Evidence map›Paper›PMID 37155672›Full record

Observational studyPloS one2023

Six-month blood pressure and glucose control among HIV-infected adults with elevated blood pressure and hyperglycemia in northern Tanzania: A prospective observational study.

Francis M Sakita, Sainikitha Prattipati, Jordan Chick, Linda P Samu, Amedeus V Maro, Lauren Coaxum, Sophie W Galson, Dorothy Samuel, Alexander T Limkakeng, Paige R O'Leary and 4 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  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

14 authors at 2 institutions in 2 countries.

Francis M SakitaKilimanjaro Christian Medical University College, Moshi, Tanzania.
Sainikitha PrattipatiDuke Global Health Institute, Duke University, Durham, North Carolina, United States of America.
Jordan ChickDepartment of Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.
Linda P SamuHealth Department, Moshi Municipal Council, Moshi, Tanzania.
Amedeus V MaroKilimanjaro Christian Medical Center, Moshi, Tanzania.
Lauren CoaxumDepartment of Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.
Sophie W GalsonDuke Global Health Institute, Duke University, Durham, North Carolina, United States of America.
Dorothy SamuelMajengo Health Centre, Moshi, Tanzania.
Alexander T LimkakengDepartment of Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.ORCID 0000-0002-9822-5595
Paige R O'LearyDepartment of Emergency Medicine, Duke University School of Medicine, Durham, North Carolina, United States of America.
Kajiru G KilonzoKilimanjaro Christian Medical University College, Moshi, Tanzania.
Nathan M ThielmanDuke Global Health Institute, Duke University, Durham, North Carolina, United States of America.
Gloria TemuKilimanjaro Christian Medical University College, Moshi, Tanzania.
Julian T HertzDuke Global Health Institute, Duke University, Durham, North Carolina, United States of America.ORCID 0000-0002-7396-4789
Duke University · USKilimanjaro Christian Medical Centre · TZ

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
NIAID NIH HHS P30 AI064518
6 · The paper itself

Abstract

backgroundPeople with HIV in sub-Saharan Africa are increasingly developing age-related comorbidities. The purpose of this prospective observational study was to describe 6-month outcomes among Tanzanians with HIV and elevated blood pressure or hyperglycemia under current care pathways.

methodsAdults presenting for routine HIV care were enrolled and underwent blood pressure and blood glucose measurements. Participants with abnormal blood pressure or glucose were referred for further care, as per current guidelines. Participants' blood pressure and point-of-care glucose were re-evaluated during their 6-month follow-up visit. Elevated blood pressure was defined as systolic ≥140 mmHg or diastolic ≥90 mmHg. Hyperglycemia was defined as fasting glucose ≥126 mg/dl or random glucose ≥200 mg/dl. An electrocardiogram was obtained at enrollment and at follow-up. Interim myocardial infarction and interim myocardial ischemia were defined as new pathologic Q waves and new T-wave inversions, respectively.

resultsOf 500 participants, 155 had elevated blood pressure and 17 had hyperglycemia at enrolment. At 6-month follow-up, 7 (4.6%) of 155 participants with elevated blood pressure reported current use of an anti-hypertensive medication, 100 (66.2%) had persistent elevated blood pressure, 12 (7.9%) developed interim myocardial infarction, and 13 (8.6%) developed interim myocardial ischemia. Among 17 participants with hyperglycemia, 9 (56%) had persistent hyperglycemia at 6 months and 2 (12.5%) reported current use of an anti-hyperglycemic medication.

conclusionsInterventions are needed to improve non-communicable disease care pathways among Tanzanians with HIV.

Indexed as

HIV InfectionsHyperglycemiaHypertensionMyocardial InfarctionAdultBlood GlucoseBlood PressureHumansTanzaniaBlood Glucose

Identifiers

PMID37155672
PMCPMC10166506
OpenAlexW4375955513

What Socratic holds

Textmetadata
LicenceCC BY
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.