Evidence map›Paper›PMID 42142435›Full record

ArticleThe Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases

Restoring well-being: quality of life improvements following dolutegravir-based therapy after antiretroviral failure.

Liliane Lins-Kusterer, Carlos Brites, Marcus Vinícius Guimarães de Lacerda, Kimberly Page, Fabianna Bahia, Estela Luz, Aline Ramalho, Sandra Wagner, Maria Belen Arriaga, CODE research group collaborators

Abstract readMulticenter Study
In one paragraph

Article in The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases. 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.

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3 · Its place in the literature

Who cites it

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No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

10 authors.

Liliane Lins-KustererUniversidade Federal da Bahia/Fundação Bahiana de Infectologia, Salvador, BA, Brazil. Electronic address: lkusterer@gmail.com.
Carlos BritesUniversidade Federal da Bahia/Fundação Bahiana de Infectologia, Salvador, BA, Brazil. Electronic address: crbrites@gmail.com.
Marcus Vinícius Guimarães de LacerdaFundação de Medicina Tropical Tropical do Amazonas, Manaus, AM, Brazil.
Kimberly PageGSK Brazil, Rio de Janeiro, RJ, Brazil.
Fabianna BahiaCentro Estadual Especializado em Diagnóstico Assistência e Pesquisa, Salvador, BA, Brazil.
Estela LuzUniversidade Federal da Bahia/Fundação Bahiana de Infectologia, Salvador, BA, Brazil.
Aline RamalhoHospital Geral de Nova Iguaçu, Rio de Janeiro, RJ, Brazil.
Sandra WagnerInstituto Nacional de Infectologia Evandro Chagas, Rio de Janeiro, RJ, Brazil.
Maria Belen ArriagaUniversidade Federal da Bahia/Fundação Bahiana de Infectologia, Salvador, BA, Brazil.
CODE research group collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDolutegravir-based antiretroviral therapy has improved virologic outcomes in people living with HIV; however, its effects on Health-Related Quality of Life (HRQoL), particularly among individuals with prior antiretroviral failure, remain insufficiently characterized. We aimed to compare HRQoL in people living with HIV initiating dolutegravir-based regimens, with or without previous antiretroviral failure.

methodsThis multicenter study was conducted across 15 Brazilian HIV centers. Participants completed the RAND-36 questionnaire at baseline and after 12-months of dolutegravir-based therapy. HRQoL changes were assessed within groups and compared between groups using change scores over time.

resultsA total of 439 participants were included in the longitudinal analysis, of whom 373 had no prior therapeutic failure and 66 had previous antiretroviral failure. Among participants with prior failure, significant improvements were observed in role-emotional functioning (Δ = 17.17; p = 0.010), social functioning (Δ = 10.79; p = 0.008), and pain (Δ = 10.66; p = 0.024), whereas HRQoL remained stable among individuals switching therapy without prior failure. Between-group comparisons demonstrated significantly greater improvements in role-emotional functioning, social functioning, pain, and general health among individuals with prior therapeutic failure.

conclusionsSwitching to dolutegravir-based therapy was associated with stable HRQoL among individuals on suppressive regimens and with significant improvements among those with prior antiretroviral failure. These findings support the relevance of psychosocial and patient-reported outcomes in the evaluation of treatment response in people living with HIV.

Indexed as

Heterocyclic Compounds, 3-RingHIV InfectionsHIV Integrase InhibitorsQuality of LifeAdultBrazilDolutegravirFemaleHumansLongitudinal StudiesMaleMiddle AgedOxazinesPiperazinesPyridonesSurveys and QuestionnairesDolutegravirHeterocyclic Compounds, 3-RingHIV Integrase InhibitorsOxazinesPiperazinesPyridonesCombination antiretroviral therapiesDolutegravirHIVPatient-reported outcome measuresQuality of lifeTreatment failure

Identifiers

PMID42142435
PMCPMC13200103

What OpenQuestion holds

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LicenceCC BY
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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.