Evidence map›Paper›PMID 35918746›Full record

SynthesisAIDS research and therapy2022

What is polypharmacy in people living with HIV/AIDS? A systematic review.

Mohammed Ibn-Mas'ud Danjuma, Safah Khan, Farah Wahbeh, Lina Mohammad Naseralallah, Unwam E Jumbo, Abdelnaser Elzouki

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in AIDS research and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

11 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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

6 authors at 4 institutions in 3 countries.

Mohammed Ibn-Mas'ud DanjumaDivision of General Internal Medicine, Weill Cornell Affiliated-Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar. mdanjuma@hamad.qa.
Safah KhanWeill Cornell College of Medicine, New York and Doha, Qatar.
Farah WahbehWeill Cornell College of Medicine, New York and Doha, Qatar.
Lina Mohammad NaseralallahClinical Pharmacy Department, Hamad Medical Corporation, Doha, Qatar.
Unwam E JumboDivision of General Internal Medicine, Weill Cornell Affiliated-Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Abdelnaser ElzoukiDivision of General Internal Medicine, Weill Cornell Affiliated-Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Hamad General Hospital · QAHamad Medical Corporation · QACornell University · USWeill Cornell Medical College in Qatar · QA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polypharmacy in people living with HIV/AIDS (PLWHA) is a rising morbidity that exacts hefty economic burden on health budgets in addition to other adverse clinical outcomes. Despite recent advances, uncertainty remains around its exact definition in PLWHA. In this systematic review and Meta-analysis, we explored relevant databases (PUBMED, EMBASE, CROI) for studies evaluating polypharmacy in PLWHA from January 2000 to August 2021 to ascertain the exact numerical threshold that defines this morbidity. Two independent reviewers extracted and reviewed relevant variables for analyses. The review included a total of 31 studies involving n = 53,347 participants with a mean age of 49.5 (SD ± 17.0) years. There was a total of 36 definitions, with 93.5% defining polypharmacy as the concomitant use of 5 or more medications. We found significant variation in the numerical definition of polypharmacy, with studies reporting it as "minor" (N = 3); "major" (N = 29); "severe" (N = 2); "excessive" (N = 1); and "higher" (N = 1). Most studies did not incorporate a duration (84%) in their definition and excluded ART medications (67.7%). A plurality of studies in PLWHA have established that polypharmacy in this cohort of patients is the intake of ≥ 5 medications (including both ART and non-ART). To standardize the approach to addressing this rising morbidity, we recommend incorporation of this definition into national and international PLWHA treatment guidelines.

Indexed as

Acquired Immunodeficiency SyndromeHIV InfectionsHumansMiddle AgedPolypharmacyAIDSAntiretroviralDrug interactionsHIVPLWHAPolypharmacy

Identifiers

PMID35918746
PMCPMC9344688
OpenAlexW4289525075

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.