Evidence map›Paper›PMID 40418812›Full record

GuidelineAnnals of internal medicine2025

Statin Therapy as Primary Prevention for Persons With HIV: A Synopsis of Recommendations From the U.S. Department of Health and Human Services Antiretroviral Treatment Guidelines Panel.

Craig Beavers, Alice K Pau, David Glidden, Emily Hyle, Safia Kuriakose, Seth S Martin, Grace McComsey, Melanie Thompson, Salim Virani, Jason V Baker

Abstract readPractice Guideline
In one paragraph

Guideline in Annals of internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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.

Recommendations it makes

The writing group reviewed REPRIEVE trial data, other studies evaluating the use of statins in PWH, and the AHA/ACC/multisociety cholesterol guidelines to devise recommendations.
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

11 citing papers in PubMed.

  1. Trial
  2. Win Ratio Aligns With and Enhances Interpretation of REPRIEVE's Primary Findings.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Risk Assessment in a Global CVD Prevention Cohort of People With HIV by PCE, PREVENT, and SCORE2.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  8. REPRIEVE Analysis of New Cardiovascular Risk Calculators in HIV: Underpredicting Risk Means Preventing Fewer Heart Attacks.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  9. Observational
  10. Article
  11. 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

10 authors.

Craig BeaversUniversity of Kentucky College of Pharmacy, Lexington, Kentucky (C.B.).ORCID 0000-0002-2990-3989
Alice K PauNational Institutes of Health, Bethesda, Maryland (A.K.P.).
David GliddenUniversity of California, San Francisco, San Francisco, California (D.G.).
Emily HyleMassachusetts General Hospital, Boston, Massachusetts (E.H.).ORCID 0000-0001-8721-106X
Safia KuriakoseFrederick National Laboratory, Bethesda, Maryland (S.K.).
Seth S MartinThe John Hopkins University School of Medicine, Baltimore, Maryland (S.S.M.).
Grace McComseyCase Western Reserve University, Cleveland, Ohio (G.M.).ORCID 0000-0003-2690-8888
Melanie ThompsonThacker and Thompson, Atlanta, Georgia (M.T.).
Salim ViraniThe Aga Khan University, Karachi, Pakistan (S.V.).
Jason V BakerUniversity of Minnesota, Minneapolis, Minnesota (J.V.B.).ORCID 0000-0002-5542-1545

Funding

Intramural NIH HHS Z99 AI999999
6 · The paper itself

Abstract

descriptionREPRIEVE (Randomized Trial to Prevent Vascular Events in HIV) showed benefits of pitavastatin as preventive therapy for atherosclerotic cardiovascular disease (ASCVD) in people with HIV (PWH). In February 2024, the U.S. Department of Health and Human Services Panel for the Use of Antiretroviral Agents in Adults and Adolescents with HIV (ARV Guidelines Panel) developed statin therapy recommendations for PWH. These recommendations were issued in collaboration with representatives from the American College of Cardiology (ACC), the American Heart Association (AHA), and the HIV Medicine Association (HIVMA). This synopsis summarizes the development process, the recommendations, and how they supplement the AHA/ACC/multisociety cholesterol guidelines and outlines gaps in primary prevention of ASCVD for PWH.

methodsThe ARV Guidelines Panel convened a writing group of 10 members (6 members of the Panel with expertise in HIV-related comorbid conditions, biostatistics, and pharmacology and 4 consultants representing ACC, AHA, and HIVMA with cardiometabolic and HIV management expertise). The writing group reviewed REPRIEVE trial data, other studies evaluating the use of statins in PWH, and the AHA/ACC/multisociety cholesterol guidelines to devise recommendations. Recommendations were based on scientific evidence with a rating scheme developed since the 1998 inception of the ARV guidelines. Proposed recommendations were presented to the full ARV Guidelines Panel, rated via vote, and approved by the Panel's voting members. These recommendations were then endorsed by ACC, AHA, and HIVMA. RECOMMENDATIONS: The ARV Guidelines Panel issued a strong recommendation for initiating statin therapy among PWH with a 10-year ASCVD risk score of 5% or higher, whose absolute benefit from statins in REPRIEVE was greatest. For patients with a 10-year ASCVD risk score below 5%, the Panel favored statins but recommended patient-clinician risk discussions considering additional HIV-related factors that can increase ASCVD risk.

Indexed as

AtherosclerosisHIV InfectionsHydroxymethylglutaryl-CoA Reductase InhibitorsPrimary PreventionAnti-Retroviral AgentsCardiovascular DiseasesHumansUnited StatesAnti-Retroviral AgentsHydroxymethylglutaryl-CoA Reductase Inhibitors

Identifiers

PMID40418812
PMCPMC12276830

What OpenQuestion holds

Texttitle and abstract
LicenceTDM
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.