Evidence map›Paper›PMID 30946155›Full record

ArticleAIDS (London, England)2019

Trends in cause-specific mortality in HIV-hepatitis C coinfection following hepatitis C treatment scale-up.

Nadine Kronfli, Sahir R Bhatnagar, Mark W Hull, Erica E M Moodie, Joseph Cox, Sharon Walmsley, John Gill, Curtis Cooper, Valérie Martel-Laferrière, Neora Pick and 2 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in AIDS (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 37 citations in OpenAlex.

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  18. Survival analysis over a 20-year period of a Brazilian cohort of blood donors coinfected HIV-HCV.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
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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

12 authors at 4 institutions in 2 countries.

Nadine KronfliDivision of Infectious Diseases and Chronic Viral Illness Service, Department of Medicine.
Sahir R BhatnagarDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec.
Mark W HullDepartment of Medicine, University of British Columbia.
Erica E M MoodieDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec.
Joseph CoxDivision of Infectious Diseases and Chronic Viral Illness Service, Department of Medicine.
Sharon WalmsleyUniversity Health Network, University of Toronto, Toronto, Ontario.
John GillSouthern Alberta HIV Clinic, Calgary, Alberta.
Curtis CooperCIHR Canadian HIV Trials Network, Vancouver, British Columbia.
Valérie Martel-LaferrièreDepartment of Microbiology and Infectious Diseases, Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Quebec.
Neora PickDivision of Infectious Diseases, Oak Tree Clinic, BC Women's Hospital, Vancouver, British Columbia, Canada.
Marina B KleinDivision of Infectious Diseases and Chronic Viral Illness Service, Department of Medicine.
Canadian Co-Infection Cohort Investigators
Apple (Israel) · ILMcGill University · CAAIDS Vancouver · CAMcGill University Health Centre · CA

Funding

CIHR MOP-79529
6 · The paper itself

Abstract

objectiveHepatitis C virus (HCV) treatment may reduce liver-related mortality but with competing risks, other causes of mortality may undermine benefits. We examined changes in cause-specific mortality among HIV-HCV coinfected patients before and after scale-up of HCV treatment.

designProspective multicentre HIV-HCV cohort study in Canada.

methodsCause-specific deaths, classified using a modified 'Coding of Cause of Death in HIV' protocol, were determined for two time periods, 2003-2012 and 2013-2017, stratified by age (20-49; 50-80 years). Comparison of trends between periods was performed using Poisson regression. To account for competing risks, multinomial regression was used to estimate the cause-specific hazard ratios of time and age on cause of death, from which end-stage liver disease (ESLD)-specific 5-year cumulative incidence functions were estimated.

resultsOverall, 1634 participants contributed 8248 person-years of follow-up; 273 (17%) died. Drug overdose was the most common cause of death overall, followed by ESLD and smoking-related deaths. In 2013-2017, ESLD was surpassed by drug overdose and smoking-related deaths among those aged 20-49 and 50-80, respectively. After accounting for competing risks, comparing 2003-2012 to 2013-2017, ESLD deaths declined (adjusted hazards ratio: 0.18, 95% confidence interval 0.05-0.62). However, both early and late period cumulative incidence functions demonstrated increased risk of death from ESLD for patients with poor HIV control and advanced fibrosis.

conclusionThe gains made in overall mortality with HCV therapy may be thwarted if modifiable harms are not addressed. Although ESLD-related deaths have decreased over time, treatment should be further expanded, prioritizing those with advanced fibrosis.

Indexed as

Cause of DeathAdolescentAdultAgedAged, 80 and overAntiviral AgentsCanadaCoinfectionFemaleHepatitis C, ChronicHIV InfectionsHumansIncidenceMaleMiddle AgedProspective StudiesAntiviral Agents

Identifiers

PMID30946155
PMCPMC6467558
OpenAlexW2910806171

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.