Evidence map›Paper›PMID 33432552›Full record

ArticleJournal of neurovirology2021

Low levels of frailty in HIV-positive older adults on antiretroviral therapy in northern Tanzania.

Clare Bristow, Grace George, Grace Hillsmith, Emma Rainey, Sarah Urasa, Sengua Koipapi, Aloyce Kisoli, Japhet Boni, Grace Anderson Saria, Sherika Ranasinghe and 9 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neurovirology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 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

19 authors at 5 institutions in 2 countries.

Clare BristowFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK. clareelizabethbristow@gmail.com.ORCID 0000-0002-4728-0703
Grace GeorgeFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.
Grace HillsmithFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.
Emma RaineyFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.
Sarah UrasaKilimanjaro Christian Medical University College, Moshi, Kilimanjaro, Tanzania.
Sengua KoipapiKilimanjaro Christian Medical University College, Moshi, Kilimanjaro, Tanzania.
Aloyce KisoliKilimanjaro Christian Medical University College, Moshi, Kilimanjaro, Tanzania.
Japhet BoniMawenzi Regional Referral Hospital, Moshi, Kilimanjaro, Tanzania.
Grace Anderson SariaMawenzi Regional Referral Hospital, Moshi, Kilimanjaro, Tanzania.
Sherika RanasingheThe London School of Hygiene & Tropical Medicine, London, UK.
Marcella JosephKilimanjaro Christian Medical University College, Moshi, Kilimanjaro, Tanzania.
William K GrayNorthumbria Healthcare NHS Foundation Trust, North Tyneside General Hospital, North Shields, UK.
Marieke DekkerKilimanjaro Christian Medical University College, Moshi, Kilimanjaro, Tanzania.
Richard W WalkerFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.
Catherine L DotchinFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.
Elizabeta Mukaetova-LadinskaDepartment of Neuroscience, Psychology and Behaviour, University of Leicester, Leicester, UK.
William HowlettKilimanjaro Christian Medical University College, Moshi, Kilimanjaro, Tanzania.
Philip MakupaMawenzi Regional Referral Hospital, Moshi, Kilimanjaro, Tanzania.
Stella-Maria PaddickFaculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK.
Kilimanjaro Christian Medical Centre · TZNewcastle University · GBNorth Tyneside General Hospital · GBLondon School of Hygiene & Tropical Medicine · GBUniversity of Leicester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There are over 3 million people in sub-Saharan Africa (SSA) aged 50 and over living with HIV. HIV and combined antiretroviral therapy (cART) exposure may accelerate the ageing in this population, and thus increase the prevalence of premature frailty. There is a paucity of data on the prevalence of frailty in an older HIV + population in SSA and screening and diagnostic tools to identify frailty in SSA. Patients aged ≥ 50 were recruited from a free Government HIV clinic in Tanzania. Frailty assessments were completed, using 3 diagnostic and screening tools: the Fried frailty phenotype (FFP), Clinical Frailty Scale (CFS) and Brief Frailty Instrument for Tanzania (B-FIT 2). The 145 patients recruited had a mean CD4 + of 494.84 cells/µL, 99.3% were receiving cART and 72.6% were virally suppressed. The prevalence of frailty by FFP was 2.758%. FFP frailty was significantly associated with female gender (p = 0.006), marital status (p = 0.007) and age (p = 0.038). Weight loss was the most common FFP domain failure. The prevalence of frailty using the B-FIT 2 and the CFS was 0.68%. The B-FIT 2 correlated with BMI (r = - 0.467, p = 0.0001) and CD4 count in females (r = - 0.244, p = 0.02). There is an absence of frailty in this population, as compared to other clinical studies. This may be due to the high standard of HIV care at this Government clinic. Undernutrition may be an important contributor to frailty. It is unclear which tool is most accurate for detecting the prevalence of frailty in this setting as levels of correlation are low.

Indexed as

AgedAnti-HIV AgentsFemaleFrailtyHIV InfectionsHumansMaleMiddle AgedPrevalenceTanzaniaAnti-HIV AgentsFrailtyHIVIncidenceOlder adultsPrevalenceSub-Saharan Africa

Identifiers

PMID33432552
PMCPMC7921045
OpenAlexW3119487372

What OpenQuestion holds

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LicenceCC BY
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.