Evidence map›Paper›PMID 37213438›Full record

ArticleNEJM evidence2023

Long-Term Benefits from Early Antiretroviral Therapy Initiation in HIV Infection.

Jens D Lundgren, Abdel G Babiker, Shweta Sharma, Birgit Grund, Andrew N Phillips, Gail Matthews, Virginia L Kan, Bitten Aagaard, Inka Abo, Beverly Alston and 62 more

Open access · greenAbstract read
In one paragraph

Article in NEJM evidence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  5. Risk of severe bacterial infections including TB before and after immediate or deferred antiretroviral therapy: A multicenter, prospective, cohort study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

72 authors at 1 institution in 1 country.

Jens D LundgrenCHIP Centre of Excellence for Health, Immunity, and Infections, Department of Infectious Diseases, Rigshospitalet, Copenhagen.
Abdel G BabikerMedical Research Council Clinical Trials Unit, University College London, London.
Shweta SharmaDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis.
Birgit GrundSchool of Statistics, University of Minnesota, Minneapolis.
Andrew N PhillipsInstitute for Global Health, University College London, London.
Gail MatthewsKirby Institute, Sydney.
Virginia L KanVA Medical Center, Washington, D.C.
Bitten AagaardCHIP Centre of Excellence for Health, Immunity, and Infections, Department of Infectious Diseases, Rigshospitalet, Copenhagen.
Inka AboHelsinki University Central Hospital, Helsinki.
Beverly AlstonDivision of AIDS, National Institute of Allergy and Infectious Diseases, Bethesda, MD.
Alejandro Arenas-PintoMedical Research Council Clinical Trials Unit, University College London, London.
Anchalee AvihingsanonThai Red Cross AIDS Research Centre, Bangkok, Thailand.
Sharlaa Badal-FaesenClinical HIV Research Unit, Department of Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg.
Carlos BritesHospital Universitario Professor Edgard Santos, School of Medicine, Federal University of Bahia, Salvador, Brazil.
Cate CareyKirby Institute, Sydney.
Jorge CassebLaboratory of Medical Investigation - LIM56, Faculty of Medicine, Department of Dermatology, University of São Paulo, São Paulo.
Amanda ClarkeRoyal Sussex County Hospital, Brighton, United Kingdom.
Simon CollinsHIV i-Base, London.
Giulio Maria CorbelliEuropean AIDS Treatment Group, Brussels.
Sounkalo DaoMali-National Institute of Allergy and Infectious Diseases HIV Research Initiative, Bamako, Mali.
Eileen T DenningDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis.
Sean EmeryUNSW Medicine, Sydney.
Nnakelu EriobuInstitute of Human Virology Nigeria, Abuja, Nigeria.
Eric FlorenceInstitute of Tropical Medicine, Antwerp, Belgium.
Hansjakob FurrerDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
Gerd FätkenheuerKlinik I für Innere Medizin der Universität zu Köln, Cologne, Germany.
Jan GerstoftRigshospitalet, Infektionsmedicinsk ambulatorium 8622, Copenhagen.
Magnus GisslénSahlgrenska University Hospital, Gothenburg, Sweden.
Katharine GoodallMedical Research Council Clinical Trials Unit, University College London, London.
Keith HenryHennepin Health Research Institute, Minneapolis.
Andrzej HorbanWojewódzki Szpital Zakaźny, Warsaw, Poland.
Jennifer HoyDepartment of Infectious Diseases, The Alfred Hospital and Monash University, Melbourne, VIC, Australia.
Fleur HudsonMedical Research Council Clinical Trials Unit, University College London, London.
Raja Iskandar Shah Raja AzwaUniversity Malaya Medical Centre, Kuala Lumpur, Malaysia.
Eynat KedemRambam Medical Center, Haifa, Israel.
Anthony KelleherKirby Institute, Sydney.
Cissy KityoJoint Clinical Research Centre, Kampala, Uganda.
Karin KlingmanDivision of AIDS, National Institute of Allergy and Infectious Diseases, Bethesda, MD.
Alberto La RosaAsociación Civil IMPACTA Salud y Educación, Lima, Peru.
Nicolas LeturqueINSERM SC10-US19, Villejuif, Paris.
Alan R LifsonUniversity of Minnesota, Minneapolis.
Marcelo LossoHospital General de Agudos J.M. Ramos Mejia, Buenos Aires.
Joseph LutaakomeMRC/UVRI and LSHTM Uganda Research Unit, Entebbe, Uganda.
Juan Sierra MaderoInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City.
Patrick MallonCentre for Experimental Pathogen Host Research, University College Dublin, Dublin.
Kamal MansinhoHospital de Egas Moniz, Lisbon, Portugal.
Kamal Marhoum El FilaliUniversity Hospital Centre Ibn Rochd, Casablanca, Morocco.
Jean-Michel MolinaHôpital Saint-Louis, Paris.
Daniel D MurrayCHIP Centre of Excellence for Health, Immunity, and Infections, Department of Infectious Diseases, Rigshospitalet, Copenhagen.
Kumarasamy NagalingeswaranVoluntary Health Services, Infectious Diseases Medical Centre, Chennai Antiviral Research and Treatment, Clinical Research Site, Chennai, India.
Silvia NozzaOspedale San Raffaele S.r.l., Milan.
Vidar OrmaasenOslo University Hospital, Ullevål, Oslo.
Roger ParedesHospital Universitari Germans Trias i Pujol, Barcelona.
Luiz Carlos PeireiraInstituto de Infectologia Emílio Ribas, São Paulo.
Sandy PillayDurban International Clinical Research Site, Durban, South Africa.
Mark N PolizzottoClinical Hub for Interventional Research, College of Health and Medicine, The Australian National University, Canberra, ACT, Australia.
Dorthe RabenCHIP Centre of Excellence for Health, Immunity, and Infections, Department of Infectious Diseases, Rigshospitalet, Copenhagen.
Armin RiegerUniversity Vienna General Hospital, Vienna.
Adriana SanchezVA Medical Center, Washington, D.C.
Mauro SchechterProjeto Praça Onze, Rio de Janeiro.
Dalibor SedlacekUniversity Hospital Plzen, Plzen, Czech Republic.
Therese StaubCentre Hospitalier de Luxembourg, Luxembourg.
Giota TouloumiMedical School, National and Kapodistrian University of Athens, Athens.
Melissa TurnerVA Medical Center, Washington, D.C.
Jose Valdez MadrugaCentro de Referência e Treinamento em DST/AIDS, São Paulo.
Michael VjechaVA Medical Center, Washington, D.C.
Marcelo WolffHospital Clínico San Borja Arriarán, Fundación Arriarán, Santiago, Chile.
Robin WoodDesmond Tutu Health Foundation, Cape Town, South Africa.
Kai ZilmerWest Tallinn Central Hospital Infectious Diseases, Tallinn, Estonia.
H Clifford LaneNational Institute of Allergy and Infectious Diseases, Bethesda, MD.
James D NeatonDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis.
INSIGHT Strategic Timing of AntiRetroviral Treatment (START) Study Group
Centre of Excellence for Health, Immunity and Infections · DK

Funding

Extended follow-up of randomized participants in the INSIGHT START trialU01AI136780 · NIAID · UNIVERSITY OF MINNESOTA · PI GRUND, BIRGIT, REILLY, CAVAN S. · 2019 to 2024
$18.0M
NIAID NIH HHS U01 AI136780
6 · The paper itself

Abstract

backgroundFor people with HIV and CD4

methodsThe Strategic Timing of AntiRetroviral Treatment (START) trial, as previously reported, randomly assigned 4684 ART-naive HIV-positive adults with CD4

resultsThrough December 31, 2015, approximately 7 months after the cutoff date from the previous report, the median CD4

conclusionsAmong adults with CD4

Identifiers

PMID37213438
PMCPMC10194271
OpenAlexW4322495459

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.