Evidence map›Paper›PMID 33743541›Full record

Observational studyHepatology (Baltimore, Md.)2021

A Prospective Study Evaluating Changes in Histology, Clinical and Virologic Outcomes in HBV-HIV Co-infected Adults in North America.

Richard K Sterling, Wendy C King, Mandana Khalili, Raymond T Chung, Mark Sulkowski, Mamta K Jain, Mauricio Lisker-Melman, Marc G Ghany, David K Wong, Amanda S Hinerman and 4 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Hepatology (Baltimore, Md.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

14 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Liver disease in people living with HIV infection: a changing landscape.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  4. Review
  5. Review
  6. Review
  7. Impact of Socio-Economic, Behavioural and Clinical Factors on Liver Disease Progression in Individuals With HIV and Hepatitis B.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Observational
  8. Article
  9. A Prospective Cohort Study of Novel Markers of Hepatitis B Virus Replication in Human Immunodeficiency Virus Coinfection.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Article
  10. Article
  11. Article
  12. Evolution of Fatty Liver Disease and Relationship With Lipoproteins and Clinical Outcomes in Hepatitis B/Human Immunodeficiency Virus Coinfection.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  13. Article
  14. 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

14 authors at 9 institutions in 2 countries.

Richard K SterlingVirginia Commonwealth University, Richmond, VA.ORCID 0000-0002-8637-2475
Wendy C KingUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA.
Mandana KhaliliUniversity of California San Francisco, San Francisco, CA.ORCID 0000-0001-9178-9139
Raymond T ChungMassachusetts General Hospital, Harvard Medical School, Boston, MA.
Mark SulkowskiJohns Hopkins University, Baltimore, MD.ORCID 0000-0002-2145-6352
Mamta K JainUniversity of Texas Southwestern, Dallas, TX.
Mauricio Lisker-MelmanWashington University School of Medicine, St. Louis, MO.
Marc G GhanyNational Cancer Institute, Bethesda, MD.ORCID 0000-0003-2837-0188
David K WongUniversity Health Network, Toronto, Canada.
Amanda S HinermanUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA.
Atul K BhanMassachusetts General Hospital, Harvard Medical School, Boston, MA.
Abdus S WahedUniversity of Pittsburgh Graduate School of Public Health, Pittsburgh, PA.
David E KleinerNational Cancer Institute, Bethesda, MD.
HBV-HIV Cohort Study of the Hepatitis B Research Network
University of Pittsburgh · USHarvard University · USNational Cancer Institute · USJohns Hopkins University · USThe University of Texas Southwestern Medical Center · USUniversity Health Network · CAUniversity of California, San Francisco · USVirginia Commonwealth University · USWashington University in St. Louis · US

Funding

Postmortem PathologyZICBC010685 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KLEINER, DAVID ERWIN · 2009 to 2025
$14.3M
Natural History, Therapy and Pathogenesis of Chronic Viral Hepatitis BZIADK054517 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI GHANY, MARC · 2009 to 2025
$9.6M
HBV HIV Coinfection Research NetworkR01DK094818 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI STERLING, RICHARD K. · 2013 to 2017
$3.5M
Mentoring Multidisciplinary Patient-Oriented Research in Viral HepatitisK24AA022523 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KHALILI, MANDANA · 2013 to 2023
$1.9M
NIAAA NIH HHS K24 AA022523NIDDK NIH HHS R01 DK094818
6 · The paper itself

Abstract

BACKGROUND AND

aimsHistological and clinical outcomes in HBV-HIV coinfection in the era of combination antiretroviral therapy (cART) are poorly defined. APPROACH AND

resultsAdult patients co-infected with HBV-HIV from eight North American sites were enrolled in this National Institutes of Health (NIH)-funded prospective observational study (n = 139). Demographic, clinical, serological, and virological data were collected at entry and every 24 weeks for ≤ 192 weeks. Paired liver biopsies were obtained at study entry and at ≥ 3 years of follow-up. Biopsies were assessed by a central pathology committee using the modified Ishak scoring system. Clinical outcome rate and changes in histology are reported. Among participants with follow-up data (n = 114), median age was 49 years, 91% were male, 51% were non-Hispanic Black, and 13% had at-risk alcohol use, with a median infection of 20 years. At entry, 95% were on anti-HBV cART. Median CD4 count was 562 cells/mm

conclusionsIn a North American cohort of adults with HBV-HIV on cART with virological suppression, clinical outcomes and worsening histological disease were uncommon.

Indexed as

AdolescentAdultAgedAlanine TransaminaseAntiviral AgentsCoinfectionDrug Therapy, CombinationFemaleGuanineHepatitis B, ChronicHepatitis B e AntigensHepatitis B Surface AntigensHIV InfectionsHumansLamivudineLiverAlanine TransaminaseAntiviral AgentsentecavirGuanineHepatitis B e AntigensHepatitis B Surface AntigensLamivudineReverse Transcriptase InhibitorsTenofovir

Identifiers

PMID33743541
PMCPMC8597319
OpenAlexW3137888679

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.