Evidence map›Paper›PMID 31883203›Full record

ArticleHIV medicine2020

How helpful are the European AIDS Clinical Society cognitive screening questions in predicting cognitive impairment in an aging, well-treated HIV-positive population?

M Metral, I Nadin, I Locatelli, P E Tarr, A Calmy, H Kovari, P Brugger, A Cusini, K Gutbrod, P Schmid and 8 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in HIV medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.3field-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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  4. Observational
  5. Article
  6. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 1 country.

M MetralService of Neurology, Department of Clinical Neurosciences, Lausanne, Switzerland.
I NadinService of Neurology, Department of Clinical Neurosciences, Lausanne, Switzerland.
I LocatelliDepartment of Ambulatory Care and Community Medicine, University of Lausanne, Lausanne, Switzerland.
P E TarrUniversity Department of Medicine, Kantonsspital Bruderholz, University of Basel, Bruderholz, Switzerland.
A CalmyHIV Unit, Infectious Diseases Division, Department of Medicine, University Hospital of Geneva, Geneva, Switzerland.
H KovariDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland.
P BruggerNeuropsychology Unit, Department of Neurology, University Hospital Zurich, Zurich, Switzerland.
A CusiniDepartment of Infectious Diseases and Hospital Epidemiology, Bern University Hospital and University of Bern, Bern, Switzerland.
K GutbrodDivision of Neurology, Bern University Hospital and University of Bern, Bern, Switzerland.
P SchmidInfectious Diseases and Hospital Epidemiology Division, Kantonsspital St Gallen, St Gallen, Switzerland.
M SchwindNeurology Clinic, St. Gallen, Switzerland.
U KunzeMemory Clinic, Felix Platter Hospital, University Center for Medicine of Aging, Basel, Switzerland.
C Di BenedettoInfectious Diseases Unit, Lugano Regional Hospital, Lugano, Switzerland.
R PignattiDepartment of Neurology, Neurocentre of Southern Switzerland, Lugano Regional Hospital, Lugano, Switzerland.
R Du PasquierService of Neurology, Department of Clinical Neurosciences, Lausanne, Switzerland.
Kea DarlingService of Infectious Diseases, Lausanne University Hospital, Lausanne, Switzerland.ORCID 0000-0003-1449-3873
M CavassiniService of Infectious Diseases, Lausanne University Hospital, Lausanne, Switzerland.
Neurocognitive Assessment in the Metabolic and Aging Cohort (NAMACO) study group, Swiss HIV Cohort Study
University of Lausanne · CHOspedale regionale di Lugano · CHUniversity Hospital of Geneva · CHUniversity Hospital of Zurich · CHUniversity of Bern · CHFelix Platter-Hospital · CHKantonsspital St. Gallen · CHUniversity of Basel · CHUniversity of St.Gallen · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDiagnosing neurocognitive impairment (NCI) in HIV infection requires time-consuming neuropsychological assessment. Screening tools are needed to identify when neuropsychological referral is indicated. We examined the positive and negative predictive values (PPVs and NPVs, respectively) of the three European AIDS Clinical Society (EACS) screening questions in identifying NCI.

methodsThe Neurocognitive Assessment in the Metabolic and Aging Cohort (NAMACO) study recruited patients aged ≥45 years enrolled in the Swiss HIV Cohort Study between 1 May 2013 and 30 November 2016. NAMACO participants (1) answered EACS screening questions, (2) underwent standardized neuropsychological assessment and (3) completed self-report forms [Center for Epidemiologic Studies Depression Scale (CES-D)] rating mood. NCI categories were defined using Frascati criteria. PPVs and NPVs of the EACS screening questions in identifying NCI categories were calculated.

resultsOf 974 NAMACO participants with complete EACS screening question data, 244 (25.1%) expressed cognitive complaints in answer to at least one EACS screening question, of whom 51.3% had NCI (26.1% HIV-associated and 25.2% related to confounding factors). The PPV and NPV of the EACS screening questions in identifying HIV-associated NCI were 0.35 and 0.7, respectively. Restricting analysis to NCI with functional impairment or related to confounding factors, notably depression, the NPV was 0.90. Expressing cognitive complaints for all three EACS screening questions was significantly associated with depression (P < 0.001).

conclusionsThe EACS screening questions had an NPV of 0.7 for excluding patients with HIV-associated NCI as defined by Frascati criteria. The PPV and NPV may improve if NCI diagnoses are based on new criteria.

Indexed as

Cognitive AgingCognitive DysfunctionEuropeFemaleHIV InfectionsHumansLongitudinal StudiesMaleMental Status and Dementia TestsMiddle AgedProspective StudiesSocieties, MedicalSurveys and QuestionnairesHIV and agingneurocognitive impairmentneuropsychological testingpredictive valuesscreening

Identifiers

PMID31883203
PMCPMC7216878
OpenAlexW2998651909

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.