Evidence map›Paper›PMID 29691760›Full record

ArticleJournal of neurovirology2018

Incidence of symptomatic CSF viral escape in HIV infected patients receiving atazanavir/ritonavir (ATV/r)-containing ART: a tertiary care cohort in western India.

Atul K Patel, Ketan K Patel, Swati Gohel, Ambuj Kumar, Scott Letendre

Abstract read
In one paragraph

Article in Journal of neurovirology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.2field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. HIV-1CViruses · 2020
    Article
  5. Observational
  6. Observational
  7. Article
  8. Review
  9. 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

5 authors at 3 institutions in 2 countries.

Atul K PatelInfectious Diseases Clinic, "VEDANTA" Institute of Medical Sciences, 3rd Floor Navrangpura, Ahmedabad, 380009, India. atulpatel65@gmail.com.ORCID 0000-0002-6575-2460
Ketan K PatelInfectious Diseases Clinic, "VEDANTA" Institute of Medical Sciences, 3rd Floor Navrangpura, Ahmedabad, 380009, India.
Swati GohelInfectious Diseases Clinic, "VEDANTA" Institute of Medical Sciences, 3rd Floor Navrangpura, Ahmedabad, 380009, India.
Ambuj KumarDivision and Center for Evidence Based Medicine and Outcomes Research: Department of Internal Medicine, University of South Florida, Tampa, FL, 33612, USA.
Scott LetendreHIV Neurobehavioral Research Center, Antiviral Research Center, University of California, San Diego, 150 West Washington Street, San Diego, CA, 92103, USA.
Care Institute of Medical Sciences · INUniversity of California San Diego · USUniversity of South Florida · US

Funding

STRUCTURAL NEUROIMAGING COREP30MH062512 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jennifer E Iudicello · 2001 to 2026
$50.4M
NIMH NIH HHS P30 MH062512
6 · The paper itself

Abstract

This single-center study attempts to quantify the incidence of symptomatic CSF viral escape (CSFVE) in patients receiving atazanavir/r (ATV/r)-containing regimen. We performed a retrospective analysis of patients receiving ATV/r-containing ART who were diagnosed with symptomatic CSFVE from August 2012 to January 2017. Primary objective was to assess the incidence of symptomatic CSFVE in patients receiving ATV/r-containing ART in clinical practice. Incidence rates were calculated by dividing the number of patients who experienced CSFVE by the number of person-months at risk and summarized as per 10,000 (ten thousand) person-months at risk. Nine hundred thirty-three patients receiving ATV/r containing ART with a total of 36,068 person-months of follow-up were included. Incidence rate of symptomatic CSFVE was 4.4 per 10,000 person-months (95% CI 2.7 to 7.2). The incidence of CSFVE was 9.5 per 10,000 person-months (95% CI 5.7 to 15.7) when the nadir CD4 count was ≤ 200 compared to 0.49 (95% CI 0.07 to 3.5) with a nadir CD4 count > 200 (IRR 19.1 (95% CI 2.93 to 802.8), p < 0.0001). Nadir CD4 count ≤ 200 was associated with substantially increased risk of symptomatic CSFVE, further strengthening efforts to diagnose and treat patients early in disease.

Indexed as

AdolescentAdultAgedAged, 80 and overAtazanavir SulfateChildDrug Therapy, CombinationFemaleHIV InfectionsHIV Protease InhibitorsHumansIncidenceIndiaMaleMiddle AgedRetrospective StudiesAtazanavir SulfateHIV Protease InhibitorsRitonavirRNA, ViralCNS penetration of ARTCSF HIV escapeCSF HIV RNAHIV-associated neurocognitive disorders

Identifiers

PMID29691760
PMCPMC6314299
OpenAlexW2754079568

What OpenQuestion holds

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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.