Evidence map›Paper›PMID 30987601›Full record

Observational studyBMC gastroenterology2019

Comparison of the prevalence, severity, and risk factors for hepatic steatosis in HIV-infected and uninfected people.

Jessie Torgersen, Kaku So-Armah, Matthew S Freiberg, Matthew B Goetz, Matthew J Budoff, Joseph K Lim, Tamar Taddei, Adeel A Butt, Maria C Rodriguez-Barradas, Amy C Justice and 2 more

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in BMC gastroenterology, 2019. 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
1.1field-weighted citation impact, top 22% 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, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Human Immunodeficiency Virus Is Associated With Elevated FibroScan-Aspartate Aminotransferase (FAST) Score.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  6. Article
  7. Evolution of Fatty Liver Disease and Relationship With Lipoproteins and Clinical Outcomes in Hepatitis B/Human Immunodeficiency Virus Coinfection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  8. Fatty Liver Disease in a Prospective North American Cohort of Adults With Human Immunodeficiency Virus and Hepatitis B Virus Coinfection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    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 9 institutions in 2 countries.

Jessie TorgersenDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, 3910 Powelton Ave 4nd Floor, Ste. 411F, Philadelphia, PA, 19104, USA. jessie.torgersen@uphs.upenn.edu.ORCID http://orcid.org/0000-0002-7861-1421
Kaku So-ArmahDepartment of Medicine, Boston University School of Medicine, Boston, MA, USA.
Matthew S FreibergDepartment of Medicine, Vanderbilt University School of Medicine, Nashville, TN, USA.
Matthew B GoetzDepartment of Medicine, David Geffen School of Medicine at UCLA and VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA.
Matthew J BudoffDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Joseph K LimDepartment of Medicine, Yale University School of Medicine, New Haven, CT, USA.
Tamar TaddeiDepartment of Medicine, Yale University School of Medicine, New Haven, CT, USA, and VA Connecticut Healthcare, West Haven, CT, USA.
Adeel A ButtDepartment of Medicine, Weill Cornell Medical College, Ar-Rayyan, Qatar.
Maria C Rodriguez-BarradasDepartment of Medicine, Michael E. DeBakey VA Medical Center, Houston, TX, USA.
Amy C JusticeDepartment of Medicine, Yale University School of Medicine, New Haven, CT, USA, and VA Connecticut Healthcare, West Haven, CT, USA.
Jay R KostmanJohn Bell Health Center, Philadelphia FIGHT, Philadelphia, PA, USA.
Vincent Lo ReDepartment of Medicine and Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Yale University · USUniversity of Pennsylvania · USBoston University · USMichael E. DeBakey VA Medical Center · USPhiladelphia Fight · USUniversity of California, Los Angeles · USVA Greater Los Angeles Healthcare System · USVanderbilt University · USWeill Cornell Medical College in Qatar · QA

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Alcohol Associated Outcomes Among HIV+/-Aging VeteransU01AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2002 to 2005
$10.1M
(PQ4)HIV and Aging Mechanisms for Hepatocellular CancerR01CA206465 · NCI · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE, LO RE, VINCENT · 2016 to 2020
$2.5M
Novel Mechanisms Driving Excess Atherosclerotic Cardiovascular Disease Risk in the Context of HIV: The Role of Liver InjuryK01HL134147 · NHLBI · BOSTON MEDICAL CENTER · PI SO-ARMAH, KAKU · 2016 to 2020
$620k
NCATS NIH HHS UL1 TR001863NCI NIH HHS R01 CA206465NCI NIH HHS R01CA206465NHLBI NIH HHS K01 HL134147NIAAA NIH HHS U01 AA013566NIAAA NIH HHS U01AA013566
6 · The paper itself

Abstract

backgroundHepatic steatosis is prevalent in Western countries, but few studies have evaluated whether the frequency and severity of steatosis are greater in the setting of HIV infection. We compared the prevalence and severity of hepatic steatosis between HIV-infected (HIV+) and uninfected persons and identified factors associated with greater steatosis severity within both groups.

methodsWe performed a cross-sectional study among participants without cardiovascular disease who participated in a substudy of the Veterans Aging Cohort Study. Hepatic steatosis was defined by noncontrast computed tomography (CT) liver-to-spleen (L/S) attenuation ratio < 1.0. Multivariable linear regression was used to: 1) evaluate the association between HIV infection and severity of hepatic steatosis, as measured by absolute liver attenuation, and 2) identify factors associated with greater severity of steatosis, by HIV status.

resultsAmong 268 participants (median age, 55 years; 99% male; 79% black; 23% obese; 64% HIV+ [91% on antiretroviral therapy]), the overall prevalence of steatosis was 7.8% and was similar between HIV+ and uninfected individuals (13 [7.6%] versus 8 [8.2%], respectively; p = 0.85). Participants with HIV, the majority of whom received antiretroviral therapy, had a higher mean absolute liver attenuation (mean difference, 5.68 Hounsfield units; p < 0.001), correlating with lesser hepatic steatosis severity, compared to uninfected participants. After adjusting for covariates, only advanced hepatic fibrosis was associated with greater severity of steatosis in HIV+ persons (p = 0.03) and uninfected individuals (p < 0.001).

conclusionsIn this sample of participants without cardiovascular disease, the prevalence of hepatic steatosis by noncontrast abdominal CT was not different by HIV status. Increasing severity of steatosis was independently associated with advanced hepatic fibrosis in both groups.

Indexed as

ComorbidityCross-Sectional StudiesFatty LiverFemaleHIV InfectionsHumansMaleMiddle AgedPrevalenceProspective StudiesRisk FactorsSeverity of Illness IndexTomography, X-Ray ComputedUnited StatesHepatic steatosisHIVLiver fibrosis

Identifiers

PMID30987601
PMCPMC6466708
OpenAlexW2943706759

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.