Evidence map›Paper›PMID 34061004›Full record

Trial reportCurrent HIV research2021

Lack of Association Between Recent Cannabis Use and Advanced Liver Fibrosis Among HIV-positive Heavy Drinkers.

Daniel Fuster, Kaku So-Armah, Debbie M Cheng, Sharon M Coleman, Natalia Gnatienko, Dmitry Lioznov, Evgeny M Krupitsky, Matthew S Freiberg, Jeffrey H Samet

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Current HIV research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Cannabinoids and Chronic Liver Diseases.International journal of molecular sciences · 2022
    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 6 institutions in 3 countries.

Daniel FusterInternal Medicine Department, Addiction Unit, Hospital Universitari Germans Trias I Pujol, Universitat Autonoma de Barcelona, Badalona, Spain.
Kaku So-ArmahClinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine/Boston Medical Center, Boston (MA), United States.
Debbie M ChengBiostatistics Department, Boston University School of Public Health, Boston, MA, United States.
Sharon M ColemanBiostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, MA, United States.
Natalia GnatienkoClinical Addiction Research and Education Unit, Department of Medicine, Section of General Internal Medicine, Boston Medical Center, Boston, MA, United States.
Dmitry LioznovDepartment of Infectious Diseases and Epidemiology, First Pavlov State Medical University, St. Petersburg, Russian Federation.
Evgeny M KrupitskyV.M. Bekhterev National Medical Research Center for Psychiatry and Neurology, St. Petersburg, Russian Federation.
Matthew S FreibergCardiovascular Medicine Division, Vanderbilt University Medical Center, Nashville , TN, United States.
Jeffrey H SametDepartment of Community Health Sciences, Boston University School of Public Health, Boston MA, United States.
Boston University · USBoston Medical Center · USFirst Pavlov State Medical University of St. Petersburg · RUSt.Petersburg V.M.Bekhterev Psychoneurological Research Institute · RUUniversitat Autònoma de Barcelona · ESVanderbilt University Medical Center · US

Funding

Translational ScienceP30AI042853 · NIAID · MIRIAM HOSPITAL · PI CURT G BECKWITH, DEBBIE M. CHENG · 1998 to 2026
$51.7M
Tennessee CFAR: Implementation of Culturally Responsive Trauma-Informed Care with Youth with HIV in Memphis, TNP30AI110527 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI John Koethe · 2015 to 2026
$27.5M
URBAN ARCH 4/5 Russia Cohort-Targeting HIV-comorbidities with Pharmacotherapy to Reduce Alcohol and Tobacco Use in HIV-infected RussiansU01AA020780 · NIAAA · BOSTON MEDICAL CENTER · PI FREIBERG, MATTHEW S, SAMET, JEFFREY H. · 2011 to 2021
$4.4M
URBAN ARCH (2/5) Biostatistics and Data Management Core (BDM)U24AA020779 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CHENG, DEBBIE M. · 2011 to 2020
$3.6M
URBAN ARCH (1/5) Administrative Coordinating Core (Admin Core)U24AA020778 · NIAAA · BOSTON MEDICAL CENTER · PI SAMET, JEFFREY H. · 2011 to 2020
$3.5M
Zinc for HIV Disease among Alcohol Users -An RCT in the Russia ARCH CohortU01AA021989 · NIAAA · BOSTON MEDICAL CENTER · PI FREIBERG, MATTHEW S, SAMET, JEFFREY H. · 2012 to 2016
$3.3M
Center For AIDS Research P30AI042853Health Department Intensification Program, Autonomous Government of Catalonia, Spain SLT006/17/00107NIAAA NIH HHS U01 AA020780NIAAA NIH HHS U01 AA021989NIAAA NIH HHS U24 AA020778NIAAA NIH HHS U24 AA020779NIAID NIH HHS P30 AI042853NIAID NIH HHS P30 AI110527Spanish Ministry of Economy and Competitiveness, Institute of Health Carlos III PI17/00174Spanish Ministry of Economy and Competitiveness, Institute of Health Carlos III RETICS RD16/0017/0003Spanish Ministry of Economy and Competitiveness, Institute of Health Carlos III (Physician Intensification Program) INT19/00026Spanish Ministry of Health, Social Services and Equality, National Plan on Drugs 2018/020, 2020/024
6 · The paper itself

Abstract

aimThis study aimed to analyze the association between any past-month cannabis use and advanced liver fibrosis.

backgroundCannabinoid receptors play a role in acute and chronic liver injury, but human studies addressing the impact of cannabis use on liver fibrosis have shown mixed results.

objectiveThe objective of this study was to explore and estimate the association between pastmonth cannabis use and advanced liver fibrosis (ALF) in a cohort of Russian HIV-positive individuals with heavy alcohol use and a high prevalence of hepatitis C virus (HCV) coinfection.

methodsBaseline data were analyzed from participants of the ZINC study, a trial that enrolled HIV-positive Russian patients without prior antiretroviral therapy. Cannabis use during the prior month was assessed at study entry. ALF was defined as FIB-4>3.25 and APRI>1.5. Transient elastography was used to detect advanced liver fibrosis among participants with FIB-4 values in the intermediate range (between 1.45 and 3.25).

resultsParticipants (n=248) were mostly male (72.6%), young (median age of 33.9 years), infected with HCV (87.9%), and did not have advanced immunosuppression (median CD4 count 465). Cannabis use was uncommon (12.4%), and the prevalence of advanced liver disease was 21.7%. The prevalence of ALF was similar among those who used cannabis compared to those who did not (25.8% vs. 21.7%). We were unable to detect an association between cannabis use and ALF (adjusted odds ratio: 1.28, 95% confidence interval: 0.53-3.12, p=0.59) in logistic regression models adjusting for age, sex, heavy drinking, BMI, and CD4 cell count.

conclusionIn this exploratory study among HIV-positive heavy drinking Russians, we did not detect an association between recent cannabis use and ALF. Larger scale studies, including more participants with cannabis use, are needed to examine this relationship further.

Indexed as

CannabisCoinfectionHepatitis CHIV InfectionsAdultFemaleHumansLiver CirrhosisMalealcoholCannabisFIB-4.HCVHIVliver fibrosis

Identifiers

PMID34061004
PMCPMC8597417
OpenAlexW3165488689

What Socratic holds

Textmetadata
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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.