Evidence map›Paper›PMID 32112093›Full record

ArticleThe Journal of infectious diseases2020

Calcaneal Quantitative Ultrasonography and Urinary Retinol-Binding Protein in Antiretroviral-Treated Patients With Human Immunodeficiency Virus in Uganda: A Pilot Study.

Cecilia Costa, Silvia Scabini, Arvind Kaimal, William Kasozi, Jessica Cusato, Bosco Kafufu, Marco Borderi, Erisa Mwaka, Giovanni Di Perri, Mohammed Lamorde and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. 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

12 authors at 5 institutions in 2 countries.

Cecilia CostaUnit of Infectious Diseases, Amedeo di Savoia Hospital, Department of Medical Sciences, University of Turin, Turin, Italy.
Silvia ScabiniUnit of Infectious Diseases, Amedeo di Savoia Hospital, Department of Medical Sciences, University of Turin, Turin, Italy.
Arvind KaimalInfectious Diseases Institute-Mulago Hospital, Research Department, Kampala, Uganda.
William KasoziInfectious Diseases Institute-Mulago Hospital, Research Department, Kampala, Uganda.
Jessica CusatoLaboratory of Clinical Pharmacology and Pharmacogenetics, Department of Medical Sciences, University of Turin-ASL "Città di Torino," Turin, Italy.
Bosco KafufuInfectious Diseases Institute-Mulago Hospital, Research Department, Kampala, Uganda.
Marco BorderiUnit of Infectious Diseases, Department of Medical and Surgical Sciences, S. Orsola Hospital, "Alma Mater Studiorum" University of Bologna, Bologna, Italy.
Erisa MwakaMakerere University College of Health Sciences, Kampala, Uganda.
Giovanni Di PerriUnit of Infectious Diseases, Amedeo di Savoia Hospital, Department of Medical Sciences, University of Turin, Turin, Italy.
Mohammed LamordeInfectious Diseases Institute-Mulago Hospital, Research Department, Kampala, Uganda.
Andrea CalcagnoUnit of Infectious Diseases, Amedeo di Savoia Hospital, Department of Medical Sciences, University of Turin, Turin, Italy.
Barbara CastelnuovoInfectious Diseases Institute-Mulago Hospital, Research Department, Kampala, Uganda.
Mulago Hospital · UGOspedale Amedeo di Savoia · ITMakerere University · UGUniversity of Bologna · ITUniversity of Turin · IT

Funding

Virology CoreP30AI027767 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Latesha Ellen Elopre · 1988 to 2026
$84.1M
NIAID NIH HHS P30 AI027767
6 · The paper itself

Abstract

backgroundData on bone health and renal impairment in people with human immunodeficiency virus (HIV) in resource-limited settings are limited. The primary aim of this study was to investigate the potential role of calcaneal quantitative ultrasonography (QUS) in predicting bone mineral density (BMD) reduction in a population of Ugandan HIV-infected  individuals receiving long-term antiretroviral therapy; the secondary end point was to assess the prevalence of proximal tubular dysfunction and the correlation between elevated urinary retinol-binding protein-urinary creatinine ratio (uRBP/uCr) and reduced BMD.

methodsWe conducted a cross-sectional study at the Infectious Diseases Institute, Kampala, Uganda. We included 101 HIV-infected adults who had been receiving continuous antiretroviral therapy for ≥10 years and had undergone dual-energy x-ray absorptiometry (DXA) during the previous 12 months. All patients underwent calcaneal QUS evaluation and urine sample collection.

resultsDXA BMD measurements were significantly associated (P < .01) with calcaneal speed of sound, broadband ultrasound attenuation, and QUS index. Forty-seven individuals (47%) had abnormal uRBP/uCr values. A significant inverse correlation was observed between uRBP/uCr and DXA T scores (lumbar [P = .03], femoral neck [P < .001], and total hip [P = .002]).

conclusionsCalcaneal QUS results showed a moderate correlation with DXA outputs. The identified high prevalence of subclinical tubular impairment also highlights the importance of expanding access to tenofovir disoproxil fumarate-sparing regimens in resource-limited settings.

Indexed as

Absorptiometry, PhotonAdultAnti-HIV AgentsBone DensityCalcaneusCreatinineCross-Sectional StudiesFemaleHIV InfectionsHumansKidney DiseasesKidney Tubules, ProximalMalePilot ProjectsRetinol-Binding ProteinsUgandaAnti-HIV AgentsCreatinineRetinol-Binding Proteinsbone metabolic diseasescalcaneal ultrasoundHIVresource-limited settingtubular impairment

Identifiers

PMID32112093
PMCPMC7323491
OpenAlexW3008002609

What OpenQuestion holds

Textmetadata
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.