Evidence map›Paper›PMID 37607785›Full record

ArticleBMJ open2023

Role of fatty liver in the epidemic of advanced chronic liver disease among people with HIV: protocol for the Canadian LIVEHIV multicentre prospective cohort.

Felice Cinque, Sahar Saeed, Dana Kablawi, Luz Ramos Ballesteros, Wesal Elgretli, Erica E M Moodie, Colleen Price, Ken Monteith, Curtis Cooper, Sharon L Walmsley and 10 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

20 authors at 7 institutions in 1 country.

Felice Cinque *Chronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0003-1499-9233
Sahar Saeed *Public Health Sciences, Queen's University, Kingston, Ontario, Canada.
Dana KablawiChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.
Luz Ramos BallesterosChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.
Wesal ElgretliDivision of Experimental Medicine, McGill University, Montreal, Quebec, Canada.
Erica E M MoodieDepartment of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
Colleen PriceCanadian HIV/AIDS and Chronic Pain Society, Ottawa, Ontario, Canada.
Ken MonteithCOCQ SIDA, Montreal, Quebec, Canada.
Curtis CooperDepartment of Medicine, Division of Infectious Diseases, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.ORCID 0000-0002-3368-3499
Sharon L WalmsleyDepartment of Medicine, Division of Infectious Diseases, University of Toronto, Toronto, Ontario, Canada.
Neora PickDepartment of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Melanie C M MurrayDepartment of Medicine, The University of British Columbia, Vancouver, British Columbia, Canada.
Joseph CoxChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.
Nadine KronfliChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.
Cecilia T CostiniukChronic Viral Illness Service, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-4547-714X
Alexandra de PokomandyChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0001-6809-1357
Jean-Pierre RoutyChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0001-9897-7589
Bertrand LebouchéChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.ORCID 0000-0002-1273-9393
Marina B KleinChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada.
Giada SebastianiChronic Viral Illness Service, McGill University Health Centre, Montreal, Quebec, Canada giada.sebastiani@mcgill.ca.ORCID 0000-0003-2655-8283
McGill University Health Centre · CAMcGill University · CAUniversity of British Columbia · CACanadian AIDS Society · CAOttawa Hospital · CAQueen's University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAdvanced chronic liver disease (ACLD) is a major cause of death for people with HIV (PWH). While viral hepatitis coinfections are largely responsible for this trend, metabolic dysfunction-associated steatotic liver disease (MASLD) is an emerging concern for PWH. We aimed to assess the contribution of MASLD to incident ACLD in PWH. METHODS AND ANALYSIS: This multicentre prospective observational cohort study will enrol 968 consecutive HIV monoinfected patients from four Canadian sites, excluding subjects with alcohol abuse, liver disease other than MASLD, or ACLD at baseline. Participants will be followed annually for 4 years by clinical evaluation, questionnaires, laboratory testing and Fibroscan to measure liver stiffness measurement (LSM) and controlled attenuation parameter (CAP). The primary outcome will be incidence of ACLD, defined as LSM>10 kPa, by MASLD status, defined as CAP≥285 dB/m with at least one metabolic abnormality, and to develop a score to classify PWH according to their risk of ACLD. Secondary outcomes will include health-related quality of life (HRQoL) and healthcare resource usage. Kaplan-Meier survival method and Cox proportional hazards regression will calculate the incidence and predictors of ACLD, respectively. Propensity score methods and marginal structural models will account for time-varying exposures. We will split the cohort into a training set (to develop the risk score) and a validation set (for validation of the score). HRQoL scores and healthcare resource usage will be compared by MASLD status using generalised linear mixed effects model. ETHICS AND DISSEMINATION: This protocol has been approved by the ethics committees of all participating institutions. Written informed consent will be obtained from all study participants. The results of this study will be shared through scientific publications and public presentations to advocate for the inclusion of PWH in clinical trials of MASLD-targeted therapies and case-finding of ACLD in PWH.

Indexed as

Fatty LiverHIV InfectionsLiver DiseasesCanadaHumansMulticenter Studies as TopicObservational Studies as TopicProspective StudiesQuality of LifeHepatologyHIV & AIDSPatient-Centered CareQuality of Life

Identifiers

PMID37607785
PMCPMC10445396
OpenAlexW4386071291

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.