Evidence mapPaperPMID 33044321Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2021

Association of Kidney Disease With Abnormal Cardiac Structure and Function Among Ugandans With HIV Infection.

Matthew Peters, Seunghee Margevicius, Cissy Kityo, Grace Mirembe, Jonathan Buggey, Ellen Brinza, Mark Schluchter, Chun-Ho Yun, Chung-Lieh Hung, Grace A McComsey and 1 more

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 41% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

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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

11 authors at 5 institutions in 3 countries.

Matthew PetersDepartment of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH.
Seunghee MargeviciusCase Western Reserve University School of Medicine, Cleveland, OH.
Cissy KityoJoint Clinical Research Centre, Kampala, Uganda.
Grace MirembeJoint Clinical Research Centre, Kampala, Uganda.
Jonathan BuggeyDepartment of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH.
Ellen BrinzaCase Western Reserve University School of Medicine, Cleveland, OH.
Mark SchluchterCase Western Reserve University School of Medicine, Cleveland, OH.
Chun-Ho YunJoint Clinical Research Centre, Kampala, Uganda.
Chung-Lieh HungJoint Clinical Research Centre, Kampala, Uganda.
Grace A McComseyDepartment of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH.
Chris T LongeneckerDepartment of Internal Medicine, University Hospitals Cleveland Medical Center, Cleveland, OH.
Joint Clinical Research Centre · UGCase Western Reserve University · USUniversity Hospitals of Cleveland · USUniversity School · USCleveland Clinic Lerner College of Medicine · US

Funding

NHLBI NIH HHS K23 HL123341
6 · The paper itself

Abstract

backgroundPeople with HIV (PWH) are at an increased risk of both heart and kidney disease, but the relationship between kidney disease and cardiac structure and function in this population has not been well studied. In particular, whether the relationship between kidney disease and cardiac structure and function is stronger for PWH compared with uninfected controls is unknown.

methodsOne hundred PWH on antiretroviral therapy were compared with 100 age-matched and sex-matched controls without HIV in Uganda. Multivariable regression models were used to examine associations between creatinine-based and cystatin C-based estimated glomerular filtration rate (eGFR), albumin-creatinine ratio, and echocardiographic measures of cardiac structure and function.

resultsPWH had lower eGFRcr (β -7.486, 95% confidence interval: -13.868 to -1.104, P = 0.022) and a higher rate of albumin-creatinine ratio ≥30 (odds ratio 2.146, 95% confidence interval: 1.027 to 4.484, P = 0.042) after adjustment for traditional risk factors. eGFR was inversely associated with both left ventricular mass index and diastolic dysfunction in adjusted models but not with systolic function. Albuminuria was associated with more diastolic dysfunction among PWH but not controls (P for interaction = 0.046). The association of HIV with a higher left ventricular mass index (P = 0.005) was not substantially affected by adjusting for eGFRcr.

conclusionAmong Ugandans, eGFR is associated with elevated LV mass and diastolic dysfunction. The association between albuminuria and diastolic dysfunction is particularly strong for PWH.

Indexed as

AlbuminuriaAntirheumatic AgentsBiomarkersCardiovascular AbnormalitiesCreatinineCystatin CFemaleGlomerular Filtration RateHeartHIV InfectionsHumansKidneyKidney DiseasesMaleMiddle AgedRenal Insufficiency, ChronicAntirheumatic AgentsBiomarkersCreatinineCST3 protein, humanCystatin C

Identifiers

PMID33044321
PMCPMC12863130
OpenAlexW3092593356

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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.