Evidence map›Paper›PMID 31880980›Full record

ArticleJournal of the American Heart Association2020

Excess Risk for Atherosclerotic Cardiovascular Outcomes Among US Adults With HIV in the Current Era.

Robert S Rosenson, Demetria Hubbard, Keri L Monda, Stephanie R Reading, Ligong Chen, Paul J Dluzniewski, Greer A Burkholder, Paul Muntner, Lisandro D Colantonio

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 4 pooled it
–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.

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

32 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Developing machine learning models to improve cardiovascular risk prediction for people living with HIV.International journal of cardiology. Cardiovascular risk and prevention · 2026
    Article
  7. Observational
  8. Review
  9. Article
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  11. Incidence of Statin Initiation Among People With and Without HIV in the United States: A Prospective Observational Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025 · on this map
    Observational
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
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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

9 authors.

Robert S RosensonIcahn School of Medicine at Mount Sinai New York NY.
Demetria HubbardUniversity of Alabama at Birmingham Birmingham AL.
Keri L MondaAmgen, Inc Thousand Oaks CA.
Stephanie R ReadingAmgen, Inc Thousand Oaks CA.
Ligong ChenUniversity of Alabama at Birmingham Birmingham AL.
Paul J DluzniewskiAmgen, Inc Thousand Oaks CA.
Greer A BurkholderUniversity of Alabama at Birmingham Birmingham AL.
Paul MuntnerUniversity of Alabama at Birmingham Birmingham AL.
Lisandro D ColantonioUniversity of Alabama at Birmingham Birmingham AL.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background In the 2000s, adults with HIV had a higher risk for atherosclerotic cardiovascular disease (ASCVD) compared with those without HIV. There is uncertainty if this excess risk still exists in the United States given changes in antiretroviral therapies and increased statin use. Methods and Results We compared the risk for ASCVD events between US adults aged ≥19 years with and without HIV who had commercial or supplemental Medicare health insurance between January 1, 2011, and December 31, 2016. Beneficiaries with HIV (n=82 426) were frequency matched 1:4 on age, sex, and calendar year to those without HIV (n=329 704). Beneficiaries with and without HIV were followed up through December 31, 2016, for ASCVD events, including myocardial infarction, stroke, and lower extremity artery disease hospitalizations. Most beneficiaries were aged <55 years (79%) and men (84%). Over a median follow-up of 1.6 years (maximum, 6 years), there were 3287 ASCVD events, 2190 myocardial infarctions, 891 strokes, and 322 lower extremity artery disease events. The rate per 1000 person-years among beneficiaries with and without HIV was 5.53 and 3.49 for ASCVD, respectively, 3.58 and 2.34 for myocardial infarction, respectively, 1.49 and 0.94 for stroke, respectively, and 0.65 and 0.31 for lower extremity artery disease hospitalizations, respectively. The multivariable-adjusted hazard ratio (95% CI) for ASCVD, myocardial infarction, stroke, and lower extremity artery disease hospitalizations comparing beneficiaries with versus without HIV was 1.29 (1.18-1.40), 1.26 (1.13-1.39), 1.30 (1.11-1.52), and 1.46 (1.11-1.92), respectively. Conclusions Adults with HIV in the United States continue to have a higher ASCVD risk compared with their counterparts without HIV.

Indexed as

AdultAgedAnti-HIV AgentsDatabases, FactualFemaleHeart Disease Risk FactorsHIV InfectionsHumansHydroxymethylglutaryl-CoA Reductase InhibitorsIncidenceInsurance, MedigapMaleMiddle AgedMyocardial InfarctionPeripheral Arterial DiseasePrognosisAnti-HIV AgentsHydroxymethylglutaryl-CoA Reductase InhibitorsHIVmyocardial infarctionperipheral artery diseasestroke

Identifiers

PMID31880980
PMCPMC6988153

What Socratic holds

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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 Socratic graph.