Evidence map›Paper›PMID 31499070›Full record

SynthesisLife sciences2019

The effect of HIV infection, antiretroviral therapy on carotid intima-media thickness: A systematic review and meta-analysis.

Titus F Msoka, Gary P Van Guilder, Marceline van Furth, Yvo Smulders, Sebastian J Meek, John A Bartlett, Joao Ricardo N Vissoci, Michiel A van Agtmael

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Life sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Progression of subclinical cardiovascular disease in patients with HIV.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    Article
  6. Article
  7. Review
  8. Article
  9. Cardiovascular disease risk in women living with HIV.Current opinion in HIV and AIDS · 2022
    Review
  10. Review
  11. Review
  12. Article
  13. Prevention of stroke in people living with HIV.Progress in cardiovascular diseases
    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

8 authors at 5 institutions in 3 countries.

Titus F MsokaKilimanjaro Christian Medical Centre, Department of Internal Medicine, Moshi, Tanzania. Electronic address: ftitus2001@yahoo.co.uk.
Gary P Van GuilderDepartment of Health and Nutritional Sciences, South Dakota State University, USA.
Marceline van FurthVUmc Hospital Amsterdam, Department Child-Infectiology, Netherlands.
Yvo SmuldersVUmc Hospital Amsterdam, Department Infectiology, Netherlands.
Sebastian J MeekFree University Amsterdam, Netherlands.
John A BartlettDuke University Medical Center, USA.
Joao Ricardo N VissociDuke University Medical Center, USA.
Michiel A van AgtmaelVUmc Hospital Amsterdam, Department Infectiology, Netherlands.
Amsterdam UMC Location VUmc · NLDuke Medical Center · USKilimanjaro Christian Medical Centre · TZSouth Dakota State University · USUniversity of Amsterdam · NL

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Viral and Host Determinants of HIV-1 TransmissionU01AI067854 · NIAID · DUKE UNIVERSITY · PI HAYNES, BARTON F · 2005 to 2005
$14.9M
Sociobehavioral Sciences Research to Improve Care for HIV Infection in TanzaniaD43TW009595 · FIC · KILIMANJARO CHRISTIAN MEDICAL CENTRE · PI Blandina Theophil Mmbaga · 2013 to 2026
$4.2M
AIDS International Training and Research ProgramD43TW006732 · FIC · DUKE UNIVERSITY · PI BARTLETT, JOHN A · 2004 to 2012
$2.7M
Developing Research Capacity in Africa for Studies on HIV-Associated MalignanciesD43CA153722 · NCI · DUKE UNIVERSITY · PI BARTLETT, JOHN A · 2010 to 2013
$1.6M
FIC NIH HHS D43 TW006732FIC NIH HHS D43 TW009595NCI NIH HHS D43 CA153722NIAID NIH HHS P30 AI064518NIAID NIH HHS U01 AI067854
6 · The paper itself

Abstract

aimsWe performed a systematic review and meta-analysis on the effect of HIV infection and antiretroviral therapy (ART) on carotid intima-media thickness (cIMT) to elucidate the role of HIV infection and ART. Also, an analysis on the role of ethnicity and gender on cIMT in HIV-infected populations was performed. MAIN

methodsWe searched the PubMed, Web of Science, the WHO websites and International AIDS Society for published observational studies were conducted by two independent reviewers for studies comparing HIV-infected antiretroviral-experienced patients and/or inexperienced with healthy controls on cIMT. The primary outcome was the standardized mean difference (SMD) of cIMT.

findingsTwenty studies (five cohort, 15 cross-sectional, and two both cohort and cross-sectional studies) were identified comprising 7948 subjects (4656 HIV-infected; 3292 controls). In cohort studies, the standardized mean 1-year change in cIMT between HIV-infected patients and uninfected controls was not significantly different (0.16 mm/yr; 95% CI, -0.16, 0.49; p = 0.326). In 17 cross-sectional studies, the SMD in cIMT was significantly higher in HIV-infected than uninfected persons (0.27 mm; 95% CI, 0.04, 0.49; p = 0.027). HIV-infected patients on ART exhibited significantly higher SMD in cIMT compared to those not on ART (0.75 mm; 95% CI, 0.30, 1.19; p = 0.001). No confounding effect of gender and ethnicity could be established using meta-regression p > 0.05. SIGNIFICANCE: HIV infection itself and ART appear to influence the progression of cIMT and hence may be risk factors for cardiovascular events. No firm conclusions could be drawn on the effect of ethnic/race and gender differences on cIMT in HIV-infected populations.

Indexed as

Carotid Intima-Media ThicknessAnti-Retroviral AgentsEthnicityHIV InfectionsHumansSex CharacteristicsAnti-Retroviral AgentsAntiretroviral therapy (ART)Carotid intima-media thickness (cIMT)EthnicityGenderHuman-immunodeficiency virus (HIV)

Identifiers

PMID31499070
PMCPMC10496646
OpenAlexW2971393548

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.