Evidence map›Paper›PMID 31734688›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Mapping the Current and Future Noncommunicable Disease Burden in Kenya by Human Immunodeficiency Virus Status: A Modeling Study.

Mikaela Smit, Pablo N Perez-Guzman, Kennedy K Mutai, Rachel Cassidy, Joseph Kibachio, Nduku Kilonzo, Timothy B Hallett

Open access · hybridAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Noncommunicable Diseases: Yet Another Challenge for Human Immunodeficiency Virus Treatment and Care in Sub-Saharan Africa.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  10. Sex Differences in the Treatment of HIV.Current HIV/AIDS reports · 2020
    Review
  11. Article
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Mikaela SmitMedical Research Council Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.
Pablo N Perez-GuzmanMedical Research Council Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.
Kennedy K MutaiNational AIDS Control Council, Nairobi, Kenya.
Rachel CassidyDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Joseph KibachioDivision of Noncommunicable Diseases, Ministry of Health, Nairobi, Kenya.
Nduku KilonzoNational AIDS Control Council, Nairobi, Kenya.
Timothy B HallettMedical Research Council Centre for Global Infectious Disease Analysis, Department of Infectious Disease Epidemiology, Imperial College London, London, United Kingdom.
Imperial College London · GBNational Aids Control Council · KELondon School of Hygiene & Tropical Medicine · GBMedical Research Council · GBMinistry of Health · KE

Funding

Quantify and prepare for the double infectious and non-communicable disease burden in Zimbabwe.R21AG053093 · NIA · IMPERIAL COLLEGE OF SCIENCE, TECHNOLOGY AND MEDICINE · PI HALLETT, TIMOTHY · 2016 to 2017
$288k
Medical Research Council MR/R015600/1NIA NIH HHS R21 AG053093PEPFAR
6 · The paper itself

Abstract

backgroundThe noncommunicable disease (NCD) burden in Kenya is not well characterized, despite estimates needed to identify future health priorities. We aimed to quantify current and future NCD burden in Kenya by human immunodeficiency virus (HIV) status.

methodsOriginal systematic reviews and meta-analyses of prevalence/incidence of cardiovascular disease (CVD), chronic kidney disease, depression, diabetes, high total cholesterol, hypertension, human papillomavirus infection, and related precancerous stages in Kenya were carried out. An individual-based model was developed, simulating births, deaths, HIV disease and treatment, aforementioned NCDs, and cancers. The model was parameterized using systematic reviews and epidemiological national and regional surveillance data. NCD burden was quantified for 2018-2035 by HIV status among adults.

resultsSystematic reviews identified prevalence/incidence data for each NCD except ischemic heart disease. The model estimates that 51% of Kenyan adults currently suffer from ≥1 NCD, with a higher burden in people living with HIV (PLWH) compared to persons not living with HIV (62% vs 51%), driven by their higher age profile and partly by HIV-related risk for NCDs. Hypertension and high total cholesterol are the main NCD drivers (adult prevalence of 20.5% [5.3 million] and 9.0% [2.3 million]), with CVD and cancers the main causes of death. The burden is projected to increase by 2035 (56% in persons not living with HIV; 71% in PLWH), with population growth doubling the number of people needing services (15.4 million to 28.1 million) by 2035.

conclusionsNCD services will need to be expanded in Kenya. Guidelines in Kenya already support provision of these among both the general and populations living with HIV; however, coverage remains low.

Indexed as

Cardiovascular DiseasesHIV InfectionsNoncommunicable DiseasesAdultHIVHumansKenyaagingHIVKenyamodelnoncommunicable diseases

Identifiers

PMID31734688
PMCPMC8240998
OpenAlexW2989123244

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.