Evidence map›Paper›PMID 31833963›Full record

ReviewCurrent opinion in HIV and AIDS2020

Polypharmacy in HIV: recent insights and future directions.

E Jennifer Edelman, Christopher T Rentsch, Amy C Justice

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in HIV and AIDS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  14. Review
  15. The Effects of Prescribed Medications on Depressive Symptoms and Neurocognitive Performance in People With HIV.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  16. Article
  17. Observational
  18. Article
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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

3 authors at 2 institutions in 2 countries.

E Jennifer EdelmanYale Schools of Medicine and Public Health, New Haven.
Christopher T RentschVA Connecticut Healthcare System, West Haven, Connecticut, USA.
Amy C JusticeYale Schools of Medicine and Public Health, New Haven.
United States Department of Justice · USVA Connecticut Healthcare System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
Alcohol and Multisubstance Use in the Veterans Aging Cohort StudyU01AA020790 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$7.7M
Sex Disparities in Overall Response to ART Among HIV Infected IndividualsU24AA020794 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$5.5M
A SMART Approach to Treating Tobacco Use Disorder in Persons Living with HIVR01CA243910 · NCI · YALE UNIVERSITY · PI BERNSTEIN, STEVEN L, EDELMAN, E. JENNIFER · 2019 to 2024
$3.4M
3/3 COMpAAAS Tripartite: ART-CC, KP, and VAU01AA026224 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2017 to 2021
$2.9M
(PQ4)HIV and Aging Mechanisms for Hepatocellular CancerR01CA206465 · NCI · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE, LO RE, VINCENT · 2016 to 2020
$2.5M
Non-Medical Use of Prescription Opioids Among HIV-Infected Individuals: Trajectories and Impact on Health OutcomesR01DA040471 · NIDA · YALE UNIVERSITY · PI EDELMAN, E. JENNIFER · 2016 to 2018
$716k
NCATS NIH HHS UL1 TR001863NCI NIH HHS R01 CA206465NCI NIH HHS R01 CA243910NIAAA NIH HHS U01 AA020790NIAAA NIH HHS U01 AA026224NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U24 AA020794NIDA NIH HHS R01 DA040471
6 · The paper itself

Abstract

purpose of reviewUpdate findings regarding polypharmacy among people with HIV (PWH) and consider what research is most needed. RECENT

findingsAmong PWH, polypharmacy is common, occurs in middle age, and is predominantly driven by nonantiretroviral (ARV) medications. Many studies have demonstrated strong associations between polypharmacy and receipt of potentially inappropriate medications (PIMS), but few have considered actual adverse events. Falls, delirium, pneumonia, hospitalization, and mortality are associated with polypharmacy among PWH and risks remain after adjustment for severity of illness. SUMMARY: Polypharmacy is a growing problem and mechanisms of injury likely include potentially inappropriate medications, total drug burden, known pairwise drug interactions, higher level drug interactions, drug--gene interactions, and drug--substance use interactions (alcohol, extra-medical prescription medication, and drug use). Before we can effectively design interventions, we need to use observational data to gain a better understanding of the modifiable mechanisms of injury. As sicker individuals take more medications, analyses must account for severity of illness. As self-report of substance use may be inaccurate, direct biomarkers, such as phosphatidylethanol (PEth) for alcohol are needed. Large samples including electronic health records, genetics, accurate measures of substance use, and state of the art statistical and artificial intelligence techniques are needed to advance our understanding and inform clinical management of polypharmacy in PWH.

Indexed as

HIV InfectionsPolypharmacyAnalgesics, OpioidAnti-Retroviral AgentsDrug InteractionsDrug OverdoseHIVHumansPotentially Inappropriate Medication ListPractice Patterns, Physicians'Risk FactorsSeverity of Illness IndexSubstance-Related DisordersViral LoadAnalgesics, OpioidAnti-Retroviral Agents

Identifiers

PMID31833963
PMCPMC7543953
OpenAlexW2995930265

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.