Evidence map›Paper›PMID 32369040›Full record

Observational studyAntiviral therapy2020

Survival after long-term ART exposure: findings from an Asian patient population retained in care beyond 5 years on ART.

Rimke Bijker, Sasisopin Kiertiburanakul, Nagalingeswaran Kumarasamy, Sanjay Pujari, Ly P Sun, Oon T Ng, Man P Lee, Jun Y Choi, Kinh V Nguyen, Yu J Chan and 5 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Antiviral therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Observational
  7. Trends in HIV/AIDS-Related Mortality and the Impact of Antiretroviral Treatment Strategies in Lu'an City: A Comprehensive Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  8. HIV-1 Tat Upregulates TREM1 Expression in Human Microglia.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. 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

15 authors at 10 institutions in 11 countries.

Rimke BijkerThe Kirby Institute, UNSW Sydney, Kensington, NSW, Australia.
Sasisopin KiertiburanakulFaculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Nagalingeswaran KumarasamyChennai Antiviral Research and Treatment Clinical Research Site (CART CRS), VHS-Infectious Diseases Medical Centre, VHS, Chennai, India.
Sanjay PujariInstitute of Infectious Diseases, Pune, India.
Ly P SunNational Center for HIV/AIDS, Dermatology & STDs, and University of Health Sciences, Phnom Penh, Cambodia.
Oon T NgDepartment of Infectious Diseases, Tan Tock Seng Hospital, Singapore.
Man P LeeQueen Elizabeth Hospital, Kowloon, Hong Kong.
Jun Y ChoiDivision of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea.
Kinh V NguyenNational Hospital for Tropical Diseases, Hanoi, Vietnam.
Yu J ChanTaipei Veterans General Hospital, Taipei, Taiwan.
Tuti P MeratiFaculty of Medicine Udayana University & Sanglah Hospital, Bali, Indonesia.
Do D CuongBach Mai Hospital, Hanoi, Vietnam.
Jeremy RossTREAT Asia, amfAR - The Foundation for AIDS Research, Bangkok, Thailand.
Awachana JiamsakulThe Kirby Institute, UNSW Sydney, Kensington, NSW, Australia.
IeDEA Asia-Pacific
Mahidol University · THUdayana University · IDUniversity of Health Science · KHUNSW Sydney · AUYonsei University · KRBạch Mai Hospital · VNNational Institute on Drug Abuse · USTaipei Veterans General Hospital · TWTan Tock Seng Hospital · SGVoluntary Health Services Hospital · IN

Funding

The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
NIAID NIH HHS U01 AI069907
6 · The paper itself

Abstract

backgroundThis study investigated survival in people living with HIV being followed-up from 5 and 10 years after antiretroviral therapy (ART) initiation in a multi-country Asian cohort.

methodsWe included patients in follow-up >5 years after ART initiation. Factors associated with mortality beyond 5 and 10 years on ART were analysed using competing risk regression with time-updated variables.

resultsOf 13,495 patients retained after 5 years on ART, 279 subsequently died (0.56/100 person-years). Increased mortality was associated with age >50 years (sub-hazard ratio [sHR] 2.24, 95% CI 1.58, 3.15, compared with ≤40 years), HIV exposure through injecting drug use (sHR 2.17, 95% CI 1.32, 3.56), HIV viral load ≥1,000 copies/ml: sHR 1.52, 95% CI 1.05, 2.21, compared with <400), regimen (second-line regimen: sHR 2.11, 95% CI 1.52, 2.94, and third-line regimen: sHR 2.82, 95% CI 2.00, 3.98, compared with first-line regimen), HBV coinfection (sHR 2.23, 95% CI 1.49, 3.33), fasting plasma glucose ≥126 mg/dl (sHR 1.98, 95% CI 1.22, 3.21, compared with <100 mg/dl) and estimated glomerular filtration rate <60 ml/min/1.73 m

conclusionsNext to preventing ART failure, HIV programmes should carefully monitor and treat comorbidities, including hepatitis, kidney disease and diabetes, to optimize survival after long-term ART exposure.

Indexed as

AdultAge FactorsAnti-HIV AgentsFemaleHIV InfectionsHumansMaleMiddle AgedProspective StudiesRisk FactorsThailandTime FactorsViral LoadAnti-HIV Agents

Identifiers

PMID32369040
PMCPMC7641962
OpenAlexW3023339503

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.