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Cited by 462

The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.

The effect of combined antiretroviral therapy on the overall mortality of HIV-infected individuals

Open access
·2010·AIDS

Abstract

OBJECTIVE: To estimate the effect of combined antiretroviral therapy (cART) on mortality among HIV-infected individuals after appropriate adjustment for time-varying confounding by indication. DESIGN: A collaboration of 12 prospective cohort studies from Europe and the United States (the HIV-CAUSAL Collaboration) that includes 62 760 HIV-infected, therapy-naive individuals followed for an average of 3.3 years. Inverse probability weighting of marginal structural models was used to adjust for measured confounding by indication. RESULTS: Two thousand and thirty-nine individuals died during the follow-up. The mortality hazard ratio was 0.48 (95% confidence interval 0.41-0.57) for cART initiation versus no initiation. In analyses stratified by CD4 cell count at baseline, the corresponding hazard ratios were 0.29 (0.22-0.37) for less than 100 cells/microl, 0.33 (0.25-0.44) for 100 to less than 200 cells/microl, 0.38 (0.28-0.52) for 200 to less than 350 cells/microl, 0.55 (0.41-0.74) for 350 to less than 500 cells/microl, and 0.77 (0.58-1.01) for 500 cells/microl or more. The estimated hazard ratio varied with years since initiation of cART from 0.57 (0.49-0.67) for less than 1 year since initiation to 0.21 (0.14-0.31) for 5 years or more (P value for trend <0.001). CONCLUSION: We estimated that cART halved the average mortality rate in HIV-infected individuals. The mortality reduction was greater in those with worse prognosis at the start of follow-up.

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Metadata

Venue
AIDS
Published
2010-01-02
Volume
24
Issue
1
Pages
123-137
ISSN
0269-9370 (ISSN-L)
OpenAlex
W2172275755
Cited by
462
References
29
FWCI
14.66
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: The effect of combined antiretroviral therapy on the overall mortality of HIV-infected individuals. https://app.cochat.ai/papers/10.1097/qad.0b013e3283324283
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The effect of combined antiretroviral therapy on the overall mortality of HIV-infected individuals. (2010). AIDS. https://doi.org/10.1097/qad.0b013e3283324283

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