Evidence map›Paper›PMID 31419622›Full record

ArticleAmerican heart journal2019

Rationale and design of a nurse-led intervention to extend the HIV treatment cascade for cardiovascular disease prevention trial (EXTRA-CVD).

Nwora Lance Okeke, Allison R Webel, Hayden B Bosworth, Angela Aifah, Gerald S Bloomfield, Emily W Choi, Sarah Gonzales, Sarah Hale, Corrilynn O Hileman, Virginie Lopez-Kidwell and 6 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in American heart journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04661813 (Assess and Adapt to the Impact of COVID-19 on CVD Self-Management and Prevention Care in Adults Living With HIV), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

NCT04661813 nacompletednot on this mapstarted 2021, after this paper: background citation

Assess and Adapt to the Impact of COVID-19 on CVD Self-Management and Prevention Care in Adults Living With HIV

TypeinterventionalSponsorCase Western Reserve UniversityRan2021 to 2023Enrolled81ConditionsHIV-1-infection, HypertensionArmsEXTRA-CVD Virtual Care
3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
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

16 authors.

Nwora Lance OkekeDuke University School of Medicine, Durham, NC, USA.
Allison R WebelFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Hayden B BosworthDuke University School of Medicine, Durham, NC, USA; Durham VA Medical Center, Durham, NC, USA.
Angela AifahNew York University School of Medicine, New York, NY, USA.
Gerald S BloomfieldDuke University School of Medicine, Durham, NC, USA.
Emily W ChoiThe University of Texas at Dallas, Dallas, TX, USA.
Sarah GonzalesDuke University School of Medicine, Durham, NC, USA; Durham VA Medical Center, Durham, NC, USA.
Sarah HaleDuke University School of Medicine, Durham, NC, USA; Durham VA Medical Center, Durham, NC, USA.
Corrilynn O HilemanCase Western Reserve University School of Medicine, Cleveland, OH, USA; MetroHealth Medical Center, Cleveland, OH, USA.
Virginie Lopez-KidwellUniversity of North Texas, Denton, TX, USA.
Charles MuiruriDuke University School of Medicine, Durham, NC, USA.
Megan OakesDuke University School of Medicine, Durham, NC, USA; Durham VA Medical Center, Durham, NC, USA.
Julie SchexnayderFrances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, USA.
Valerie SmithDuke University School of Medicine, Durham, NC, USA; Durham VA Medical Center, Durham, NC, USA.
Rajesh VedanthanNew York University School of Medicine, New York, NY, USA.
Chris T LongeneckerCase Western Reserve University School of Medicine, Cleveland, OH, USA; University Hospitals Harrington Heart & Vascular Institute, Cleveland, OH, USA. Electronic address: cxl473@case.edu.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI GEORGIA Doris TOMARAS · 2005 to 2026
$50.5M
Assess and Adapt to the Impact of COVID-19 on CVD Self Management and Prevention Care in Adults Living with HIV (AAIM-High)U01HL142099 · NHLBI · UNIVERSITY OF WASHINGTON · PI BOSWORTH, HAYDEN B, LONGENECKER, CHRIS TODD · 2018 to 2021
$4.8M
A Clinic-Based Behavioral Intervention to Reduce Cardiovascular Disease Risk in Persons Living with HIVK23HL137611 · NHLBI · DUKE UNIVERSITY · PI OKEKE, NWORA LANCE · 2018 to 2022
$895k
Pericardial fat, inflammation, and structural heart disease in HIVK23HL123341 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI LONGENECKER, CHRIS TODD · 2014 to 2018
$885k
HSRD VA I01 HX003136HSRD VA IK6 HX003161NHLBI NIH HHS K23 HL123341NHLBI NIH HHS K23 HL137611NHLBI NIH HHS U01 HL142099NIAID NIH HHS P30 AI064518
6 · The paper itself

Abstract

Persons living with human immunodeficiency virus (PLHIV) are at increased risk of atherosclerotic cardiovascular disease (ASCVD). In spite of this, uptake of evidence-based clinical interventions for ASCVD risk reduction in the HIV clinic setting is sub-optimal.

methodsEXTRA-CVD is a 12-month randomized clinical effectiveness trial that will assess the efficacy of a multi-component nurse-led intervention in reducing ASCVD risk among PLHIV. Three hundred high ASCVD risk PLHIV across three sites will be randomized 1:1 to usual care with generic prevention education or the study intervention. The study intervention will consist of four evidence-based components: (1) nurse-led care coordination, (2) nurse-managed medication protocols and adherence support (3) home BP monitoring, and (4) electronic health records support tools. The primary outcome will be change in systolic blood pressure and secondary outcome will be change in non-HDL cholesterol over the course of the intervention. Tertiary outcomes will include change in the proportion of participants in the following extended cascade categories: (1) appropriately diagnosed with hypertension and hyperlipidemia (2) appropriately managed; (3) at treatment goal (systolic blood pressure <130 mm Hg and non-HDL cholesterol < National Lipid Association targets).

conclusionsThe EXTRA-CVD trial will provide evidence appraising the potential impact of nurse-led interventions in reducing ASCVD risk among PLHIV, an essential extension of the HIV care continuum beyond HIV viral suppression.

Indexed as

HIV Long-Term SurvivorsAtherosclerosisBlood PressureBlood Pressure Monitoring, AmbulatoryCardiovascular DiseasesCholesterolElectronic Health RecordsHumansHyperlipidemiasHypertensionMedication AdherenceMulticenter Studies as TopicPractice Patterns, Nurses'Cholesterol

Identifiers

PMID31419622
PMCPMC6842690

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.