Evidence map›Paper›PMID 32462003›Full record

ArticleBioMed research international2020

Immunologic and Clinical Failure of Antiretroviral Therapy in People Living with Human Immunodeficiency Virus within Two Years of Treatment.

Solomon Weldegebreal Asgedom, Mahlet Maru, Beletu Berihun, Kidu Gidey, Yirga Legesse Niriayo, Tesfay Mehari Atey

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

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

6 authors at 1 institution in 1 country.

Solomon Weldegebreal AsgedomSchool of Pharmacy, College of Health Sciences, Mekelle University, Ethiopia.ORCID https://orcid.org/0000-0003-0804-3307
Mahlet MaruSchool of Pharmacy, College of Health Sciences, Mekelle University, Ethiopia.
Beletu BerihunSchool of Pharmacy, College of Health Sciences, Mekelle University, Ethiopia.
Kidu GideySchool of Pharmacy, College of Health Sciences, Mekelle University, Ethiopia.ORCID https://orcid.org/0000-0002-7363-1327
Yirga Legesse NiriayoSchool of Pharmacy, College of Health Sciences, Mekelle University, Ethiopia.
Tesfay Mehari AteySchool of Pharmacy, College of Health Sciences, Mekelle University, Ethiopia.ORCID https://orcid.org/0000-0002-6483-2258
Mekelle University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly initiation of highly active antiretroviral therapy (HAART) decreases human immunodeficiency virus- (HIV-) related complications, restores patients' immunity, decreases viral load, and substantially improves quality of life. However, antiretroviral treatment failure considerably impedes the merits of HAART.

objectiveThis study is aimed at determining the prevalence of immunologic and clinical antiretroviral treatment failure.

methodsA cross-sectional study design using clinical and immunologic treatment failure definition was used to conduct the study. Sociodemographic characteristics and clinical features of patients were retrieved from patients' medical registry between the years 2009 and 2015. All patients who fulfilled the inclusion criteria in the study period were studied. Predictors of treatment failure were identified using Kaplan-Meier curves and multivariable Cox regression analysis. Data analysis was done using SPSS version 21 software, and the level of statistical significance was declared at a

resultsA total of 770 were studied. The prevalence of treatment failure was 4.5%. The AZT-based regimen (AHR = 16.95, 95% CI: 3.02-95.1,

conclusionThe prevalence of treatment failure was lower with the risk being higher among patients on the AZT-based regimen. On the other hand, the risk of treatment failure was lower among patients who started HAART at baseline CD4 count ≥ 301 and patients who were bedridden during HAART initiation. We recommend further prospective, multicenter cohort studies to be conducted to precisely detect the prevalence of treatment failure using viral load determination in the whole country.

Indexed as

HIV InfectionsTreatment FailureAdolescentAdultAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveCD4 Lymphocyte CountCross-Sectional StudiesEthiopiaFemaleHumansMalePrevalenceViral LoadYoung AdultAnti-HIV Agents

Identifiers

PMID32462003
PMCPMC7222595
OpenAlexW3023275586

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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.