Evidence map›Paper›PMID 40295208›Full record

ArticleHIV medicine2025

Cytomegalovirus serostatus among people with HIV, characterizing the prevalence, risk factors, and association with immune recovery.

Joshua Quisias, M John Gill, Sally B Coburn, Hartmut B Krentz, Brenda Beckthold, Kevin Fonseca, Michael D Parkins, Raynell Lang

Abstract read
In one paragraph

Article in HIV medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

8 authors.

Joshua QuisiasDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
M John GillDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Sally B CoburnDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.
Hartmut B KrentzDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-4842-2846
Brenda BecktholdSouthern Alberta Clinic, Alberta Health Services, Calgary, Alberta, Canada.
Kevin FonsecaDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Michael D ParkinsDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Raynell LangDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.

Funding

VPR Catalyst grant, University of Calgary, Calgary, Alberta, Canada
6 · The paper itself

Abstract

introductionCytomegalovirus (CMV) infection is common among people with HIV (PWH), and may be associated with negative outcomes. We aimed to identify the seroprevalence of CMV between 01 January 1998 and 01 June 2022 among PWH accessing care at the Southern Alberta Clinic (SAC) and the associated risk factors. We also aimed to assess the impact of CMV seropositivity on CD4+ T-cells and CD4+/CD8+ ratio recovery among PWH who maintain HIV viral suppression.

methodsPoisson regression models with robust variance estimated crude and adjusted prevalence ratios and 95% confidence intervals to identify risk factors for CMV seronegativity. Among PWH maintaining viral suppression, trends in the median CD4+ T-cell count and CD4+/CD8+ ratio were visualized, and continuous time-to-event Cox proportional hazard models estimated hazards ratios (aHR) for CD4+ cell count recovery to ≥500 cells/mm

resultsAmong 3249 PWH, 2954 (91%) were CMV seropositive. CMV seronegativity was associated with younger ages, male sex, non-Hispanic white race and an education of ≥12 years. While CMV seronegativity did not affect CD4+ T-cell recovery following HIV viral suppression (aHR 1.15 [0.89-1.48]), it was associated with a greater likelihood of CD4+/CD8+ ratio normalization (aHR 2.38 [1.85-3.07]) at 10 years of follow-up.

conclusionsCMV is a common coinfection among PWH. We found that CMV positivity among PWH maintaining HIV viral suppression, while not associated with CD4+ T-cell recovery, was associated with a reduced CD4+/CD8+ ratio recovery. This suggests an association with chronic CMV infection-mediated immune activation and inflammation among PWH.

Indexed as

Cytomegalovirus InfectionsHIV InfectionsAdultAlbertaCD4-CD8 RatioCD4 Lymphocyte CountCD4-Positive T-LymphocytesCytomegalovirusFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsSeroepidemiologic StudiesCD4+/CD8+ ratioCD4+ countCMVcytomegalovirusHIV

Identifiers

PMID40295208
PMCPMC12210338

What Socratic holds

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LicenceCC BY-NC-ND
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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.