Evidence map›Paper›PMID 32448388›Full record

ArticleInfectious diseases of poverty2020

Pretreatment HIV drug resistance in adults initiating antiretroviral therapy in China, 2017.

Rui-Hua Kang, Shu-Jia Liang, Yan-Ling Ma, Shu Liang, Lin Xiao, Xin-Hui Zhang, Hong-Yan Lu, Xiao-Qin Xu, Shui-Bin Luo, Xiao-Guang Sun and 7 more

Open access · goldAbstract read
In one paragraph

Article in Infectious diseases of poverty, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 16% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 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

17 authors at 13 institutions in 1 country.

Rui-Hua KangState Key Laboratory of Infectious Disease Prevention and Control (SKLID), National Center for AIDS/STD Control and Prevention (NCAIDS), Chinese Center for Disease Control and Prevention (China CDC), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, Beijing, PR China.
Shu-Jia LiangGuangxi Center for Disease Control and Prevention, Nanning, Guangxi, China.
Yan-Ling MaYunnan Center for Disease Control and Prevention, Kunming, Yunnan, China.
Shu LiangSichuan Center for Disease Control and Prevention, Chengdu, Sichuan, China.
Lin XiaoLiangshan Center for Disease Control and Prevention, Liangshan prefecture, Sichuan, China.
Xin-Hui ZhangGuizhou Center for Disease Control and Prevention, Guiyang, Guizhou, China.
Hong-Yan LuBeijing Center for Disease Control and Prevention, Beijing, China.
Xiao-Qin XuJiangsu Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
Shui-Bin LuoNeijiang Center for Disease Control and Prevention, Neijiang, Sichuan, China.
Xiao-Guang SunShandong Center for Disease Control and Prevention, Jinan, Shandong, China.
Lin ChenShenzhen Center for Disease Control and Prevention, Shenzhen, Guangdong, China.
Jian-Mei HeHunan Center for Disease Control and Prevention, Changsha, Hunan, China.
Guo-Hui WuChongqing Center for Disease Control and Prevention, Chongqing, China.
Ling-Jie LiaoState Key Laboratory of Infectious Disease Prevention and Control (SKLID), National Center for AIDS/STD Control and Prevention (NCAIDS), Chinese Center for Disease Control and Prevention (China CDC), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, Beijing, PR China.
Hui XingState Key Laboratory of Infectious Disease Prevention and Control (SKLID), National Center for AIDS/STD Control and Prevention (NCAIDS), Chinese Center for Disease Control and Prevention (China CDC), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, Beijing, PR China.
Yi-Ming ShaoState Key Laboratory of Infectious Disease Prevention and Control (SKLID), National Center for AIDS/STD Control and Prevention (NCAIDS), Chinese Center for Disease Control and Prevention (China CDC), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, Beijing, PR China. yshao@bjmu.edu.cn.
Yu-Hua RuanState Key Laboratory of Infectious Disease Prevention and Control (SKLID), National Center for AIDS/STD Control and Prevention (NCAIDS), Chinese Center for Disease Control and Prevention (China CDC), Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, 155 Changbai Road, Changping District, Beijing, PR China. ruanyuhua92@163.com.
Chinese Center For Disease Control and Prevention · CNNational Center for AIDS/STD Control and Prevention,China CDC · CNSichuan Center for Disease Control and Prevention · CNBeijing Center for Disease Prevention and Control · CNGuangxi Center for Disease Prevention and Control · CNGuizhou Center for Disease Control and Prevention · CNHunan Provincial Center for Disease Control and Prevention · CNJiangsu Provincial Center for Disease Control and Prevention · CNNeijiang Normal University · CNShandong Center for Disease Control and Prevention · CNShanghai Liangyou (China) · CNShenzhen Center for Disease Control and Prevention · CNYunnan Center for Disease Control And Prevention · CN

Funding

Guangxi Science and Technology Bureau AB16380213Ministry of Science and Technology of China 2017ZX10201101National Natural Science Foundation of China 11471336
6 · The paper itself

Abstract

backgroundAfter the scale-up of antiretroviral therapy (ART) for HIV infected people, increasing numbers of patients have pretreatment drug resistance (PDR). In this study, the prevalence of PDR was evaluated in adults initiating antiretroviral therapy in China.

methodsBlood samples were obtained from 1943 patients who initiated antiretroviral therapy (ART) in 2017 from 13 provinces or cities in China. Pol sequences were used to analyze drug resistance and construct transmission networks. Logistic regression model was used to estimate the potential factors associated with PDR.

resultsIn total, 1711 eligible patients (76.0% male; 87.8% aged ≥ 25 years) were included, of which 117 (6.8%) had PDR. The highest rates of PDR were 12.2% in Liangshan Prefecture of Sichuan and 9.3 and 8.9% in Dehong and Lincang Prefecture of Yunnan. A multivariate logistic regression analysis revealed that PDR was significantly higher among intravenous drug users (adjusted Odds Ratio (aOR) = 2.64, 95% CI: 1.57-4.44) and individuals from Liangshan, Dehong, and Lincang (aOR = 2.04, 95% CI: 1.26-3.30). In total, 754 sequences were used to generate 164 transmission networks. Five transmission networks had two or three sequences containing the same mutations, two networks contained subjects from Liangshan, and one network contained subjects from Dehong.

conclusionsOverall, the PDR prevalence was moderate, with a particularly high prevalence in areas with severe HIV epidemics. These results indicate the importance of continuous PDR monitoring in patients initiating antiretroviral therapy.

Indexed as

Drug Resistance, ViralAdultAgedAged, 80 and overAnti-HIV AgentsChinaCross-Sectional StudiesFemaleHIV InfectionsHumansMaleMiddle AgedPrevalenceYoung AdultAnti-HIV AgentsAntiretroviral therapyHIVPretreatment drug resistanceTransmission network

Identifiers

PMID32448388
PMCPMC7247188
OpenAlexW3027276545

What OpenQuestion holds

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LicenceCC BY
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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.