Evidence map›Paper›PMID 31664933›Full record

ArticleBMC infectious diseases2019

Incidence of tuberculosis in HIV-infected adults on first- and second-line antiretroviral therapy in India.

Akshay N Gupte, Dileep Kadam, Shashikala Sangle, Bharat B Rewari, Sonali Salvi, Amol Chavan, Smita Nimkar, Jonathan Golub, Nikhil Gupte, Amita Gupta and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

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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

12 authors at 3 institutions in 2 countries.

Akshay N GupteJohns Hopkins University School of Medicine, 600 N Wolfe Street, Phipps 521, Baltimore, MD, 21287, USA. agupte1@jhmi.edu.
Dileep KadamByramjee-Jeejeebhoy Medical College, Pune, India.
Shashikala SangleByramjee-Jeejeebhoy Medical College, Pune, India.
Bharat B RewariFormer National Programme Office, National AIDS Control Organization, New Delhi, India.
Sonali SalviByramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India.
Amol ChavanByramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India.
Smita NimkarByramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India.
Jonathan GolubJohns Hopkins University School of Medicine, 600 N Wolfe Street, Phipps 521, Baltimore, MD, 21287, USA.
Nikhil GupteJohns Hopkins University School of Medicine, 600 N Wolfe Street, Phipps 521, Baltimore, MD, 21287, USA.
Amita GuptaJohns Hopkins University School of Medicine, 600 N Wolfe Street, Phipps 521, Baltimore, MD, 21287, USA.
Ivan MarbaniangByramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India.
Vidya MaveJohns Hopkins University School of Medicine, 600 N Wolfe Street, Phipps 521, Baltimore, MD, 21287, USA.
B. J. Medical College & Sassoon Hospital · INJohns Hopkins University · USNational AIDS Control Organisation · IN

Funding

The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
Byramee Jeejeebhoy Medical College (BJMC), Pune, India: Clinical Trials UnitU01AI069497 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GUPTA, AMITA · 2007 to 2011
$4.1M
NIAID NIH HHS U01 AI069497NIAID NIH HHS U01 AI069907NIH HHS U01 AI069497NIH HHS U01 AI069907
6 · The paper itself

Abstract

backgroundProgrammatic data on the baseline risk of tuberculosis in people living with HIV (PLHIV) are needed to evaluate long-term effectiveness of the ongoing isoniazid preventive therapy (IPT) roll-out in India.

methodsWe estimated the incidence rate and risk factors of tuberculosis disease in adult PLHIV initiating first- and second-line anti-retroviral therapy (ART) prior to widespread IPT in a public ART center in Pune, India.

results4067 participants contributing 5205.7 person-years of follow-up on first-line ART and 871 participants contributing 1031.7 person-years of follow-up on second-line ART were included in the analysis. The incidence rate of tuberculosis was 4.39 cases (95%CI 3.86-5.00) per 100 person-years on first-line ART and 1.64 cases (95%CI 1.01-2.63) per 100 person-years on second-line ART (p < 0.001). After adjusting for competing risks, male sex (aSHR = 1.33, 95%CI 1.02-1.74, p = 0.03), urban residence (aSHR = 1.53, 95%CI 1.13-2.07, p = 0.006) and CD4+ counts < 350 cells/mm

conclusionRisk of tuberculosis was lower in PLHIV receiving second-line ART compared to first-line ART. Prioritizing IPT in PLHIV with low CD4+ counts, urban residence and in males may further mitigate the risk of tuberculosis during ART.

Indexed as

Antiretroviral Therapy, Highly ActiveAdolescentAdultAIDS-Related Opportunistic InfectionsAnti-Retroviral AgentsAntitubercular AgentsCD4 Lymphocyte CountFemaleFollow-Up StudiesHumansIncidenceIndiaIsoniazidLost to Follow-UpMaleMiddle AgedAnti-Retroviral AgentsAntitubercular AgentsIsoniazidCompeting risksHIVIndiaSecond-line ARTTuberculosis

Identifiers

PMID31664933
PMCPMC6820927
OpenAlexW2982575559

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.