Evidence map›Paper›PMID 30240419›Full record

ArticlePloS one2018

Antiretroviral exposure and comorbidities in an aging HIV-infected population: The challenge of geriatric patients.

Clotilde Allavena, Matthieu Hanf, David Rey, Claudine Duvivier, Firouze BaniSadr, Isabelle Poizot-Martin, Christine Jacomet, Pascal Pugliese, Pierre Delobel, Christine Katlama and 12 more

Open access · goldAbstract read
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 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
8.6field-weighted citation impact, top 1% 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, 97 citations in OpenAlex.

  1. Pooled it
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  12. Observational
  13. Higher Comorbidity Burden Predicts Worsening Neurocognitive Trajectories in People with Human Immunodeficiency Virus.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  14. Article
  15. Article
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  20. The far-reaching HAND of cART: cART effects on astrocytes.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2021
    Review
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

22 authors at 12 institutions in 2 countries.

Clotilde AllavenaInfectious Diseases Department, University Hospital of Nantes, Nantes, France.ORCID 0000-0003-1010-1270
Matthieu HanfINSERM CIC1413, University Hospital of Nantes, Nantes, France.
David ReyCentre for HIV Infection Care, Strasbourg, France.
Claudine DuvivierAP-HP-Necker Hospital, Infectious Diseases Department, Necker-Pasteur Infectiology Centre, Paris, France.
Firouze BaniSadrDepartment of Internal Medicine, Infectious Diseases, and Clinical Immunology, Reims Teaching Hospitals, University of Reims, Reims, France.
Isabelle Poizot-MartinImmuno-Hematology Clinic, Aix-Marseille University, APHM Hôpital Sainte-Marguerite, Marseille, France.ORCID 0000-0002-5676-5411
Christine JacometInfectious Diseases Department, University of Clermont-Ferrand, Clermont-Ferrand, France.
Pascal PuglieseDepartment of Infectious Diseases, Centre Hospitalier Universitaire de l'Archet, Nice, France.
Pierre DelobelINSERM, UMR1043, Toulouse and Université Toulouse III Paul Sabatier, Toulouse, France.
Christine KatlamaDepartment of Infectious Diseases, Assistance publique-Hôpitaux de Paris, Pitié-Salpêtrière University Hospital, Paris, France.
Véronique JolyInfectious Diseases Department, Hôpital Bichat, AP-HP, Paris, France.
Christian ChidiacInfectious and Tropical Diseases Department, Hospices Civils de Lyon, Claude Bernard Lyon 1 University, Lyon, France.
Nathalie DournonService de Maladies Infectieuses et Tropicales, Dermatologie, Médecine Interne, Faculté de Médecine Hyacinthe Bastaraud, Université des Antilles, Pointe à Pitre, France.
Dominique MerrienDepartement of infectious diseases, CHD Vendee, La Roche sur yon, France.
Thierry MayDepartment of infectious diseases, University Hospital Centre, Nancy, France.
Jacques ReynesInfectious Diseases Department, Montpellier University Hospital, Montpellier, France.
Amandine Gagneux-BrunonInfectious Diseases Department, University of Saint-Etienne, Saint-Etienne, France.
Catherine ChirouzeInfectious Diseases Department, University hospital of Besançon, Besançon, France.
Thomas HuleuxInfectious Diseases Department, University hospital of Tourcoing, Tourcoing, France.
André CabiéInserm CIC 1424, Centre Hospitalier Universitaire de Pointe-à-Pitre, Pointe-à-Pitre, France.
François RaffiInfectious Diseases Department, University Hospital of Nantes, Nantes, France.
Dat’AIDS study group
Inserm · FRCentre Hospitalier de Tourcoing · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire de Nice · FRCentre Hospitalier Universitaire de Saint-Étienne · FRCentre National de la Recherche Scientifique · FRDélégation Paris 5 · FRRoche (France) · FRUniversité Claude Bernard Lyon 1 · FRUniversité Clermont Auvergne · FRUniversité de Reims Champagne-Ardenne · FRUniversité Toulouse III - Paul Sabatier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As HIV-infected adults on successful antiretroviral therapy (ART) are expected to have close to normal lifespans, they will increasingly develop age-related comorbidities. The objective of this cross-sectional study was to compare in the French Dat'AIDS cohort, the HIV geriatric population, aged 75 years and over, to the elderly one, aged from 50 to 74 years. As of Dec 2015, 16,436 subjects (43.8% of the French Dat'AIDS cohort) were aged from 50 to 74 (elderly group) and 572 subjects (1.5%) were aged 75 and over (geriatric group). Durations of HIV infection and of ART were slightly but significantly different, median at 19 and 18 years, and 15 and 16 years in the elderly and geriatric group, respectively. The geriatric group was more frequently at CDC stage C and had a lower nadir CD4. This group had been more exposed to first generation protease inhibitors and thymidine analogues. Despite similar virologic suppression, type of ART at the last visit significantly differed between the 2 groups: triple ART in 74% versus 68.2%, ART ≥ 4 drugs in 4.7% versus 2.7%; dual therapy in 11.6% versus 16.4% in the elderly group and the geriatric group, respectively. In the geriatric group all co-morbidities were significantly more frequent, except dyslipidemia, 4.3% of the elderly group had ≥4 co-morbidities versus18.4% in the geriatric group. Despite more co-morbidities and more advanced HIV infection the geriatric population achieve similar high rate of virologic suppression than the elderly population. A multidisciplinary approach should be developed to face the incoming challenge of aging HIV population.

Indexed as

AgedAged, 80 and overAge FactorsAnti-HIV AgentsCardiovascular DiseasesCD4 Lymphocyte CountCohort StudiesComorbidityCross-Sectional StudiesDiabetes ComplicationsFemaleFranceHIV-1HIV-2HIV InfectionsHumansAnti-HIV Agents

Identifiers

PMID30240419
PMCPMC6150468
OpenAlexW2889852513

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.