Evidence map›Paper›PMID 34506540›Full record

Trial reportPloS one2021

The impact of the 2014 Ebola epidemic on HIV disease burden and outcomes in Liberia West Africa.

Soka J Moses, Ian Wachekwa, Collin Van Ryn, Greg Grandits, Alice Pau, Moses Badio, Stephen B Kennedy, Michael C Sneller, Elizabeth S Higgs, H Clifford Lane and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

13 authors.

Soka J MosesPartnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL), Monrovia, Liberia.
Ian WachekwaJohn F Kennedy Medical Center, Monrovia, Liberia.
Collin Van RynDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States of America.
Greg GranditsDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States of America.
Alice PauNational Institutes of Health, Bethesda, Maryland, United States of America.
Moses BadioPartnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL), Monrovia, Liberia.
Stephen B KennedyPartnership for Research on Vaccines and Infectious Diseases in Liberia (PREVAIL), Monrovia, Liberia.
Michael C SnellerNational Institutes of Health, Bethesda, Maryland, United States of America.
Elizabeth S HiggsNational Institutes of Health, Bethesda, Maryland, United States of America.
H Clifford LaneNational Institutes of Health, Bethesda, Maryland, United States of America.ORCID 0000-0001-9509-1045
Mosoka FallahNational Public Health Institute of Liberia, Monrovia, Liberia.
Stephen A MiguelesNational Institutes of Health, Bethesda, Maryland, United States of America.
Cavan ReillyDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis, Minnesota, United States of America.ORCID 0000-0002-6695-9113

Funding

Training in Clinical and Epidemiological Research for Liberia (TRACER)U2RTW011281 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARTIN, JEFFREY N · 2019 to 2023
$1.2M
CCR NIH HHS HHSN261200800001CFIC NIH HHS U2R TW011281NCI NIH HHS HHSN261200800001E
6 · The paper itself

Abstract

backgroundDetailed longitudinal studies of HIV-positive individuals in West Africa are lacking. Here the HIV prevalence, incidence, all-cause mortality, and the proportion of individuals receiving treatment with cART in two cohorts of participants in Ebola-related studies are described.

settingIndividuals of all ages were enrolled and followed at four sites in the area of Monrovia, Liberia.

methodsTwo cohorts identified in response to the Ebola epidemic are described to provide insights into the current state of the HIV epidemic. HIV testing was performed at baseline for participants in both cohorts and during follow-up in one cohort.

resultsPrevalence and incidence of HIV (prevalence of 3.1% for women and 1.4% for men and incidence of 3.3 per 1,000) were higher in these cohorts compared to 2018 national estimates (prevalence of 1.3% and incidence of 0.39 per 1,000). Most participants testing positive did not know their status prior to testing. Of those who knew they were HIV positive, 7.9% reported being on antiretroviral treatment. The death rate among those with HIV was 12.3% compared to 1.9% in HIV-negative individuals (adjusted odds ratio of 6.87). While higher levels of d-dimer were associated with increased mortality, this was not specific to those with HIV, however lower hemoglobin levels were associated with increased mortality among those with HIV.

conclusionThese findings point to a need to perform further research studies aimed at fulfilling these knowledge gaps and address current shortcomings in the provision of care for those living with HIV in Liberia.

Indexed as

Cost of IllnessEpidemicsAdultFemaleFollow-Up StudiesHemorrhagic Fever, EbolaHIV InfectionsHumansIncidenceLiberiaMalePrevalenceProbabilityPrognosisYoung Adult

Identifiers

PMID34506540
PMCPMC8432817

What OpenQuestion holds

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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.