Evidence map›Paper›PMID 40698903›Full record

Observational studyHIV medicine2025

Metabolic dysfunction-associated liver disease predicts incident liver fibrosis in people with HIV mono-infection: A cohort study.

Juliana Fittipaldi, Sandra W Cardoso, Estevão Portela Nunes, Cristiane Fonseca De Almeida, Patricia Dias De Brito, Valdilea G Veloso, Beatriz Grinsztejn, Hugo Perazzo

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in HIV medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02542020 (Prospective Evaluation of HIV Infected Patients Followed at Evandro Chagas National Institute of Infectious Disease), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT02542020 unknown statusnot on this map

Prospective Evaluation of HIV Infected Patients Followed at Evandro Chagas National Institute of Infectious Disease (INI) - Oswaldo Cruz Foundation (FIOCRUZ) Using Non-invasive Methods for Estimation of Liver Fibrosis and Steatosis

TypeobservationalSponsorOswaldo Cruz FoundationRan2015 to 2022Enrolled2,000ConditionsHuman Immunodeficiency Virus, Acquired Immune Deficiency Syndrome Virus, Liver Diseases, Liver Cirrhosis
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Juliana FittipaldiEvandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0009-0002-7647-8943
Sandra W CardosoEvandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-5230-0003
Estevão Portela NunesEvandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-0566-8718
Cristiane Fonseca De AlmeidaEvandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-0148-4065
Patricia Dias De BritoEvandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-3670-6692
Valdilea G VelosoEvandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0002-6622-3165
Beatriz GrinsztejnEvandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0003-3692-5155
Hugo PerazzoEvandro Chagas National Institute of Infectious Diseases (INI), Oswaldo Cruz Foundation (FIOCRUZ), Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0003-0931-6418

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 445957/2020-4Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro E-26/201.351/2021
6 · The paper itself

Abstract

introductionMetabolic dysfunction-associated liver disease (MASLD) might progress to cirrhosis. We aimed to evaluate the association of MASLD with the risk of developing clinically significant fibrosis (CSF) in people living with HIV (PLWH).

methodsPLWH have been followed up since 2015 in the PROSPEC-HIV cohort (NCT02542020) with questionnaires, blood samples, and transient elastography (TE) on the same day. Participants with viral hepatitis, who were c-ART naïve, those with CSF at baseline or unreliable TE examinations and who lost follow-up were excluded. Liver steatosis and fibrosis were assessed by TE-Controlled Attenuation Parameter (CAP) and TE-liver stiffness measurement (LSM), respectively. MASLD was defined as the presence of steatosis (CAP ≥263 dB/m) at baseline with at least one cardiometabolic risk factor without hazardous alcohol intake [Alcohol Use Disorders Identification Test (AUDIT) score <8]. The primary outcome was the development of CSF (LSM ≥8.0 kPa) during follow-up. Kaplan-Meier curves and Cox proportional hazards multivariate models were performed.

resultsA total of 304 participants with HIV mono-infection under c-ART and without liver fibrosis (43.4% male, median [interquartile range, IQR] age = 44 [IQR, 36-52] and body mass index [BMI] = 25.6 [23.0-29.0] kg/m

conclusionMASLD increased the risk of liver fibrosis in people with HIV mono-infection under c-ART.

Indexed as

HIV InfectionsLiver CirrhosisAdultCohort StudiesElasticity Imaging TechniquesFemaleHumansIncidenceMaleMiddle AgedRisk FactorsfibrosisHIVlongitudinal studiesnon‐alcoholic fatty liver disease

Identifiers

PMID40698903
PMCPMC12497932

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Registered trials

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.