Evidence map›Paper›PMID 38690177›Full record

ArticleFrontiers in medicine2024

Non-AIDS-defining comorbidities impact health related quality of life among older adults living with HIV.

Alice Zhabokritsky, Marina Klein, Mona Loutfy, Giovanni Guaraldi, Nisha Andany, Silvia Guillemi, Julian Falutz, Gordon Arbess, Darrell H S Tan, Sharon Walmsley

Open access · goldAbstract read
In one paragraph

Article in Frontiers in medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
7.6field-weighted citation impact, top 3% 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

12 citing papers in PubMed, 11 citations in OpenAlex.

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  6. Review
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  9. Observational
  10. Factors Associated with Adequate Quality of Life Levels in HIV Patients During a Five-Year Longitudinal Study.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Observational
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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

10 authors at 6 institutions in 2 countries.

Alice ZhabokritskyDepartment of Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.
Marina KleinDepartment of Medicine, McGill University Health Centre, McGill University, Montréal, QC, Canada.
Mona LoutfyDepartment of Medicine, Women's College Research Institute, University of Toronto, Toronto, ON, Canada.
Giovanni GuaraldiModena HIV Metabolic Clinic, University of Modena and Reggio Emilia, Modena, Italy.
Nisha AndanyDepartment of Medicine, Sunnybrook Health Science Centre, University of Toronto, Toronto, ON, Canada.
Silvia GuillemiBC Centre for Excellence in HIV/AIDS, University of British Columbia, Vancouver, BC, Canada.
Julian FalutzDepartment of Medicine, McGill University Health Centre, McGill University, Montréal, QC, Canada.
Gordon ArbessUnity Health Toronto, Department of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Darrell H S TanUnity Health Toronto, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Sharon WalmsleyDepartment of Medicine, University Health Network, University of Toronto, Toronto, ON, Canada.
University of Toronto · CAMcGill University Health Centre · CAPublic Health Ontario · CAUniversity of British Columbia · CAUniversity of Modena and Reggio Emilia · ITWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The life expectancy of people living with HIV receiving effective combination antiretroviral therapy is approaching that of the general population and non AIDS-defining age-related comorbidities are becoming of greater concern. In order to support healthy aging of this population, we set out to explore the association between multimorbidity (defined as presence of 2 or more non AIDS-defining comorbidities) and quality of life (QoL). Methods: We performed a cross-sectional analysis using data from the Correlates of Healthy Aging in Geriatric HIV (CHANGE HIV) study, a Canadian cohort of people living with HIV age 65  years and older. Study participants completed two QoL modules, the general QoL and health related QoL (HR-QoL). Results: 433 participants were included in the analysis with a median age of 69  years (interquartile range, IQR 67-72). The median number of comorbidities among study participants was 3 (IQR 2-4), with 78% meeting the definition of multimorbidity. General QoL scores (median 66, IQR 58-76) were lower than HR-QoL scores (median 71, IQR 61-83) and were not associated with multimorbidity after adjusting for age, sex, relationship status, household income, exercise, tobacco smoking history, malnutrition, time since HIV diagnosis, and HIV-related stigma. In contrast, multimorbidity was associated with lower HR-QoL (adjusted β = -4.57, 95% CI -8.86, -0.28) after accounting for the same variables. Several social vulnerabilities (not having a partner, low household income), health behaviours (lower engagement in exercise, smoking), and HIV-related factors (HIV stigma, longer time since HIV diagnosis) were also associated with lower QoL. Discussion: Overall, our study demonstrated a high burden of multimorbidity among older adults living with HIV in Canada, which has a negative impact on HR-QoL. Interventions aimed at preventing and managing non-AIDS-defining comorbidities should be assessed in people living with HIV to determine whether this can improve their HR-QoL.

Indexed as

HIVmultimorbiditynon-communicable diseasesquality of lifestigma

Identifiers

PMID38690177
PMCPMC11058201
OpenAlexW4394853059

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.