Evidence map›Paper›PMID 31188451›Full record

Observational studyThe Journal of infectious diseases2019

Timing of Antiretroviral Therapy and Systemic Inflammation in Sub-Saharan Africa: Results From the META Longitudinal Cohort Study.

Mark J Siedner, Mwebesa Bosco Bwana, Stephen Asiimwe, Gideon Amanyire, Nicholas Musinguzi, Jose Castillo-Mancilla, Russell P Tracy, Ingrid T Katz, David R Bangsberg, Peter W Hunt and 3 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in The Journal of infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Observational
  2. Human Immunodeficiency Virus Is Associated With Higher Levels of Systemic Inflammation Among Kenyan Adults Despite Viral Suppression.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  3. Article
  4. Article
  5. Article
  6. 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

13 authors.

Mark J SiednerHarvard Medical School, Boston.
Mwebesa Bosco BwanaMbarara University of Science and Technology, Uganda.
Stephen AsiimweMbarara University of Science and Technology, Uganda.
Gideon AmanyireMbarara University of Science and Technology, Uganda.
Nicholas MusinguziMbarara University of Science and Technology, Uganda.
Jose Castillo-MancillaUniversity of Colorado, Denver.
Russell P TracyUniversity of Vermont, Burlington.
Ingrid T KatzHarvard Medical School, Boston.
David R BangsbergOregon Health & Science University-Portland State University School of Public Health, Portland.
Peter W HuntUniversity of California, San Francisco.
Catherine OrrellUniversity of Cape Town, South Africa.
Jessica E HabererHarvard Medical School, Boston.
META study investigators

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MALLORY O JOHNSON · 1988 to 2026
$93.6M
Using Dengue Controlled Human Infection Model to Identify Adaptive Immune Correlates of ProtectionP20GM125498 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI Danielle Stephanie Konetski Brasino · 2018 to 2026
$24.9M
Epidemiology of coronary artery disease among people with HIV in rural sub-Saharan AfricaR01HL141053 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI SIEDNER, MARK J · 2018 to 2021
$3.0M
Behavioral Aspects of Low-cost Medical Devices to Improve HIV CareK23MH099916 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI SIEDNER, MARK J · 2013 to 2017
$917k
NHLBI NIH HHS R01 HL141053NIAID NIH HHS P30 AI027763NIGMS NIH HHS P20 GM125498NIMH NIH HHS K23 MH099916
6 · The paper itself

Abstract

Chronic inflammation predicts complications in persons with human immunodeficiency virus infection. We compared D-dimer, soluble CD14, and interleukin 6 levels before and 12 months after antiretroviral therapy (ART) initiation, among individuals starting ART during earlier-stage (CD4 T-cell count >350/µL) or late-stage disease (CD4 T-cell count <200/µL). Female sex, older age, viral load, and late-stage disease were associated with pre-ART biomarkers (n = 661; P < .05). However, there were no differences in biomarkers by disease stage after 12 months of ART (n = 438; P > .05), owing to loss from observation and greater declines in biomarkers in late-stage initiators (P < .001). Earlier initiation of ART is associated with decreased inflammation, but levels seem to converge between earlier and later initiators surviving to 12 months.

Indexed as

Acquired Immunodeficiency SyndromeAdultAge FactorsAnti-HIV AgentsBiomarkersCD4 Lymphocyte CountFemaleFibrin Fibrinogen Degradation ProductsHIV-1HumansInflammationInterleukin-6Lipopolysaccharide ReceptorsLongitudinal StudiesMaleMedication AdherenceAnti-HIV AgentsBiomarkersCD14 protein, humanFibrin Fibrinogen Degradation Productsfibrin fragment DIL6 protein, humanInterleukin-6Lipopolysaccharide Receptorsantiretroviral therapyHIVimmune activationinflammationSouth AfricaUganda

Identifiers

PMID31188451
PMCPMC6736121

What OpenQuestion holds

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LicenceCC BY
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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.