Evidence map›Paper›PMID 33569682›Full record

ArticleAIDS and behavior2021

Long-term Patterns of Self-reported Opioid Use, VACS Index, and Mortality Among People with HIV Engaged in Care.

Joëlla W Adams, Yu Li, Declan T Barry, Kirsha S Gordon, Robert D Kerns, Benjamin J Oldfield, Christopher T Rentsch, Brandon D L Marshall, E Jennifer Edelman

Abstract read
In one paragraph

Article in AIDS and behavior, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

9 authors.

Joëlla W AdamsDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Yu LiDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
Declan T BarryDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Kirsha S GordonVA Connecticut Healthcare Systems, West Haven, CT, USA.
Robert D KernsDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Benjamin J OldfieldDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Christopher T RentschVA Connecticut Healthcare Systems, West Haven, CT, USA.
Brandon D L MarshallDepartment of Epidemiology, Brown University School of Public Health, Providence, RI, USA.
E Jennifer EdelmanDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA. ejennifer.edelman@yale.edu.ORCID http://orcid.org/0000-0002-9375-0489

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
BU Clinical HIV/AIDS Research Training Program (BU-CHART)T32AI052074 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Benjamin P. Linas · 2003 to 2026
$6.7M
The HIV and Alcohol Research center focused on Polypharmacy (HARP)P01AA029545 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2021 to 2025
$6.3M
The Lifespan/Brown Criminal Justice Research Program on Substance Use and HIVR25DA037190 · NIDA · MIRIAM HOSPITAL · PI CURT G BECKWITH · 2014 to 2026
$3.5M
Non-Medical Use of Prescription Opioids Among HIV-Infected Individuals: Trajectories and Impact on Health OutcomesR01DA040471 · NIDA · YALE UNIVERSITY · PI EDELMAN, E. JENNIFER · 2016 to 2018
$716k
Impact of Mass Incarceration on HIV Acquisition for the Female Partner: An Agent-based Modeling Study of PhiladelphiaF31MH114736 · NIMH · BROWN UNIVERSITY · PI ADAMS, JOELLA W. · 2018 to 2019
$83k
National Institute of Allergy and Infectious Diseases T32-AI052074NCATS NIH HHS UL1 TR001863NIAAA NIH HHS P01 AA029545NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U10-AA13566NIAID NIH HHS T32 AI052074NIDA NIH HHS 5R01DA040471-03NIDA NIH HHS R01 DA040471NIDA NIH HHS R25 DA037190NIDA NIH HHS R25-DA037190NIMH NIH HHS F31 MH114736NIMH NIH HHS F31-MH114736-01A1
6 · The paper itself

Abstract

Longitudinal analyses of opioid use and overall disease severity among people with HIV (PWH) are lacking. We used joint-trajectory and Cox proportional hazard modeling to examine the relationship between self-reported opioid use and the Veterans Aging Cohort Study (VACS) Index 2.0, a validated measure of disease severity and mortality, among PWH engaged in care. Using data from 2002 and 2018, trajectory modeling classified 20% of 3658 PWH in low (i.e., lower risk of mortality), 40% in moderate, 28% in high, and 12% in extremely high VACS Index trajectories. Compared to those with moderate VACS Index trajectory, PWH with an extremely high trajectory were more likely to have high, then de-escalating opioid use (adjusted odds ratio [AOR], 95% confidence interval [CI] 5·17 [3·19-8·37]) versus stable, infrequent use. PWH who report high frequency opioid use have increased disease severity and mortality risk over time, even when frequency of opioid use de-escalates.

Indexed as

HIV InfectionsVeteransAgingAnalgesics, OpioidCohort StudiesHumansSelf ReportAnalgesics, OpioidHIV-1MortalityOpioid-related disorders

Identifiers

PMID33569682
PMCPMC8442670

What Socratic holds

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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.