Evidence map›Paper›PMID 32306480›Full record

ArticleTropical medicine & international health : TM & IH2020

Cardiovascular disease among people living with HIV in Brazil.

David C Boettiger, Maria Mercedes Escuder, Matthew G Law, Valdiléa Veloso, Rosa A Souza, Maria L R Ikeda, Paulo R de Alencastro, Unai Tupinambás, Carlos Brites, Beatriz Grinsztejn and 6 more

Abstract read
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
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

16 authors.

David C BoettigerInstitute for Health Policy Studies, University of California, San Francisco, CA, USA.
Maria Mercedes EscuderSão Paulo State Department of Health, Institute of Health, São Paulo, Brazil.
Matthew G LawKirby Institute, University of New South Wales, Sydney, Australia.
Valdiléa VelosoNational Institute of Infectology - Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Rosa A SouzaSão Paulo State Department of Health, AIDS Reference and Training Center, São Paulo, Brazil.
Maria L R IkedaSchool of Health, University do Vale do Rio dos Sinos, Porto Alegre, Brazil.
Paulo R de AlencastroCare and Treatment Clinic of the Hospital Sanatório Partenon, Rio Grande do Sul State Department of Health, Porto Alegre, Brazil.
Unai TupinambásMedical School, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Carlos BritesEdgar Santos University Hospital Complex, Federal University of Bahia, Salvador, Brazil.
Beatriz GrinsztejnNational Institute of Infectology - Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Jackeline O GgomesSão Paulo State Department of Health, Institute of Health, São Paulo, Brazil.
Sayonara RibeiroNational Institute of Infectology - Evandro Chagas, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Catherine C McGowanDivision of Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, USA.
Karu JayathilakeDivision of Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, USA.
Jessica L CastilhoDivision of Infectious Diseases, Vanderbilt University Medical Center, Nashville, TN, USA.
Alexandre GrangeiroDepartment of Preventive Medicine, University of São Paulo School of Medicine, São Paulo, Brazil.

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
Tennessee CFAR: Implementation of Culturally Responsive Trauma-Informed Care with Youth with HIV in Memphis, TNP30AI110527 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Chandravanu Dash · 2015 to 2026
$27.5M
The dynamics of HIV, aging, and T lymphocyte exhaustionK23AI120875 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CASTILHO, JESSICA L · 2016 to 2020
$867k
NIAID NIH HHS K23 AI120875NIAID NIH HHS P30 AI110527NIAID NIH HHS U01 AI069923
6 · The paper itself

Abstract

objectivesThere is a paucity of data on cardiovascular disease (CVD) among people living with HIV (PLHIV) in resource-limited countries. We assessed factors associated with CVD and the impact of prevalent CVD on all-cause mortality in PLHIV on antiretroviral therapy in Brazil.

methodsCompeting risk regression to assess factors associated with CVD and all-cause mortality in the HIV-Brazil Cohort Study between 2003 and 2014.

resultsAmong 5614 patients, the rate of CVD was 3.5 (95% confidence interval [95% CI] 2.9-4.3) per 1000 person-years. CVD was associated with older age (adjusted hazard ratio [aHR] 6.4 for ≥55 years vs. <35 years, 95% CI: 2.5-16.3, P < 0.01), black race (aHR 1.8 vs. white race, 95% CI: 1.0-3.1, P = 0.04), past CVD (aHR 3.0 vs. no past CVD, 95% CI: 1.4-6.2, P < 0.01), hypertension (aHR 1.8 vs. no hypertension, 95% CI: 1.0-3.1, P = 0.04), high-grade dyslipidemia (aHR 9.3 vs. no high-grade dyslipidemia, 95% CI: 6.0-14.6, P < 0.01), ever smoking (aHR 2.4 vs. never, 95% CI: 1.2-5.0, P = 0.02) and low nadir CD4 cell count (aHR 1.8 for 100-250 cells/mm

conclusionsTraditional and HIV-specific factors associated with CVD among PLHIV in Brazil are similar to those identified among PLHIV in high-income countries. PLHIV in Brazil with a history of CVD have a high risk of death. CVD care and treatment remain priorities for PLHIV in Brazil as this population ages and antiretroviral therapy use expands.

Indexed as

AdultAge DistributionAnti-HIV AgentsBrazilCardiovascular DiseasesCause of DeathCohort StudiesFemaleHIV InfectionsHumansMaleMiddle AgedProportional Hazards ModelsRisk FactorsSex DistributionAnti-HIV Agentsantiretroviral therapyBrazilBrésilcardiovascular diseaseHIVmaladie cardiovasculairemortalitémortalitytraitement antirétroviralVIH

Identifiers

PMID32306480
PMCPMC7547667

What OpenQuestion holds

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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.