Evidence map›Paper›PMID 35171391›Full record

ArticleObesity surgery2022

Antiretroviral Therapy Efficacy Post-Bariatric Weight Loss Surgery: A Case Series of Persons Living with Human Immunodeficiency Virus.

Emily A Kaip, Nicole Y Nguyen, Jennifer M Cocohoba

Open access · hybridAbstract read
In one paragraph

Article in Obesity surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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  5. Article
  6. Diabetes in HIV: the Link to Weight Gain.Current HIV/AIDS reports · 2023
    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

3 authors at 2 institutions in 1 country.

Emily A KaipDepartment of Pharmaceutical Services, University of California, San Francisco Medical Center, 505 Parnassus Avenue, San Francisco, CA, 94143, USA. emily.kaip@ucsf.edu.
Nicole Y NguyenDepartment of Pharmaceutical Services, University of California, San Francisco Medical Center, 505 Parnassus Avenue, San Francisco, CA, 94143, USA.
Jennifer M CocohobaDepartment of Clinical Pharmacy, University of California, San Francisco School of Pharmacy, 521 Parnassus Ave, CA, 94117, San Francisco, Box 0622, USA.
University of California San Francisco Medical Center · USUniversity of California, San Francisco · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHuman immunodeficiency virus (HIV)-related mortality has decreased secondary to advances in antiretroviral therapy (ART), and the incidence of obesity in this population is increasing. Bariatric surgery is an effective method of weight loss, though changes in the gastrointestinal tract may affect ART absorption and virologic suppression. Existing data are limited to case reports studying outdated therapeutic regimens; studies evaluating modern ART regimens are needed. The objective of this study was to determine if undergoing bariatric surgery impacts HIV virologic failure rate at 12 months post-surgery and to characterize the failure population. MATERIALS AND

methodsThis retrospective case series included adults with virologically suppressed HIV on ART who underwent roux-en-y gastric bypass (RYGB) or sleeve gastrectomy (SG) surgery between 2000 and 2019 (n=20) at one of three medical centers within one academic medical system. The primary outcome was proportion of patients with ART failure at 12 months post-surgery. Select additional data collected included CD4+ count, metabolic parameters, postoperative complications, and medication non-adherence.

resultsA total of 18 patients were included in this analysis. Seventeen of 18 patients (94%) maintained virologic suppression within 12 months post-surgery. There were no significant changes in CD4+ counts before and after surgery. The one failure was an African American woman who underwent sleeve gastrectomy surgery. This patient's baseline viral load was undetectable and CD4+ count was 263 cells/mm

conclusionUndergoing bariatric surgery did not increase virologic failure rate in a small cohort of persons living with HIV, and ART non-adherence was associated with virologic failure.

Indexed as

Bariatric SurgeryGastric BypassHIV InfectionsObesity, MorbidAdultFemaleGastrectomyHIVHumansRetrospective StudiesTreatment OutcomeWeight LossAIDSAntiretroviralBariatric surgeryHIVRoux-en-y gastric bypassSleeve gastrectomy

Identifiers

PMID35171391
PMCPMC8986680
OpenAlexW4213226057

What OpenQuestion holds

Textmetadata
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.