Evidence map›Paper›PMID 38308222›Full record

SynthesisBMC infectious diseases2024

High-sensitivity C-reactive protein among people living with HIV on highly active antiretroviral therapy: a systemic review and meta-analysis.

Sihle E Mabhida, Zandile J Mchiza, Kabelo Mokgalaboni, Sidney Hanser, Joel Choshi, Haskly Mokoena, Khanyisani Ziqubu, Charity Masilela, Bongani B Nkambule, Duduzile E Ndwandwe and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
16.6field-weighted citation impact, top 1% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  6. Proteomic Characterization of HIV Infection.Advances in experimental medicine and biology · 2026
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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

12 authors at 7 institutions in 1 country.

Sihle E MabhidaNon-Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, 7505, South Africa. smabhida@mrc.ac.za.
Zandile J MchizaNon-Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, 7505, South Africa.
Kabelo MokgalaboniDepartment of Life and Consumer Sciences, University of South Africa, Roodepoort, 1709, South Africa.
Sidney HanserDepartment of Physiology and Environmental Health, University of Limpopo, Sovenga, 0727, South Africa.
Joel ChoshiDepartment of Physiology and Environmental Health, University of Limpopo, Sovenga, 0727, South Africa.
Haskly MokoenaDepartment of Physiology and Environmental Health, University of Limpopo, Sovenga, 0727, South Africa.
Khanyisani ZiqubuDepartment of Biochemistry, North-West University, Mmabatho, 2745, South Africa.
Charity MasilelaDepartment of Biochemistry and Microbiology, University of Zululand, KwaDlangezwa, Richards Bay, 3880, South Africa.
Bongani B NkambuleSchool of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, 4000, South Africa.
Duduzile E NdwandweCochrane South Africa, South African Medical Research Council, Tygerberg, 7505, South Africa.
André P KengneNon-Communicable Diseases Research Unit, South African Medical Research Council, Tygerberg, 7505, South Africa.
Phiwayinkosi V DludlaCochrane South Africa, South African Medical Research Council, Tygerberg, 7505, South Africa.
South African Medical Research Council · ZAUniversity of Limpopo · ZANorth-West University · ZAUniversity of Cape Town · ZAUniversity of KwaZulu-Natal · ZAUniversity of South Africa · ZAUniversity of Zululand · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The pathological consequences of inflammation persist in people living with the human immunodeficiency virus (PLWH), regardless of the positive outcomes of highly active antiretroviral therapy (HAART). The current systematic review and meta-analysis aims to understand and explore the levels of high-sensitivity C-reactive protein (hs-CRP) and other cardiovascular disease (CVD)-risk factors including lipid profiles among PLWH on HAART. Major electronic databases including PubMed, Scopus, and Web of Science were searched to retrieve relevant global literature reporting on hs-CRP levels in PLWH on HAART. A total of twenty-two studies with an average participant age of 40 years were eligible for this systematic review and meta-analysis. Majority of the included studies were from Africa (n = 11), the United States (n = 6), and Europe (n = 5). Our systemic review showed that most studies reported increased levels of hs-CRP among PLWH on HAART when compared to controls (PLWH not on HAART or those without HIV), especially in studies from Africa. This was supported by a meta-analysis showing significantly elevated levels of hs-CRP in PLWH on HAART when compared to PLWH not on HAART (standardised mean difference [SMD] = 0.56; 95% CI = 0.10‑1.01, z = 2.41; p = 0.02) or those without HIV (SMD = 1.19; 95% CI = 0.76‑1.63, z = 5.35; p < 0.001). Where lipid profiles, as a major predictor for CVD risk, were also impaired in PLWH on HAART when compared to PLWH not on HAART and HIV-negative participants. In conclusion, elevated levels of hs-CRP and lipid levels are prevalent in PLWH on HAART, this may increase the risk of CVD complications, especially for those people living in Africa. However, more evidence in larger population studies is required to confirm these outcomes and unveil any possible clinical implications of HAART-induced modulation of hs-CRP levels in PLWH.

Indexed as

Cardiovascular DiseasesHIV InfectionsAdultAntiretroviral Therapy, Highly ActiveC-Reactive ProteinHIVHumansLipidsC-Reactive ProteinLipidsCardiovascular disease riskHighly active antiretroviral therapyHigh-sensitivity C-reactive proteinHuman immunodeficiency virusInflammation

Identifiers

PMID38308222
PMCPMC10838000
OpenAlexW4391486556

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.