Evidence map›Paper›PMID 31855320›Full record

ArticleJournal of the International AIDS Society2019

Temporal changes in ART initiation in adults with high CD4 counts in Latin America: a cohort study.

Brenda E Crabtree-Ramírez, Yanink Caro-Vega, Pablo F Belaunzarán-Zamudio, Bryan E Shepherd, Peter F Rebeiro, Valdilea Veloso, Claudia P Cortes, Denis Padgett, Eduardo Gotuzzo, Juan Sierra-Madero and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 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
0.4field-weighted citation impact, top 35% 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, 9 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

13 authors at 5 institutions in 5 countries.

Brenda E Crabtree-RamírezDepartamento de Infectología, Instituto Nacional de Ciencias Médicas y Nutrición, México City, Mexico.ORCID 0000-0002-2587-1123
Yanink Caro-VegaDepartamento de Infectología, Instituto Nacional de Ciencias Médicas y Nutrición, México City, Mexico.ORCID 0000-0001-9212-1560
Pablo F Belaunzarán-ZamudioDepartamento de Infectología, Instituto Nacional de Ciencias Médicas y Nutrición, México City, Mexico.ORCID 0000-0003-4775-4734
Bryan E ShepherdVanderbilt University School of Medicine, Nashville, TN, USA.
Peter F RebeiroVanderbilt University School of Medicine, Nashville, TN, USA.ORCID 0000-0003-1951-9104
Valdilea VelosoInstituto de Pesquisa Clínica Evandro Chagas, Fundacão Oswaldo Cruz, Rio de Janeiro, Brazil.
Claudia P CortesFacultad de Medicina de la Universidad de Chile and Fundación Arriarán, Santiago de Chile, Chile.
Denis PadgettInstituto Hondureño de Seguro Social and Hospital Escuela Universitario, Tegucigalpa, Honduras.
Eduardo GotuzzoInstituto de Medicina Tropical Alexander von Humboldt, Lima, Peru.
Juan Sierra-MaderoDepartamento de Infectología, Instituto Nacional de Ciencias Médicas y Nutrición, México City, Mexico.
Catherine C McGowanVanderbilt University School of Medicine, Nashville, TN, USA.
Anna K PersonVanderbilt University School of Medicine, Nashville, TN, USA.ORCID 0000-0001-5663-3243
Caribbean, Central, South America Network for HIV Epidemiology (CCASAnet)
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXVanderbilt University · USFundação Oswaldo Cruz · BRFundación Chile · CLUniversidad Metropolitana de Honduras · HN

Funding

CCASAnet: Caribbean, Central and South America NetworkU01AI069923 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Pedro Enrique Cahn, Jessica L Castilho · 2006 to 2026
$41.6M
The HIV Care Continuum and Health Policy: Changes through Context and GeographyK01AI131895 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI REBEIRO, PETER F · 2017 to 2021
$623k
NIAID NIH HHS K01 AI131895NIAID NIH HHS U01 AI069923
6 · The paper itself

Abstract

introductionIn 2013, the World Health Organization (WHO) recommended initiating combination ART (cART) in all adults with HIV and CD4+ lymphocyte counts (CD4) <500 cells/mm

methodsAll cART-naive individuals ≥18 years of age from 2003 to 2017 with CD4 ≥350 cells/mm

resultsOf the 3171 patients included, 1,650 (52%) had CD4 ≥500 cells/mm

conclusionsTime to cART initiation decreased substantially, roughly following changes in WHO guidelines in this real-world setting in Latin America. However, a very high proportion of patients never started cART, compromising retention in care and survival, as shown by their higher proportion of LTFU and death, which reinforce the notion that earlier treatment implementation strategies are needed.

Indexed as

CD4 Lymphocyte CountAdolescentAdultCohort StudiesFemaleHIV InfectionsHumansLatin AmericaMaleMiddle AgedProportional Hazards ModelsTime FactorsAdherenceARVcohort studiesHIV care continuumLatin America and the Carribeanlinkage to care

Identifiers

PMID31855320
PMCPMC6922020
OpenAlexW2996030055

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.