Evidence map›Paper›PMID 32931685›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2020

Association of Lung Function With HIV-Related Quality of Life and Health Care Utilization in a High-Risk Cohort.

Sarath Raju, Meredith C McCormack, Michael Bradley Drummond, Hema C Ramamurthi, Christian A Merlo, Robert A Wise, Shruti H Mehta, Robert H Brown, Gregory D Kirk

Open access · greenAbstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Evaluation of Calibration Approaches for Indoor Deployments of PurpleAir Monitors.Atmospheric environment (Oxford, England : 1994) · 2023
    Article
  6. Article
  7. 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

9 authors at 2 institutions in 1 country.

Sarath RajuDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
Meredith C McCormackDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
Michael Bradley DrummondDepartment of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC; and.
Hema C RamamurthiDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Christian A MerloDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
Robert A WiseDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
Shruti H MehtaDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Robert H BrownDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD.
Gregory D KirkDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, MD.
Johns Hopkins University · USUniversity of North Carolina at Chapel Hill · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Anna Palmer Durbin · 2012 to 2026
$67.0M
Clinical Research Sites for the MACS/WIHS Combined Cohort Study (MACS/WIHS-CCS) - Baltimore/Wash DC Center - Admin Supplement: Vision and dual sensory loss in HIV-infected older adultsU01HL146201 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI TODD T BROWN, Joseph B. Margolick · 2019 to 2026
$33.7M
The AIDS Linked to the Intravenous Experience (ALIVE) StudyU01DA036297 · NIDA · JOHNS HOPKINS UNIVERSITY · PI Gregory D Kirk, Shruti H Mehta · 2014 to 2026
$28.9M
INCIDENCE OF HIV INFECTIONS IN A COHORT OF IV DRUG USERSR01DA012568 · NIDA · JOHNS HOPKINS UNIVERSITY · PI MEHTA, SHRUTI H · 1999 to 2017
$15.5M
The Study of HIV Infection in the Etiology of Lung Disease (SHIELD)R01HL090483 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2007 to 2011
$4.4M
Immune Mechanisms of HIV-associated COPDU01HL121814 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D, MCDYER, JOHN F · 2013 to 2017
$3.5M
Predictors, consequences and mechanisms of accelerated lung aging in HIVR01HL126549 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2014 to 2018
$3.2M
Johns Hopkins HIV and Heart, Lung, Blood & Sleep Disorders Training Program (H3TP)K12HL143957 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI BROWN, TODD T, KIRK, GREGORY D · 2018 to 2022
$1.8M
Patient-Oriented Research and Mentorship in HIV and Non-Communicable DiseasesK24AI118591 · NIAID · JOHNS HOPKINS UNIVERSITY · PI KIRK, GREGORY D · 2015 to 2019
$766k
The Impact of Household Heating Practices and Particulate Matter Exposure on COPD Morbidity in Rural CommunitiesF32ES029786 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI RAJU, SARATH · 2018 to 2019
$101k
NHLBI NIH HHS K12 HL143957NHLBI NIH HHS R01 HL090483NHLBI NIH HHS R01 HL126549NHLBI NIH HHS U01 HL121814NHLBI NIH HHS U01 HL146201NIAID NIH HHS K24 AI118591NIAID NIH HHS P30 AI094189NIDA NIH HHS R01 DA012568NIDA NIH HHS U01 DA036297NIEHS NIH HHS F32 ES029786
6 · The paper itself

Abstract

backgroundChronic respiratory disease represents an important comorbidity for persons living with HIV (PLWH). HIV itself is associated with greater impairment in lung function. We aimed to determine the association between declining lung function and both quality of life (QOL) and health care utilization for PLWH.

methodsUsing longitudinal data from the Study of HIV Infection in the Etiology of Lung Disease 2009-2017, we studied the association between changes in lung function and both QOL and acute care events (emergency department visit or hospitalization). The Medical Outcomes Studies-HIV Questionnaire provided QOL domains. Multivariable regression models were performed with generalized estimating equations accounting for 1499 participants, 485 with HIV, contributing 10,825 spirometry visits.

resultsAmong PLWH, decreased FEV1 was associated with worse physical health for those with higher viral load [β: -1.66, 95% confidence interval (CI): -3.11 to -0.39] compared to those with viral suppression (β: -0.58, 95% CI: -1.06 to -0.162), even in those without airflow obstruction. Lower FEV1 was also associated with increased odds of both emergency department (odds ratio: 1.21, 95% CI: 1.09 to 1.34) and inpatient (odds ratio: 1.26, 95% CI: 1.12 to 1.42) hospitalizations for PLWH. Lung function was not associated with increased odds of acute care events for HIV-uninfected participants.

conclusionsFEV1 declines represent an independent predictor of QOL and acute care events among PLWH. Although the generalizability of these results may be limited, because of the high-risk population included, findings suggest that care for PLWH should involve monitoring FEV1 over time, especially in those with poor virologic control, with emphasis on the development and implementation of interventions to mitigate lung function decline.

Indexed as

Patient Acceptance of Health CareQuality of LifeCohort StudiesDiagnostic Tests, RoutineFemaleHIV InfectionsHospitalizationHumansLungLung DiseasesMaleMiddle AgedRisk FactorsSpirometryViral Load

Identifiers

PMID32931685
PMCPMC7494951
OpenAlexW3039098853

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.