Evidence map›Paper›PMID 29487595›Full record

SynthesisFrontiers in immunology2018

From CD4-Based Initiation to Treating All HIV-Infected Adults Immediately: An Evidence-Based Meta-analysis.

Aixin Song, Xinchao Liu, Xiaojie Huang, Kathrine Meyers, Djin-Ye Oh, Jianhua Hou, Wei Xia, Bin Su, Ni Wang, Xiaofan Lu and 4 more

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Adjunct Therapy for CD4Frontiers in immunology · 2021
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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

14 authors at 4 institutions in 2 countries.

Aixin SongCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Xinchao LiuInfectious Diseases Department, Peking Union Medical College Hospital, Beijing, China.
Xiaojie HuangCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Kathrine MeyersThe Aaron Diamond AIDS Research Center, New York, NY, United States.
Djin-Ye OhThe Aaron Diamond AIDS Research Center, New York, NY, United States.
Jianhua HouCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Wei XiaCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Bin SuCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Ni WangSchool of Biomedical Engineering, Capital Medical University, Beijing, China.
Xiaofan LuCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Huan XiaCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Xiaodong YangCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Hui ChenSchool of Biomedical Engineering, Capital Medical University, Beijing, China.
Hao WuCenter for Infectious Diseases, Beijing You'an Hospital, Capital Medical University, Beijing, China.
Capital Medical University · CNBeijing YouAn Hospital · CNAaron Diamond AIDS Research Center · USChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The World Health Organization (WHO) Consolidated antiretroviral therapy (ART) guidelines set the CD4 Methods: We systematically searched the electronic databases and abstracts for randomized controlled trials (RCT) and observational studies. Outcomes were mortality, AIDS progression, AIDS or death, immunologic recovery, and virologic suppression. We pooled data across studies and performed analyses of effect sizes. Results: We identified 13 studies comparing early and deferred treatment. The pooled risk ratio (RR) of mortality of 11 observational studies was 0.90 (95% CI 0.82-0.99), with moderate heterogeneity ( Conclusion: Mortality risk and risk for AIDS appear to be reduced among people living with HIV with early initiation of ART, based on current WHO guidelines, as compared to those with deferred initiation of ART (<500 cells/mm

Indexed as

Clinical Decision-MakingAdultAnti-HIV AgentsCD4 Lymphocyte CountCD4-Positive T-LymphocytesDisease ProgressionHIVHIV InfectionsHumansPractice Guidelines as TopicSurvival AnalysisTime-to-TreatmentTreatment OutcomeAnti-HIV AgentsCD4+ T cellearly therapyHIV-infected adultsmetamortality

Identifiers

PMID29487595
PMCPMC5816781
OpenAlexW2793978668

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.