Evidence map›Paper›PMID 41889372›Full record

ArticleJournal of the International Association of Providers of AIDS Care

Initial Antiretroviral Third-Drug Class and Time to Loss of Virologic Suppression: A Real-World Colombian Cohort Study.

Juan Carlos Alzate-Ángel, Otto Sussmann, Javier Andrade, Beatriz Hernández, Héctor Mueses-Marín, Ximena Galindo, Sandra Liliana Valderrama-Beltrán, William Lenis, Leonardo Montero, Mónica Mantilla and 6 more

Abstract read
In one paragraph

Article in Journal of the International Association of Providers of AIDS Care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Juan Carlos Alzate-ÁngelAcademic Clinical Epidemiology Group, Universidad de Antioquia, Medellín, Colombia.ORCID 0000-0003-0319-0623
Otto SussmannVIHCOL Group, Cali, Colombia.ORCID 0000-0002-4110-3706
Javier AndradeVIHCOL Group, Cali, Colombia.ORCID 0000-0003-1765-7175
Beatriz HernándezVIHCOL Group, Cali, Colombia.ORCID 0000-0001-6388-1122
Héctor Mueses-MarínVIHCOL Group, Cali, Colombia.ORCID 0000-0002-0608-6656
Ximena GalindoVIHCOL Group, Cali, Colombia.ORCID 0000-0003-0422-9200
Sandra Liliana Valderrama-BeltránVIHCOL Group, Cali, Colombia.ORCID 0000-0003-1833-1599
William LenisVIHCOL Group, Cali, Colombia.ORCID 0000-0003-4590-9931
Leonardo MonteroVIHCOL Group, Cali, Colombia.ORCID 0000-0001-9601-7293
Mónica MantillaVIHCOL Group, Cali, Colombia.ORCID 0000-0003-4295-2790
Leonardo ArévaloVIHCOL Group, Cali, Colombia.ORCID 0000-0001-7413-2303
Diana AlzamoraVIHCOL Group, Cali, Colombia.ORCID 0009-0007-1847-8052
Eric DelgadoVIHCOL Group, Cali, Colombia.ORCID 0009-0009-4028-3352
Martha GarcíaVIHCOL Group, Cali, Colombia.ORCID 0000-0002-3616-8441
Ernesto Martínez-BuitragoVIHCOL Group, Cali, Colombia.ORCID 0000-0002-0959-8593
VIHCOL Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundReal-world comparisons of initial antiretroviral third-drug classes are limited in middle-income settings. We evaluated whether the initial third-drug class predicts time to loss of virologic suppression in Colombia.MethodsHistorical cohort of 609 ART-naïve adults (2016-2020). Outcome: first HIV RNA ≥200 copies/mL. We compared NNRTI, PI, and INSTI regimens using adjusted and IPTW-weighted Cox models.ResultsRegimens were NNRTI (72%), PI (20%), and INSTI (8%); 19.9% lost suppression. Compared with NNRTI, PIs showed higher but nonsignificant hazards (aHR 1.50, 95% CI 0.98-2.27). For INSTIs, we did not detect significant differences (aHR 1.22, 95% CI 0.64-2.31). Diagnosis-to-ART delays and treatment interruptions were associated with loss of suppression.ConclusionsTreatment continuity and timely initiation predicted sustained suppression better than drug class. Low INSTI usage limits statistical power to detect differences. Structural barriers to continuity may limit the real-world benefit of newer regimens.

Indexed as

Anti-HIV AgentsHIV InfectionsAdultCohort StudiesColombiaFemaleHumansMaleMiddle AgedReverse Transcriptase InhibitorsTreatment DelayViral LoadAnti-HIV AgentsReverse Transcriptase Inhibitorsaccess barriers < healthcare access and disparitiesaccess to treatment < country profiles (how nations address the AIDS epidemic)antiretroviral treatment programs < health services in HIV/AIDS careintegrase inhibitor < antiretroviral therapy (ART)non-Nucleoside reverse transcriptase inhibitor (NNRTI) < Antiretroviral therapy (ART)protease inhibitor < antiretroviral therapy (ART)

Identifiers

PMID41889372
PMCPMC13051294

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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.