Evidence map›Paper›PMID 29596425›Full record

ArticlePloS one2018

The 'COmorBidity in Relation to AIDS' (COBRA) cohort: Design, methods and participant characteristics.

Davide De Francesco, Ferdinand W Wit, James H Cole, Neeltje A Kootstra, Alan Winston, Caroline A Sabin, Jonathan Underwood, Rosan A van Zoest, Judith Schouten, Katherine W Kooij and 9 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

19 authors.

Davide De FrancescoUniversity College London, London, United Kingdom.ORCID 0000-0002-6185-0514
Ferdinand W WitAcademisch Medisch Centrum, Universiteit van Amsterdam, Amsterdam, The Netherlands.
James H ColeImperial College London, London, United Kingdom.
Neeltje A KootstraAcademisch Medisch Centrum, Universiteit van Amsterdam, Amsterdam, The Netherlands.
Alan WinstonImperial College London, London, United Kingdom.
Caroline A SabinUniversity College London, London, United Kingdom.
Jonathan UnderwoodImperial College London, London, United Kingdom.
Rosan A van ZoestAcademisch Medisch Centrum, Universiteit van Amsterdam, Amsterdam, The Netherlands.
Judith SchoutenAcademisch Medisch Centrum, Universiteit van Amsterdam, Amsterdam, The Netherlands.
Katherine W KooijAcademisch Medisch Centrum, Universiteit van Amsterdam, Amsterdam, The Netherlands.
Maria PrinsGGD Amsterdam, Public Health Service Amsterdam, Amsterdam, The Netherlands.
Giovanni GuaraldiUniversità degli studi di Modena e Reggio Emilia, Modena, Italy.
Matthan W A CaanAcademisch Medisch Centrum, Universiteit van Amsterdam, Amsterdam, The Netherlands.
David BurgerStichting Katholieke Universiteit Nijmegen, Nijmegen, The Netherlands.
Claudio FranceschiAlma Mater Studiorum Universita di Bologna, Bologna, Italy.
Claude LibertVlaams Instituut voor Biotechnologie, Ghent, Belgium.
Alexander BürkleUniversität Konstanz, Konstanz, Germany.
Peter ReissAcademisch Medisch Centrum, Universiteit van Amsterdam, Amsterdam, The Netherlands.
COmorBidity in Relation to AIDS (COBRA) collaboration

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPersons living with HIV on combination antiretroviral therapy (cART) may be at increased risk of the development of age-associated non-communicable comorbidities (AANCC) at relatively young age. It has therefore been hypothesised that such individuals, despite effective cART, may be prone to accelerated aging.

objectiveThe COmorBidity in Relation to AIDS (COBRA) cohort study was designed to investigate the potential causal link between HIV and AANCC, amongst others, in a cohort of middle-aged individuals with HIV with sustained viral suppression on cART and otherwise comparable HIV-negative controls.

methodsLongitudinal cohort study of HIV-positive subjects ≥45 years of age, with sustained HIV suppression on cART recruited from two large European HIV treatment centres and similarly-aged HIV-negative controls recruited from sexual health centres and targeted community groups. Both HIV-positive and HIV-negative subjects were assessed at study entry and again at follow-up after 2 years.

resultsOf the 134 HIV-positive individuals with a median (IQR) age of 56 (51, 62) years recruited, 93% were male, 88% of white ethnicity and 86% were men who have sex with men (MSM). Similarly, the 79 HIV-negative subjects had a median (IQR) age of 57 (52, 64) and 92% were male, 97% of white ethnicity and 80% were MSM.

conclusionsThe results from the COBRA study will be a significant resource to understand the link between HIV and AANCC and the pathogenic mechanisms underlying this link. COBRA will inform future development of novel prognostic tools for earlier diagnosis of AANCC and of novel interventions which, as an adjunct to cART, may prevent AANCC.

Indexed as

Acquired Immunodeficiency SyndromeAnti-HIV AgentsComorbidityFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedNetherlandsNoncommunicable DiseasesSocioeconomic FactorsUnited KingdomAnti-HIV Agents

Identifiers

PMID29596425
PMCPMC5875743

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Registered trials

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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.