Evidence map›Paper›PMID 29881632›Full record

ArticleGlobal health, epidemiology and genomics2018

HIV treatment is associated with a two-fold higher probability of raised triglycerides: Pooled Analyses in 21 023 individuals in sub-Saharan Africa.

Kenneth Ekoru, Elizabeth H Young, David G Dillon, Deepti Gurdasani, Nathan Stehouwer, Daniel Faurholt-Jepsen, Naomi S Levitt, Nigel J Crowther, Moffat Nyirenda, Marina A Njelekela and 35 more

Open access · goldAbstract read
In one paragraph

Article in Global health, epidemiology and genomics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 16 citations in OpenAlex.

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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

45 authors at 20 institutions in 14 countries.

Kenneth EkoruDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Elizabeth H YoungDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
David G DillonWeill Cornell Medical College, New York City, New York, USA.
Deepti GurdasaniDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
Nathan StehouwerUniversity Hospitals Case Medical Center, Cleveland, Ohio, USA.
Daniel Faurholt-JepsenDepartment of Infectious Diseases, University of Copenhagen (Rigshospitalet), Copenhagen, Denmark.
Naomi S LevittDivision of Diabetic Medicine and Endocrinology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Nigel J CrowtherDepartment of Chemical Pathology, National Health Laboratory Service, University of the Witwatersrand Medical School, Johannesburg, South Africa.
Moffat NyirendaMalawi Epidemiology and Intervention Research Unit, Lilongwe, Malawi.
Marina A NjelekelaDepartment of Physiology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Kaushik RamaiyaShree Hindu Mandal Hospital, Dar es Salaam, Tanzania.
Ousman NyanRoyal Victoria Teaching Hospital, School of Medicine, University of The Gambia, Banjul, The Gambia.
Olanisun O AdewoleDepartment of Medicine, Obafemi Awolowo University, Ile Ife, Nigeria.
Kathryn AnastosAlbert Einstein College of Medicine, Bronx NY USA.
Caterina CompostellaDepartment of Medicine, University of Padua, Padua, Italy.
Joel A DaveDivision of Diabetic Medicine and Endocrinology, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Carla M FourieHART (Hypertension in Africa Research Team), North-West University, Potchefstroom, South Africa.
Henrik FriisDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Denmark.
Iolanthe M KrugerAfrica Unit for Transdisciplinary Health Research (AUTHeR), North-West University, Potchefstroom, South Africa.
Chris T LongeneckerUniversity Hospitals Case Medical Center, Cleveland, Ohio, USA.
Dermot P MaherSpecial Programme for Research & Training in Tropical Diseases (TDR), World Health Organization, Geneva, Switzerland.
Eugene MutimuraAlbert Einstein College of Medicine, Bronx NY USA.
Chiratidzo E NdhlovuClinical Epidemiology Resource Training Centre, University of Zimbabwe College of Health Sciences, Harare, Zimbabwe.
George PraygodNational Institute for Medical Research, Dar es Salaam, Tanzania.
Eric W Pefura YoneChest Unit of Yaounde Jamot Hospital, Yaoundé, Cameroon.
Mar Pujades-RodriguezEpicentre, Médecins Sans Frontières, Paris, France.
Nyagosya RangeNational Institute for Medical Research, Dar es Salaam, Tanzania.
Mahmoud U SaniCardiology Unit, Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
Muhammad SanusiCardiology Unit, Department of Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
Aletta E SchutteHART (Hypertension in Africa Research Team), North-West University, Potchefstroom, South Africa.
Karen SliwaSoweto Cardiovascular Research Unit, Chris Hani Baragwanath Hospital, University of the Witwatersrand, Johannesburg, South Africa.
Phyllis C TienDepartment of Medicine, University of California, San Francisco, United States of America.
Este H VorsterFaculty of Health Sciences, North-West University, Potchefstroom, South Africa.
Corinna WalshDepartment of Nutrition and Dietetics, University of the Free State, Bloemfontein, South Africa.
Dickman GaretaAfrica Health Research Institute, University of KwaZulu-Natal, Durban, South Africa.
Fredirick MashiliNational Institute for Medical Research, Dar es Salaam, Tanzania.
Eugene SobngwiFaculty of Medicine and Biomedical Sciences, University of Yaoundé 1, Yaoundé, Cameroon.
Clement AdebamowoInstitute of Human Virology, Abuja, Nigeria.
Anatoli KamaliMRC/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda.
Janet SeeleyMRC/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda.
Liam SmeethFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Deenan PillayAfrica Health Research Institute, University of KwaZulu-Natal, Durban, South Africa.
Ayesha A MotalaDepartment of Diabetes and Endocrinology, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban, South Africa.
Pontiano KaleebuMRC/UVRI Uganda Research Unit on AIDS, Entebbe, Uganda.
Manjinder S SandhuDepartment of Medicine, University of Cambridge, Cambridge, United Kingdom.
North-West University · ZAUniversity of Cambridge · GBNational Institute for Medical Research · TZUganda Virus Research Institute · UGAfrica Health Research Institute · ZAAlbert Einstein College of Medicine · USAminu Kano Teaching Hospital · NGUniversity Hospitals Cleveland Medical Center · USUniversity of Cape Town · ZAUniversity of Copenhagen · DKAga Khan Hospital Dar es Salaam · TZCentral Hospital of Yaoundé · CMCornell University · USEdward Francis Small Teaching Hospital · GMLondon School of Hygiene & Tropical Medicine · GBMalawi Epidemiology and Intervention Research Unit · MWMuhimbili University of Health and Allied Sciences · TZNational Health Laboratory Service · ZAObafemi Awolowo University · NGPublic Health England · GB

Funding

Medical Research Council G0901213Medical Research Council MR/K013491/1World Health Organization 001
6 · The paper itself

Abstract

backgroundAnti-retroviral therapy (ART) regimes for HIV are associated with raised levels of circulating triglycerides (TG) in western populations. However, there are limited data on the impact of ART on cardiometabolic risk in sub-Saharan African (SSA) populations.

methodsPooled analyses of 14 studies comprising 21 023 individuals, on whom relevant cardiometabolic risk factors (including TG), HIV and ART status were assessed between 2003 and 2014, in SSA. The association between ART and raised TG (>2.3 mmol/L) was analysed using regression models.

findingsAmong 10 615 individuals, ART was associated with a two-fold higher probability of raised TG (RR 2.05, 95% CI 1.51-2.77, I

interpretationEvidence from this study confirms the association of ART with raised TG in SSA populations. Given the possible causal effect of raised TG on cardiovascular disease (CVD), the evidence highlights the need for prospective studies to clarify the impact of long term ART on CVD outcomes in SSA.

Indexed as

Antiretroviral therapyCardiovascular diseaseHIVLipidsSub-Saharan AfricaTriglycerides

Identifiers

PMID29881632
PMCPMC5985947
OpenAlexW2801711331

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.