Evidence map›Paper›PMID 38890772›Full record

ArticleAmerican journal of hypertension2024

Association of Integrase Strand Transfer Inhibitor-Based Antiretroviral Therapy With Blood Pressure and Sustained Hypertension in People With Human Immunodeficiency Virus.

Mohammed Siddiqui, Greer A Burkholder, Eric Judd, Zhixin Wang, Lisandro D Colantonio, Lama Ghazi, Daichi Shimbo, Amanda L Willig, Edgar T Overton, Suzanne Oparil and 3 more

Abstract read
In one paragraph

Article in American journal of hypertension, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Incident Hypertension with Antiretroviral Therapy in the OPERA Cohort.Journal of the International Association of Providers of AIDS Care
    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

13 authors.

Mohammed SiddiquiDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.ORCID 0000-0002-8463-6537
Greer A BurkholderDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Eric JuddDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Zhixin WangDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Lisandro D ColantonioDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Lama GhaziDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Daichi ShimboDepartment of Medicine, Columbia University Irving Medical Center, New York, New York, USA.
Amanda L WilligDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Edgar T OvertonDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Suzanne OparilDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Emily B LevitanDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Sonya L HeathDepartment of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Paul MuntnerDepartment of Epidemiology, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Funding

UAB Institutional Career Development Program in HIV-Related Heart, Lung, Blood and ResearchK12HL143958 · NHLBI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HEATH, SONYA L · 2018 to 2022
$1.6M
AmgenNHLBI NIH HHS K12 HL143958
6 · The paper itself

Abstract

backgroundIntegrase strand transfer inhibitors (INSTIs) are a commonly used antiretroviral therapy (ART) class in people with human immunodeficiency virus (HIV) and associated with weight gain. We studied the association of INSTI-based ART with systolic and diastolic blood pressure (SBP and DBP).

methodsWe recruited 50 people taking INSTI-based ART and 40 people taking non-INSTI-based ART with HIV and hypertension from the University of Alabama at Birmingham HIV clinic. Office BP was measured unattended using an automated (AOBP) device. Awake, asleep, and 24-hour BP were measured through ambulatory BP monitoring. Among participants with SBP ≥130 mm Hg or DBP ≥80 mm Hg on AOBP, sustained hypertension was defined as awake SBP ≥130 mm Hg or DBP ≥80 mm Hg.

resultsMean SBP and DBP were higher among participants taking INSTI- vs. non-INSTI-based ART (AOBP-SBP/DBP: 144.7/83.8 vs. 135.3/79.3 mm Hg; awake-SBP/DBP: 143.2/80.9 vs. 133.4/76.3 mm Hg; asleep-SBP/DBP: 133.3/72.9 vs. 120.3/65.4 mm Hg; 24-hour-SBP/DBP: 140.4/78.7 vs. 130.0/73.7 mm Hg). After multivariable adjustment, AOBP, awake, asleep, and 24-hour SBP were 12.5 (95% confidence interval [CI] 5.0-20.1), 9.8 (95% CI 3.6-16.0), 10.4 (95% CI 2.0-18.9), and 9.8 (95% CI 4.2-15.4) mm Hg higher among those taking INSTI- vs. non-INSTI-based ART, respectively. AOBP, awake, asleep, and 24-hour DBP were 7.5 (95% CI 0.3-14.6), 6.1 (95% CI 0.3-11.8), 7.5 (95% CI 1.4-13.6), and 6.1 (95% CI 0.9-11.3) mm Hg higher among those taking INSTI- vs. non-INSTI-based ART after multivariable adjustment. All participants had SBP ≥130 mm Hg or DBP ≥80 mm Hg on AOBP and 97.9% and 65.7% of participants taking INSTI- and non-INSTI-based ART had sustained hypertension, respectively.

conclusionsINSTI-based ART was associated with higher SBP and DBP than non-INSTI-based ART.

Indexed as

Blood PressureHIV InfectionsHIV Integrase InhibitorsHypertensionAdultBlood Pressure Monitoring, AmbulatoryCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk FactorsHIV Integrase Inhibitorsantiretroviral therapyblood pressureHIVhypertension

Identifiers

PMID38890772
PMCPMC13368829

What OpenQuestion holds

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Registered trials

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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.