Evidence map›Paper›PMID 31241764›Full record

ArticleJournal of the American Geriatrics Society2019

Geriatric Syndromes in Older Adults Living with HIV and Cognitive Impairment.

Kalei R J Hosaka, Meredith Greene, Thomas A Premeaux, Shireen Javandel, Isabel E Allen, Lishomwa C Ndhlovu, Victor Valcour

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Guideline
  2. Geriatric syndromes in women living with HIV.Current opinion in HIV and AIDS · 2026
    Review
  3. Article
  4. Article
  5. Plasma Inflammatory Biomarkers Link to Worse Cognition Among Africans With HIV.Journal of acquired immune deficiency syndromes (1999) · 2025
    Article
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  10. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Kalei R J HosakaDepartment of Tropical Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii.
Meredith GreeneDivision of Geriatrics, University of California, San Francisco, California.
Thomas A PremeauxDepartment of Tropical Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii.
Shireen JavandelMemory and Aging Center, Department of Neurology, University of California, San Francisco, California.
Isabel E AllenMemory and Aging Center, Department of Neurology, University of California, San Francisco, California.
Lishomwa C NdhlovuDepartment of Tropical Medicine, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii.
Victor ValcourDivision of Geriatrics, University of California, San Francisco, California.
University of California, San Francisco · USUniversity of Hawaiʻi at Mānoa · USUniversity Memory and Aging Center · US

Funding

The Role of gp120 on Cardiovascular Disease in People Living with HIVU54MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI Lee Ellen Buenconsejo-Lum, Jerris Robert Hedges · 2017 to 2026
$59.5M
NCANDA: Data Analysis Resource - Uploading Legacy Data to NDAU24AA021697 · NIAAA · STANFORD UNIVERSITY · PI Adolf Pfefferbaum, Kilian Maria Pohl · 2016 to 2026
$12.2M
Machine learning to distinguish HAND from Alzheimer's disease in HIV over age 60R01MH113406 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI POHL, KILIAN MARIA, VALCOUR, VICTOR · 2017 to 2021
$5.5M
Interventions for Symptom Management in Older Patients with HANDR01NR015223 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MOSKOWITZ, JUDITH T., VALCOUR, VICTOR · 2014 to 2018
$3.5M
UCLA Summer Research Training in Aging for Medical Stud*T35AG026736 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Cathy Lee, John C Newman · 2005 to 2026
$3.0M
NIAAA NIH HHS U24 AA021697NIA NIH HHS T35 AG026736NIA NIH HHS T35AG026736NIMHD NIH HHS U54 MD007601NIMH NIH HHS R01 MH113406NINR NIH HHS R01 NR015223
6 · The paper itself

Abstract

objectivesNearly half of the population living with human immunodeficiency virus (HIV) in the United States is now older than 50 years with at least 6% over age 65. Between 35% and 50% live with mild to moderate cognitive impairment. Older persons living with HIV (PLWH) also have a substantial burden of HIV-associated non-acquired immunodeficiency syndrome medical conditions and are at risk for frailty, geriatric syndromes, and early mortality compared with HIV-uninfected peers. We sought to define the magnitude of geriatric conditions and multimorbidity in PLWH older than 60 years who are living with symptomatic cognitive impairment. In a subset of participants, we examined associations between these geriatric conditions.

designRetrospective cohort study.

settingHIV Elders Study at the University of California, San Francisco, Memory and Aging Center.

participantsParticipants were HIV infected, virally suppressed, 60 years or older, and clinically diagnosed with mild neurocognitive disorder (MND). MEASUREMENTS: We conducted standardized assessment of geriatric conditions and everyday function and investigated multimorbidity burden using the Veterans Aging Cohort Study (VACS) index.

resultsAmong 141 older PLWH with MND, 58% report incontinence, 55% meet criteria for pre-frailty, and a substantial proportion report dependence with instrumental activities of daily living (52%) or activities of daily living (41%). The mean VACS index score is 33 (standard deviation = 14), suggesting a 13.8% 5-year all-cause mortality risk.

conclusionsOlder PLWH with symptomatic cognitive impairment carry a substantial burden of other geriatric conditions. Our work supports the need for comprehensive geriatric systems of care for cognitively impaired individuals aging with HIV. J Am Geriatr Soc 67:1913-1916, 2019.

Indexed as

AgedAged, 80 and overCognitive DysfunctionFemaleGeriatric AssessmentHIV InfectionsHumansMaleMultiple Chronic ConditionsRetrospective StudiesSan FranciscoSyndromeVeteransagingcognitionfrailtyHIV

Identifiers

PMID31241764
PMCPMC6732039
OpenAlexW2953761087

What OpenQuestion holds

Textmetadata
LicenceTDM
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.