Evidence map›Paper›PMID 30347806›Full record

ReviewBrain sciences2018

HIV Cerebrospinal Fluid Escape and Neurocognitive Pathology in the Era of Combined Antiretroviral Therapy: What Lies Beneath the Tip of the Iceberg in Sub-Saharan Africa?

Dami Aderonke Collier, Lewis Haddow, Jay Brijkumar, Mahomed-Yunus S Moosa, Laura Benjamin, Ravindra K Gupta

Abstract readReview
In one paragraph

Review in Brain sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Neurologic Complications of Acute HIV Infection.Current treatment options in infectious diseases · 2020
    Article
  11. Review
  12. Article
  13. Article
  14. 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

6 authors.

Dami Aderonke CollierDivision of Infection and Immunity, University College London, London WC1E 6BT, UK. d.collier@ucl.ac.uk.ORCID 0000-0001-5446-4423
Lewis HaddowInstitute for Global Health, University College London, London WC1E 6BT, UK. lewis.haddow@ucl.ac.uk.
Jay BrijkumarRK Khan Hospital, KwaZulu-Natal Durban 4092, South Africa. jbrijkumar@gmail.com.
Mahomed-Yunus S MoosaDepartment of Infectious Diseases, University of KwaZulu-Natal, Durban 4041, South Africa. Moosay@ukzn.ac.za.ORCID 0000-0001-6191-4023
Laura BenjaminInstitute of Infection and Global Health, University of Liverpool, Liverpool L69 3BX, UK. L.Benjamin@liverpool.ac.uk.ORCID 0000-0002-9685-1664
Ravindra K GuptaDivision of Infection and Immunity, University College London, London WC1E 6BT, UK. ravindra.gupta@ucl.ac.uk.ORCID 0000-0001-9751-1808

Funding

Wellcome Trust 206440/Z/17/Z
6 · The paper itself

Abstract

Neurocognitive impairment remains an important HIV-associated comorbidity despite combination antiretroviral therapy (ART). Since the advent of ART, the spectrum of HIV-associated neurocognitive disorder (HAND) has shifted from the most severe form to milder forms. Independent replication of HIV in the central nervous system despite ART, so-called cerebrospinal fluid (CSF) escape is now recognised in the context of individuals with a reconstituted immune system. This review describes the global prevalence and clinical spectrum of CSF escape, it role in the pathogenesis of HAND and current advances in the diagnosis and management. It highlights gaps in knowledge in sub-Saharan Africa where the HIV burden is greatest and discusses the implications for this region in the context of the global HIV treatment scale up.

Indexed as

central nervous systemdiscordanceescapeHIVindependent replicationresistance

Identifiers

PMID30347806
PMCPMC6211092

What OpenQuestion holds

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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.