Evidence map›Paper›PMID 33720508›Full record

Observational studyHIV medicine2021

Outcomes associated with treatment change from tenofovir disoproxil fumarate to tenofovir alafenamide in HIV-1-infected patients: a real-world study in Japan.

Naoki Kanda, Koh Okamoto, Hisatoshi Okumura, Makiko Mieno, Kentaro Sakashita, Teppei Sasahara, Shuji Hatakeyama

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in HIV medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Cardiometabolic health in people with HIV: expert consensus review.The Journal of antimicrobial chemotherapy · 2024
    Review
  5. Article
  6. Article
  7. Article
  8. 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

7 authors at 3 institutions in 1 country.

Naoki KandaDivision of General Internal Medicine, Jichi Medical University Hospital, Tochigi, Japan.
Koh OkamotoDepartment of Internal Medicine, Tokyo Metropolitan Health and Medical Treatment Corporation Okubo Hospital, Tokyo, Japan.
Hisatoshi OkumuraDivision of General Internal Medicine, Jichi Medical University Hospital, Tochigi, Japan.
Makiko MienoDepartment of Medical Informatics, Center for Information, Jichi Medical University, Tochigi, Japan.
Kentaro SakashitaDepartment of Respiratory Medicine, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.ORCID 0000-0002-3948-5557
Teppei SasaharaDivision of Infectious Diseases, Jichi Medical University Hospital, Tochigi, Japan.
Shuji HatakeyamaDivision of General Internal Medicine, Jichi Medical University Hospital, Tochigi, Japan.ORCID 0000-0003-2684-1695
Jichi Medical University · JPTokyo Metropolitan Tama Medical Center · JPUniversity of Tokyo Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the impact of switching from tenofovir disoproxil fumarate (TDF)- to tenofovir alafenamide (TAF)-containing regimens on bone, kidney, serum lipids and body weight among Asian patients.

methodsA prospective, multicentre, observational cohort study was conducted at three centres for HIV infection in Japan during 2017-2019. HIV-infected adults previously treated with TDF-containing regimens and scheduled to switch to TAF-containing regimens were included. Bone mineral density (BMD), renal markers, lipids and weight were measured consecutively from 12 months before to 12 months after the switch.

resultsAmong 118 patients evaluated, the mean percentage change to spine BMD during 1 year of TAF treatment was higher than that during 1 year of TDF treatment (mean difference = 1.9%; 95% confidence interval (CI): 0.8-3.1). Urine protein and β

conclusionsAmong predominantly Japanese HIV-infected patients, BMD and renal tubular markers improved, while lipid profiles worsened significantly after the switch. Weight gain during the TAF period was larger than that during the TDF period. Concurrent use of INSTI with TAF may act synergistically to gain body weight.

Indexed as

Anti-HIV AgentsHIV-1HIV InfectionsAdultAlanineFumaratesHumansJapanProspective StudiesTenofovirAlanineAnti-HIV AgentsFumaratesTenofovirtenofovir alafenamidebone mineral densityHIVintegrase inhibitorsrenal tubular dysfunctionserum lipid profiletenofovirweight gain

Identifiers

PMID33720508
PMCPMC8251761
OpenAlexW3136283705

What OpenQuestion holds

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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.