Evidence map›Paper›PMID 29290955›Full record

ArticleOncotarget2017

Effect of antiretroviral therapy use and adherence on the risk of hyperlipidemia among HIV-infected patients, in the highly active antiretroviral therapy era.

Fuu-Jen Tsai, Chi-Fung Cheng, Chih-Ho Lai, Yang-Chang Wu, Mao-Wang Ho, Jen-Hsien Wang, Ni Tien, Xiang Liu, Hsinyi Tsang, Ting-Hsu Lin and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Observational
  12. 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

18 authors at 7 institutions in 2 countries.

Fuu-Jen TsaiSchool of Chinese Medicine, China Medical University, Taichung, Taiwan.
Chi-Fung ChengGraduate Institute of Biostatistics, School of Public Health, China Medical University, Taichung, Taiwan.
Chih-Ho LaiDepartment of Microbiology and Immunology, Chang Gung University, Taoyuan, Taiwan.
Yang-Chang WuSchool of Chinese Medicine, China Medical University, Taichung, Taiwan.
Mao-Wang HoSection of Infectious Diseases, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.
Jen-Hsien WangSection of Infectious Diseases, Department of Internal Medicine, China Medical University Hospital, Taichung, Taiwan.
Ni TienDepartment of Medical Laboratory Science and Biotechnology, China Medical University, Taichung, Taiwan.
Xiang LiuNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Hsinyi TsangNational Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, USA.
Ting-Hsu LinGenetic Center, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan.
Chiu-Chu LiaoGenetic Center, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan.
Shao-Mei HuangGenetic Center, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan.
Ju-Pi LiSchool of Chinese Medicine, China Medical University, Taichung, Taiwan.
Jung-Chun LinSchool of Medical Laboratory Science and Biotechnology, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan.
Chih-Chien LinDepartment of Cosmetic Science, Providence University, Taichung, Taiwan.
Jin-Hua ChenBiostatistics Center, College of Management, Taipei Medical University, Taipei, Taiwan.
Wen-Miin LiangGraduate Institute of Biostatistics, School of Public Health, China Medical University, Taichung, Taiwan.
Ying-Ju LinSchool of Chinese Medicine, China Medical University, Taichung, Taiwan.
China Medical University · TWChina Medical University Hospital · TWNational Institutes of Health · USTaipei Medical University · TWAsia University · TWChang Gung University · TWProvidence University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HIV-infected patients exposed to antiretroviral therapy (ART) have an increased risk for hyperlipidemia and cardiovascular disease. We performed a longitudinal, comprehensive, and population-based study to investigate the cumulative effect of different types of ART regimens on hyperlipidemia risk in the Taiwanese HIV/ART cohort. A total of 13,370 HIV-infected patients (2,674 hyperlipidemia and 10,696 non-hyperlipidemia patients) were recruited after matching for age, gender, and the first diagnosis date of HIV infection by using the National Health Insurance Research Database in Taiwan. Hyperlipidemia risk associated with cumulative ART use, ART adherence, and their combination was assessed. The matched hyperlipidemia group had a larger number of patients using ART and a higher incidence of comorbidities, specifically, respiratory disease and diabetes. Patients with high ART dosage and dose-dependent manner adherence, respectively, demonstrated an increased risk of hyperlipidemia. For single ART regimens, patients receiving nucleoside reverse-transcriptase inhibitors (NRTI/NRTI)- containing regimen had the highest hyperlipidemia risk, followed by protease inhibitor (PI)- containing and non-NRTI- containing regimens. For combination ART regimens, patients receiving a NRTI/NRTI + PI regimen had the highest hyperlipidemia risk. An increased cumulative drug dose was observed in patients who received the PI, NRTI/NRTI, NRTI, and NNRTI regimens in the hyperlipidemia group, when compared to the non-hyperlipidemia group. In conclusion, ART cumulative use, adherence, and regimen may affect hyperlipidemia risk among HIV-infected patients in a dose-dependent manner.

Indexed as

antiretroviral therapyHIVhyperlipidemianucleoside reverse-transcriptase inhibitorprotease inhibitor

Identifiers

PMID29290955
PMCPMC5739740
OpenAlexW2769208088

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.