Evidence map›Paper›PMID 30005013›Full record

ArticleAIDS (London, England)2018

Weight gain of HIV-exposed, uninfected children born before and after introduction of the 'Option B+' programme in Malawi.

Malango T Msukwa, Janne Estill, Andreas D Haas, Joep J van Oosterhout, Lyson Tenthani, Mary-Ann Davies, Kali Tal, Nozgechi Phiri, Adrian Spoerri, Bryan C Mthiko and 2 more

Open access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. 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

12 authors at 10 institutions in 5 countries.

Malango T MsukwaInstitute of Global Health, University of Geneva, Geneva, Switzerland.
Janne EstillInstitute of Global Health, University of Geneva, Geneva, Switzerland.
Andreas D HaasInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Joep J van OosterhoutDignitas International, Zomba, Malawi.
Lyson TenthaniInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Mary-Ann DaviesCentre of Infectious Disease Epidemiology and Research, University of Cape Town, Cape Town, South Africa.
Kali TalInstitute of Global Health, University of Geneva, Geneva, Switzerland.
Nozgechi PhiriInstitute of Global Health, University of Geneva, Geneva, Switzerland.
Adrian SpoerriInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Bryan C MthikoInstitute of Global Health, University of Geneva, Geneva, Switzerland.
Frank ChimbwandiraMinistry of Health, Lilongwe, Malawi.
Olivia KeiserInstitute of Global Health, University of Geneva, Geneva, Switzerland.
University of Geneva · CHBaobab Health Trust · MWInstitute of Mathematical Statistics · USInstitute of Social and Preventive Medicine · CHMinistry of Health · MWPopulation Council · INResearch for Equity And Community Health Trust · MWUniversity of Bern · CHUniversity of Cape Town · ZAUniversity of Malawi · MW

Funding

Observational Antiretroviral Studies In Southern Africa (OASIS) CollaborationU01AI069924 · NIAID · UNIVERSITAT BERN · PI Cleophas Chimbetete, Mary-Ann Davies · 2006 to 2026
$55.9M
NIAID NIH HHS U01 AI069924
6 · The paper itself

Abstract

objectiveTo compare birth weight and weight gain in HIV-exposed, uninfected (HEU) infants up to 24 months old, who enrolled in the Malawian national HIV care clinic (HCC) programme either before or after Option B+ (OB+) was implemented. DESIGN, SETTING AND

participantsHIV-exposed infants enrol in the HCC programme as soon as possible after birth and are followed up to at least 24 months old. This analysis includes HEU infants with recorded birth weight, date of birth, gender and at least one follow-up weight measurement from 21 health facilities in central and southern Malawi (January 2010-December 2014). Weight-for-age z scores (WAZ) were derived and compared by birth period using linear regression at birth and mixed effects models for postnatal weight gain up to 24 months old.

resultsOf 6845 HEU infants included in this study, 88.5% were born after OB+. The proportion of infants exposed in utero to combination antiretroviral therapy (ART) significantly increased after OB+ was implemented, and infants were exposed to ART for a longer time. There was no significant difference in WAZ at birth (P = 0.654) among HEU infants by birth period, but postnatal weight gain was faster among HEU infants born in the Option B+ period than infants born pre-Option B+.

conclusionBirth weight was not affected by longer exposure to ART during pregnancy after OB+ was introduced, when weight gain in HEU infants was faster, possibly because their mothers were in better health.

Indexed as

Child DevelopmentMaternal ExposureWeight GainFemaleHIV InfectionsHumansInfantInfant, NewbornMalawiMale

Identifiers

PMID30005013
PMCPMC6136966
OpenAlexW2884535504

What OpenQuestion holds

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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.