Evidence map›Paper›PMID 31359762›Full record

ArticleAIDS research and human retroviruses2020

Immunodeficiency at Antiretroviral Therapy Start: Five-Year Adult Data (2012-2017) Based on Evolving National Policies in Rural Mozambique.

Folasade Arinze, Wu Gong, Ann F Green, Caroline De Schacht, James G Carlucci, Wilson Silva, Gael Claquin, José A Tique, Marzio Stefanutto, Erin Graves and 5 more

Open access · greenAbstract read
In one paragraph

Article in AIDS research and human retroviruses, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

15 authors at 3 institutions in 2 countries.

Folasade ArinzeDepartment of Internal Medicine, WellStar Health System, Marietta, Georgia.
Wu GongDepartment of Biostatistics, Vanderbilt University Medical Center (VUMC), Nashville, Tennessee.
Ann F GreenVanderbilt Institute for Global Health (VIGH), Nashville, Tennessee.
Caroline De SchachtFriends in Global Health (FGH), Maputo, Mozambique.
James G CarlucciVanderbilt Institute for Global Health (VIGH), Nashville, Tennessee.
Wilson SilvaFriends in Global Health (FGH), Maputo, Mozambique.
Gael ClaquinFriends in Global Health (FGH), Maputo, Mozambique.
José A TiqueFriends in Global Health (FGH), Maputo, Mozambique.
Marzio StefanuttoFriends in Global Health (FGH), Maputo, Mozambique.
Erin GravesVanderbilt Institute for Global Health (VIGH), Nashville, Tennessee.
Sara Van RompaeyFriends in Global Health (FGH), Maputo, Mozambique.
Maria Fernanda Sardella AlvimFriends in Global Health (FGH), Maputo, Mozambique.
Simão TomoDirecção Provincial de Saúde Zambézia (DPS-Z), Quelimane, Mozambique.
Troy D MoonVanderbilt Institute for Global Health (VIGH), Nashville, Tennessee.
C William WesterDepartment of Medicine, Vanderbilt University Medical Center (VUMC), Nashville, Tennessee.
Vanderbilt Health · USVanderbilt University Medical Center · USUniversidade Zambeze · MZ

Funding

Vanderbilt Infection Pathogenesis and Epidemiology Research Training ProgramT32AI007474 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KALAMS, SPYROS A · 1995 to 2025
$6.9M
CGH CDC HHS U2G GH000193CGH CDC HHS U2G GH001271NIAID NIH HHS T32 AI007474PEPFAR
6 · The paper itself

Abstract

Before the 2015 implementation of "Test and Start," the initiation of combination antiretroviral therapy (ART) was guided by specific CD4 cell count thresholds. As scale-up efforts progress, the prevalence of advanced HIV disease at ART initiation is expected to decline. We analyzed the temporal trends in the median CD4 cell counts among adults initiating ART and described factors associated with initiating ART with severe immunodeficiency in Zambézia Province, Mozambique. We included all HIV-positive, treatment-naive adults (age ≥ 15 years) who initiated ART at a Friends in Global Health (FGH)-supported health facility between September 2012 and September 2017. Quantile regression and multivariable logistic regression models were applied to ascertain the median change in CD4 cell count and odds of initiating ART with severe immunodeficiency, respectively. A total of 68,332 patients were included in the analyses. The median change in CD4 cell count under "Test and Start" was higher at +68 cells/mm

Indexed as

CD4 Lymphocyte CountAdolescentAdultAnti-HIV AgentsDrug Therapy, CombinationFemaleHealth PolicyHIV InfectionsHumansImmunologic Deficiency SyndromesLactationLongitudinal StudiesMaleMiddle AgedMozambiquePregnancyAnti-HIV AgentsCD4+ cell countcombination antiretroviral therapy (ART)engagement into careHIV/AIDSMozambiqueTest and Start

Identifiers

PMID31359762
PMCPMC9836686
OpenAlexW2966227043

What OpenQuestion holds

Textmetadata
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.