Evidence map›Paper›PMID 33492019›Full record

SynthesisJournal of acquired immune deficiency syndromes (1999)2021

Human Immunodeficiency Virus Infection and Incident Heart Failure: A Meta-Analysis of Prospective Studies.

Yuqing Chen, Yanxiao Gao, Yaqin Zhou, Xianhong Li, Honghong Wang, Tamar S Polonsky, Sten H Vermund, Han-Zhu Qian, Frank Qian

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 24 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 4 pooled it
4.6field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Trial
  6. Article
  7. Article
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  9. Review
  10. Article
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  12. Article
  13. HIV, HIV-Specific Factors, and Myocardial Disease in Women.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  14. Cardiometabolic health in people with HIV: expert consensus review.The Journal of antimicrobial chemotherapy · 2024
    Review
  15. Article
  16. Article
  17. HIV-associated lung disease.Nature reviews. Disease primers · 2023
    Review
  18. Article
  19. Review
  20. Review
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 at 5 institutions in 2 countries.

Yuqing ChenXiangya Nursing School, Central South University, Changsha, China.
Yanxiao GaoSchool of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, China.
Yaqin ZhouXiangya Nursing School, Central South University, Changsha, China.
Xianhong LiXiangya Nursing School, Central South University, Changsha, China.
Honghong WangXiangya Nursing School, Central South University, Changsha, China.
Tamar S PolonskyDepartment of Medicine, University of Chicago, Chicago, IL.
Sten H VermundSchool of Public Health, Yale University, New Haven, CT; and.
Han-Zhu QianSchool of Public Health, Yale University, New Haven, CT; and.
Frank QianDepartment of Medicine, University of Chicago, Chicago, IL.
Central South University · CNYale University · USHarvard University · USSun Yat-sen University · CNUniversity of Chicago · US

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 2001 to 2026
$48.5M
NIMH NIH HHS P30 MH062294
6 · The paper itself

Abstract

objectivesTo systematically analyze available prospective evidence on the association between HIV infection and incident heart failure (HF).

methodsA systematic search of PubMed, EMBASE, Web of Science, and manual search of relevant articles through June 1st, 2020, was conducted. Two authors independently performed full-text assessments and data extraction. The pooled relative risk with 95% confidence interval was estimated using DerSimonian and Laird random-effects models, with inverse-variance fixed-effects meta-analysis used as a sensitivity analysis. Heterogeneity was explored using subgroup analyses and meta-regressions.

resultsWe included 8 reports among 8,848,569 participants with 101,335 incident cases of HF [1941 among 131,632 people living with HIV (PLWH) and 99,394 among 8,716,937 control participants]. In the overall analysis using a random-effect model, HIV infection was positively associated with incident HF [relative risk, 1.80 (95% confidence interval: 1.51 to 2.15)], although with significant heterogeneity. A similar association was observed with a fixed-effects model, 1.59 (1.50 to 1.68). In subgroup analyses, associations between HIV infection and HF were nominally stronger in younger adults (age < 50 years), women, and individuals with low CD4 count (<200 cells/mm3). Publication bias was suggested from visual examination of funnel plots, correcting for this did not abolish the association, 1.52 (1.25 to 1.85).

conclusionsOur meta-analysis provides additional evidence that HIV is associated with an increased risk of HF, particularly among younger adults, women, and individuals with low CD4 count.

Indexed as

AdultCD4 Lymphocyte CountDatabases, FactualFemaleHeart FailureHIV InfectionsHumansIncidenceProspective StudiesRisk

Identifiers

PMID33492019
PMCPMC10768809
OpenAlexW3122084795

What Socratic holds

Textmetadata
LicenceTDM
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.