Evidence map›Paper›PMID 38663013›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2024

Trends in Mortality in People With HIV From 1999 through 2020: A Multicohort Collaboration.

Erich Tusch, Lene Ryom, Annegret Pelchen-Matthews, Amanda Mocroft, Daniel Elbirt, Cristiana Oprea, Huldrych F Günthard, Cornelia Staehelin, Robert Zangerle, Isabelle Suarez and 28 more

Abstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

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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

38 authors.

Erich TuschCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-1434-101X
Lene RyomCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Annegret Pelchen-MatthewsCentre for Clinical Research, Epidemiology, Modelling and Evaluation, Institute for Global Health, University College London, London, United Kingdom.
Amanda MocroftCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Daniel ElbirtAllergy, Immunology and HIV Unit, Kaplan Medical Center, Rehovot, Israel.
Cristiana OpreaHIV department, Victor Babes Clinical Hospital for Infectious and Tropical Diseases, Bucharest, Romania.
Huldrych F GünthardDepartment of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland.
Cornelia StaehelinDepartment of Infectious Diseases, Bern University Hospital, University of Bern, Bern, Switzerland.
Robert ZangerleAustrian HIV Cohort Study (AHIVCOS), Medizinische Universität Innsbruck, Innsbruck, Austria.
Isabelle SuarezDepartment I for Internal Medicine, University Hospital Cologne, Cologne, Germany.
Jörg Janne VehreschildDepartment I for Internal Medicine, University Hospital Cologne, Cologne, Germany.
Ferdinand WitAIDS Therapy Evaluation in the Netherlands (ATHENA) Cohort, HIV Monitoring Foundation, Amsterdam, The Netherlands.
Marianna MenozziModena HIV Cohort, Università degli Studi di Modena, Modena, Italy.
Antonella d'Arminio MonforteItalian Cohort Naive Antiretrovirals (ICONA), ASST Santi Paolo e Carlo, Milano, Italy.
Vincenzo SpagnuoloImmunology, Transplantation and Infectious Diseases, IRCCS San Raffaele Scientific Institute, Milano, Italy.
Christian PradierNice HIV Cohort, Université Côte d'Azur et Centre Hospitalier Universitaire, Nice, France.
Christina CarlanderSwedish InfCare HIV Cohort, Karolinska University Hospital, Stockholm, Sweden.
Paula SuanzesInfectious Diseases Department, Hospital Universitari Vall d'Hebron, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.
Jan-Christian WasmuthInfectious Diseases/HIV Department of the Medical Clinic I, University Hospital Bonn, Bonn, Germany.
Andrew CarrHIV and Immunology Unit, St Vincent's Hospital, Sydney, New South Wales, Australia.
Kathy PetoumenosAustralian HIV Observational Database (AHOD), UNSW, Sydney, New South Wales, Australia.
Frauke BorgansDepartment of Internal Medicine, Infectious Diseases, Frankfurt HIV Cohort Study, Goethe-University Hospital, University Hospital, Frankfurt, Germany.
Fabrice BonnetBordeaux Population Health Centre & CHU de Bordeaux, University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Saint-André Hospital, Service de Médecine Interne et Maladies Infectieuses, Bordeaux, Cedex, France.
Stephane De WitDepartment of Infectious Diseases, St Pierre University Hospital, Brussels, Belgium.
Wafaa El-SadrMailman School of Public Health, Columbia University, New York, New York, USA.
Bastian NeesgaardCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Nadine JaschinskiCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Lauren GreenbergCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Sean R HoseinEuropean AIDS Treatment Group (EATG), Brussels, Belgium.
Joel GallantGilead Sciences, Foster City, California, USA.
Vani VannappagariViiV Healthcare, Research Triangle Park, North Carolina, USA.
Lital YoungMerck Sharp & Dohme, Rahway, New Jersey, USA.
Caroline SabinCentre for Clinical Research, Epidemiology, Modelling and Evaluation, Institute for Global Health, University College London, London, United Kingdom.
Jens LundgrenCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Lars PetersCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Joanne ReekieCentre of Excellence for Health, Immunity and Infections (CHIP), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
D:A:D cohort study
RESPOND cohort study

Funding

COMMUNITY PROGRAMS FOR CLINICAL RESEARCH ON AIDSU01AI046362 · NIAID · SOCIAL AND SCIENTIFIC SYSTEMS, INC. · PI GORDIN, FRED M · 2000 to 2006
$75.9M
The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
TERRY BEIRN COMMUNITY PROGRAMS FOR CLINICAL RESEARCH ONU01AI042170 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI NEATON, JAMES DENNIS · 1997 to 2006
$23.2M
NIAID NIH HHS U01 AI042170NIAID NIH HHS U01 AI046362NIAID NIH HHS U01 AI069907NIH HHS
6 · The paper itself

Abstract

backgroundMortality among people with human immunodeficiency virus (HIV) declined with the introduction of combination antiretroviral therapy. We investigated trends in mortality in people with HIV from 1999 through 2020.

methodsData were collected from the Data Collection on Adverse events of Anti-HIV Drugs (D:A:D) cohort between January 1999 through January 2015 and the International Cohort Consortium of Infectious Disease (RESPOND) from October 2017 through December 2020. Age-standardized all-cause and cause-specific mortality rates, classified using Coding Causes of Death in HIV, were calculated. Poisson models were used to assess mortality over time.

resultsAmong 55 716 participants followed for median 6 years (interquartile range, 3-11), 5263 died (mortality rate [MR], 13.7/1000 person-years of follow-up [PYFU]; 95% confidence interval [CI], 13.4-14.1). Changing mortality was observed: AIDS mortality was most common between 1999-2009 (n = 952; MR, 4.2/1000 PYFU; 95% CI, 4.0-4.5) and non-AIDS-defining malignancy (NADM) between 2010-2020 (n = 444; MR, 2.8/1000 PYFU; 95% CI, 2.5-3.1). In multivariable analysis, all-cause mortality declined (adjusted mortality rate ratio [aMRR], 0.97 per year; 95% CI, .96-.98), mostly 1999-2010 (aMRR, 0.96 per year; 95% CI, .95-.97) but was stable 2011-2020 (aMRR, 1.00 per year; 95% CI, .96-1.05). Mortality due to all known causes except NADM also declined.

conclusionsMortality among people with HIV in the D:A:D and/or RESPOND cohorts declined between 1999-2009 and was stable over the period 2010-2020. This decline in mortality was not fully explained by improvements in immunologic-virologic status or other risk factors.

Indexed as

Anti-HIV AgentsHIV InfectionsAdultCause of DeathCohort StudiesFemaleHumansMaleMiddle AgedAnti-HIV Agentscohort collaborationHIVmortalityobservational cohortpeople with HIV

Identifiers

PMID38663013
PMCPMC11581700

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