Evidence map›Paper›PMID 38743382›Full record

SynthesisAIDS and behavior2024

Health-Related Quality of Life in People with Advanced HIV Disease, from 1996 to 2021: Systematic Review and Meta-analysis.

I Portilla-Tamarit, M Rubio-Aparicio, M J Fuster-RuizdeApodaca, J Portilla-Tamarit, S Reus, J Portilla

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in AIDS and behavior, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Observational
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

6 authors.

I Portilla-TamaritDepartment of Health Psychology, University of Alicante, Alicante, Spain.ORCID http://orcid.org/0000-0002-2187-8731
M Rubio-AparicioAlicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain. mrubioaparicio@um.es.ORCID http://orcid.org/0000-0002-2599-4246
M J Fuster-RuizdeApodacaFaculty of Psychology, National Distance Learning University (UNED), Madrid, Spain.ORCID http://orcid.org/0000-0003-4304-7194
J Portilla-TamaritAlicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.ORCID http://orcid.org/0000-0003-0881-9646
S ReusAlicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.ORCID http://orcid.org/0000-0002-3320-9754
J PortillaAlicante Institute for Health and Biomedical Research (ISABIAL), Alicante, Spain.ORCID http://orcid.org/0000-0002-3676-9511

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of the study was to assess the effects of advanced HIV disease (AHD) on health-related quality of life (HRQoL) in PLHIV, the changes in HRQoL outcomes over the last 25 years, and the differences between countries according to level of economic development. We conducted a systematic review and meta-analysis. The search was conducted in PubMed and Web of Science using the terms: "health-related quality of life", "HQRoL", "HIV", "AIDS", "advanced HIV disease" and "low CD4 cells". Studies inclusion criteria were: adult population; initiated after 1996 and published before July 2021; clinical trials, cross-sectional, cohort, and case-control studies; studies analyzing the relationship between AHD and HRQoL; English or Spanish language. Standardized mean differences (d+) were calculated to estimate the effect size for the meta-analyses. Summary statistics were calculated using a random-effects model, and analyses of effect moderators, using mixed-effects models. The meta-analysis included 38 studies. The results indicated that HRQoL is worse in patients with AHD compared to those without. The main HRQoL domains affected were overall health perception and concern and physical and functional health and symptoms. We found a moderate impact for age and gender on some HRQoL domains. There were no differences in relation to socioeconomic inequities, country of residence, or time period analyzed. In conclusion, advanced HIV disease has a negative impact on health and well-being in PLHIV. Our results show that despite all the advances in antiretroviral treatments over the last 25 years, AHD persists as a source of extreme vulnerability, regardless of where PLHIV live.

Indexed as

HIV InfectionsQuality of LifeAdultCD4 Lymphocyte CountFemaleHumansMaleAdvanced HIV diseaseAIDSHealth related quality of lifeHIVLow CD4Meta-analysisSystematic review

Identifiers

PMID38743382
PMCPMC11161547

What OpenQuestion holds

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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.