center, Amsterdam, The Netherlands.
Ard van SighemStichting HIV Monitoring, Amsterdam, The Netherlands.
Ferdinand W WitStichting HIV Monitoring, Amsterdam, The Netherlands.
Timothy B HallettDepartment of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College, London, United Kingdom.
Peter ReissStichting HIV Monitoring, Amsterdam, The Netherlands.
Netherlands AIDS Therapy Evaluation in The Netherlands (ATHENA) Observational HIV Cohort
Academic Medical Center · NLStichting HIV Monitoring · NLErasmus University Rotterdam · NLImperial College London · GBUniversity Medical Center Utrecht · NL

Funding

Wellcome Trust
6 · The paper itself

Abstract

Background: Cardiovascular disease (CVD) is expected to contribute a large noncommunicable disease burden among human immunodeficiency virus (HIV)-infected people. We quantify the impact of prevention interventions on annual CVD burden and costs among HIV-infected people in the Netherlands. Methods: We constructed an individual-based model of CVD in HIV-infected people using national ATHENA (AIDS Therapy Evaluation in The Netherlands) cohort data on 8791 patients on combination antiretroviral therapy (cART). The model follows patients as they age, develop CVD (by incorporating a CVD risk equation), and start cardiovascular medication. Four prevention interventions were evaluated: (1) increasing the rate of earlier HIV diagnosis and treatment; (2) avoiding use of cART with increased CVD risk; (3) smoking cessation; and (4) intensified monitoring and drug treatment of hypertension and dyslipidemia, quantifying annual number of averted CVDs and costs. Results: The model predicts that annual CVD incidence and costs will increase by 55% and 36% between 2015 and 2030. Traditional prevention interventions (ie, smoking cessation and intensified monitoring and treatment of hypertension and dyslipidemia) will avert the largest number of annual CVD cases (13.1% and 20.0%) compared with HIV-related interventions-that is, earlier HIV diagnosis and treatment and avoiding cART with increased CVD risk (0.8% and 3.7%, respectively)-as well as reduce cumulative CVD-related costs. Targeting high-risk patients could avert the majority of events and costs. Conclusions: Traditional CVD prevention interventions can maximize cardiovascular health and defray future costs, particularly if targeting high-risk patients. Quantifying additional public health benefits, beyond CVD, is likely to provide further evidence for policy development.

Indexed as

AgingAdultCardiovascular DiseasesCohort StudiesCost of IllnessFemaleHIV InfectionsHomosexuality, MaleHumansIncidenceMaleMiddle AgedModels, TheoreticalMorbidityNetherlandsRisk Factors

Identifiers

PMID29029103
PMCPMC5850014
OpenAlexW2789673157

What OpenQuestion holds

Textmetadata
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.