Evidence map›Paper›PMID 29412520›Full record

ArticleJournal of the International AIDS Society2018

Socio-economic status and time trends associated with early ART initiation following primary HIV infection in Montreal, Canada: 1996 to 2015.

Vikram Mehraj, Joseph Cox, Bertrand Lebouché, Cecilia Costiniuk, Wei Cao, Taisheng Li, Rosalie Ponte, Réjean Thomas, Jason Szabo, Jean-Guy Baril and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

23 citing papers in PubMed, 28 citations in OpenAlex.

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  13. Cytomegalovirus Seropositivity Is Associated With Increased Microbial Translocation in People Living With Human Immunodeficiency Virus and Uninfected Controls.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  14. Circulating (1→3)-β-D-glucan Is Associated With Immune Activation During Human Immunodeficiency Virus Infection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
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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

17 authors at 3 institutions in 2 countries.

Vikram MehrajChronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Joseph CoxChronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Bertrand LebouchéChronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Cecilia CostiniukChronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Wei CaoChronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Taisheng LiDepartment of Infectious Diseases, Peking Union Medical College Hospital, Beijing, China.
Rosalie PonteChronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Réjean ThomasClinique Médicale l'Actuel, Montréal, QC, Canada.
Jason SzaboChronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.
Jean-Guy BarilClinique Médicale Quartier Latin, Montréal, QC, Canada.
Benoit TrottierClinique Médicale Quartier Latin, Montréal, QC, Canada.
Pierre CôtéClinique Médicale Quartier Latin, Montréal, QC, Canada.
Roger LeBlancClinique Médicale OPUS, Montréal, QC, Canada.
Julie BruneauCentre de recherche du Centre Hospitalier de l', Université de Montréal, Montréal, QC, Canada.
Cécile TremblayCentre de recherche du Centre Hospitalier de l', Université de Montréal, Montréal, QC, Canada.
Jean-Pierre RoutyChronic Viral Illness Service, McGill University Health Centre, Montreal, QC, Canada.ORCID 0000-0001-9897-7589
Montreal Primary HIV-Infection Study Group
McGill University Health Centre · CACentre Hospitalier de l’Université de Montréal · CAChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

CIHR MOP 103230
6 · The paper itself

Abstract

introductionGuidelines regarding antiretroviral therapy (ART) initiation in HIV infection have varied over time, with the 2015 World Health Organization recommendation suggesting ART initiation at the time of diagnosis regardless of CD4 T-cell counts. Herein, we investigated the influence of socio-demographic and clinical factors in addition to time trends on early ART initiation among participants of the Montreal Primary HIV Infection Study.

methodsThe Montreal Primary HIV Infection Study is a prospective cohort established in three community medical centres (CMCs) and two university medical centres (UMCs). Recently diagnosed HIV-infected adults were categorized as receiving early (vs. delayed) ART if ART was initiated within 180 days of the baseline visit. Associations between early ART initiation and socio-demographic, socio-economic and behavioural information were examined. Independent associations of factors linked with early ART initiation were determined using multivariable binary logistic regression analysis.

resultsA total of 348 participants had a documented date of HIV acquisition of <180 days. The median interquartile range (IQR) age of participants was 35 (28; 42) years and the majority were male (96%), having paid employment (63%), men who have sex with men (MSM) (78%) and one to four sexual partners in the last three months (70%). Participants presented with a median IQR HIV plasma viral load of 4.6 (3.7; 5.3) log

conclusionsEarly ART initiation during primary HIV infection was associated with diminished biological prognostic factors and calendar time mirroring evolution of treatment guidelines. In addition, socio-economic factors such as having a paid employment, contribute to early ART initiation in the context of universal access to care in Canada.

Indexed as

AdultAnti-HIV AgentsCD4 Lymphocyte CountFemaleHIV InfectionsHumansMaleProspective StudiesSocial ClassTime FactorsAnti-HIV AgentsCD4 countguidelines for the use of antiretroviral therapyprimary HIV infectionsocio-demographic factorssocio-economic factorstime trendsuniversal access to care

Identifiers

PMID29412520
PMCPMC5804015
OpenAlexW2792353967

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.