Evidence map›Paper›PMID 40019698›Full record

ArticleJournal of neurovirology2025

Assessing cognitive impairment in HIV-infected: a comparative study of international HIV Dementia Scale, HIV Dementia Scale Italian version and Montreal cognitive assessment in clinical practice.

Maristella Belfiori, Francesco Salis, Camilla Podda, Lorenzo Stanisci, Benedetta Puxeddu, Francesco Ortu, Paola Piano, Stefano Del Giacco, Antonella Mandas

Abstract readComparative Study
In one paragraph

Article in Journal of neurovirology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Update on neurological complications of HIV.Current opinion in HIV and AIDS · 2025
    Review
  6. 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

9 authors.

Maristella Belfiori *Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, 09042, Italy. maristel.bel@gmail.com.ORCID http://orcid.org/0009-0009-7713-7543
Francesco Salis *Department of Medical Sciences and Public Health, University of Cagliari, Cagliari, 09042, Italy.ORCID http://orcid.org/0000-0002-4512-9161
Camilla PoddaDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, 09042, Italy.
Lorenzo StanisciDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, 09042, Italy.
Benedetta PuxedduDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, 09042, Italy.
Francesco OrtuUniversity Hospital "Azienda Ospedaliero-Universitaria" of Cagliari, Cagliari, 09042, Italy.
Paola PianoUniversity Hospital "Azienda Ospedaliero-Universitaria" of Cagliari, Cagliari, 09042, Italy.
Stefano Del GiaccoDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, 09042, Italy.
Antonella MandasDepartment of Medical Sciences and Public Health, University of Cagliari, Cagliari, 09042, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The combination of antiretroviral therapy (cART) and preventive measures has significantly enhanced the management of Human Immunodeficiency Virus (HIV) infection. However, HIV-associated neurocognitive disorders (HAND) remain a challenge. This study aims to compare cognitive impairment (CI) assessments in people living with HIV/AIDS (PLWHA) using the International HIV Dementia Scale (IHDS), HIV Dementia Scale-Italian Version (HDS-IT) and MoCA (Montreal Cognitive Assessment), while also identifying significant associations. The cross-sectional study encompassed 294 outpatient PLWHA (median age: 57) on cART. Participants underwent cognitive, functional, and depression assessments, laboratory testing and CNS Penetration-Effectiveness (CPE) index assessment. IHDS, HDS-IT and MoCA identified CI in different proportions of PLWHA. Factors such as age, education level, infection duration, and substance use were associated with CI. The IHDS score (OR 0.79) and Level CD4 + T-lymphocytes nadir (OR 0.99) demonstrated independent and negative associations with the CPE-index. IHDS and MoCA tests appear to be useful for detecting CI in outpatient settings, enabling healthcare providers to conduct initial evaluations of PLWHA. IHDS assessment may be used for detecting CI related to high CPE regimens, while the MoCA provides a comprehensive assessment, also in domains not studied by IHDS. However, further research is needed to confirm these findings and refine their clinical applicability.

Indexed as

AIDS Dementia ComplexCognitive DysfunctionHIV InfectionsAdultAgedAnti-HIV AgentsCD4 Lymphocyte CountCross-Sectional StudiesFemaleHumansMaleMental Status and Dementia TestsMiddle AgedNeuropsychological TestsAnti-HIV AgentsCognitive dysfunctionHIVNeurocognitive disordersOutpatients

Identifiers

PMID40019698
PMCPMC12137510

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.