Viral infections evidence library
HIV Infection
A living PubMed evidence library for HIV prevention, antiretroviral therapy, long-acting treatment, resistance, comorbidities, and cure research.
Living evidence synopsis
What the current PubMed collection shows.
Alexandria currently organizes 772 non-retracted PubMed-indexed records for HIV Infection. The structured collection includes 8 guideline or consensus records, 111 evidence syntheses/systematic reviews/meta-analyses, and 117 randomized or phase III studies. 264 records were identified by the configured last-24-month search. Conflict-of-interest statements are available in the PubMed record for 560 of 772 included records.
Research landscape
Charts are generated from Alexandria’s structured PubMed records, not copied from journal figures.
Records by publication year
Study designs
Conflict-of-interest reporting
Absence of a conflict-of-interest statement in PubMed does not establish that no conflict existed.
Extracted result direction
Numerical results extracted from PubMed abstracts
Each value remains attached to its original PMID. Alexandria does not pool these results or imply that unlike populations and endpoints are directly comparable.
Hazard, risk, and odds ratios reported in abstracts
View extracted numerical results 60
| Publication | Outcome | Measure | Reported value | Source |
|---|---|---|---|---|
| Promoting shared decision-making in colorectal cancer screening in primary care: A cluster randomized controlled trial.PloS one · 2026 | not_reported | Risk Ratio | 1.52 95% CI 1.13–2.04 | PMID 42263092 |
| Promoting shared decision-making in colorectal cancer screening in primary care: A cluster randomized controlled trial.PloS one · 2026 | not_reported | Risk Ratio | 1.49 95% CI 0.98–2.28 | PMID 42263092 |
| Individualized online exercise therapy aids recovery in pediatric long-COVID-findings from an exploratory randomized controlled trial.European journal of pediatrics · 2026 | not_reported | Odds Ratio | 12.0 | PMID 41493630 |
| Clinical course and virologic dynamics of Mpox during tecovirimat treatment: Prospective multicenter case series in Japan.Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2026 | not_reported | Odds Ratio | 30.0 | PMID 42521123 |
| Baseline determinants of adherence for drug-sensitive TB treatment in a South African prospective cohort: a focus on HIV infection and anti-retroviral therapy, clinical care access, and TB stigma.BMC infectious diseases · 2026 | not_reported | Odds Ratio | 1.68 | PMID 41501688 |
| Bispecific 10E8.4/iMab broadly neutralizing antibody in people with or without HIV-1: a partially randomized phase 1 trial.Nature medicine · 2026 | not_reported | Odds Ratio | 1.0 | PMID 42414619 |
| Bispecific 10E8.4/iMab broadly neutralizing antibody in people with or without HIV-1: a partially randomized phase 1 trial.Nature medicine · 2026 | not_reported | Odds Ratio | 30.0 | PMID 42414619 |
| Bispecific 10E8.4/iMab broadly neutralizing antibody in people with or without HIV-1: a partially randomized phase 1 trial.Nature medicine · 2026 | not_reported | Odds Ratio | 30.0 | PMID 42414619 |
| Bispecific 10E8.4/iMab broadly neutralizing antibody in people with or without HIV-1: a partially randomized phase 1 trial.Nature medicine · 2026 | not_reported | Odds Ratio | 10.0 | PMID 42414619 |
| Determinants of HIV-1 virologic suppression in HIV-associated tuberculosis in Brazil.Memorias do Instituto Oswaldo Cruz · 2026 | not_reported | Hazard Ratio | 0.51 95% CI 0.36–0.72 | PMID 42454801 |
| Exercise for osteoarthritis of the hip.The Cochrane database of systematic reviews · 2026 | adverse events | Risk Ratio | 8.0 95% CI 1.13–56.79 | PMID 42486497 |
| Exercise for osteoarthritis of the hip.The Cochrane database of systematic reviews · 2026 | not_reported | Risk Ratio | 1.57 95% CI 0.62–3.99 | PMID 42486497 |
| Exercise for osteoarthritis of the hip.The Cochrane database of systematic reviews · 2026 | not_reported | Risk Ratio | 1.51 95% CI 0.8–2.86 | PMID 42486497 |
| Exercise for osteoarthritis of the hip.The Cochrane database of systematic reviews · 2026 | adverse events | Risk Ratio | 2.95 95% CI 0.62–13.96 | PMID 42486497 |
| Exercise for osteoarthritis of the hip.The Cochrane database of systematic reviews · 2026 | not_reported | Risk Ratio | 1.25 95% CI 0.62–2.54 | PMID 42486497 |
| Exercise for osteoarthritis of the hip.The Cochrane database of systematic reviews · 2026 | not_reported | Risk Ratio | 0.85 95% CI 0.55–1.32 | PMID 42486497 |
| Exercise for osteoarthritis of the hip.The Cochrane database of systematic reviews · 2026 | adverse events | Risk Ratio | 0.75 95% CI 0.58–0.97 | PMID 42486497 |
| Oral Lesions in People Living with HIV: The Lining HIV Study.Pathogens (Basel, Switzerland) · 2026 | not_reported | Odds Ratio | 0.377 p = 0.006 | PMID 42515006 |
| Effects of targeted interventions on HIV testing, knowledge and sexual risk behaviours among long-distance truck drivers: a systematic review and meta-analysis.BMJ open · 2026 | not_reported | Risk Ratio | 1.25 p=0.002 | PMID 42457421 |
| Effects of targeted interventions on HIV testing, knowledge and sexual risk behaviours among long-distance truck drivers: a systematic review and meta-analysis.BMJ open · 2026 | not_reported | Risk Ratio | 1.24 95% CI 1.13–1.36 p=0.002 | PMID 42457421 |
| Effects of targeted interventions on HIV testing, knowledge and sexual risk behaviours among long-distance truck drivers: a systematic review and meta-analysis.BMJ open · 2026 | not_reported | Risk Ratio | 0.86 p=0.002 | PMID 42457421 |
| Effects of targeted interventions on HIV testing, knowledge and sexual risk behaviours among long-distance truck drivers: a systematic review and meta-analysis.BMJ open · 2026 | not_reported | Risk Ratio | 1.14 p=0.248 | PMID 42457421 |
| Effectiveness of behavioural tobacco cessation interventions with and without pharmacotherapy among people living with HIV in Viet Nam: a three-arm pragmatic randomised controlled trial.The Lancet. Global health · 2026 | not_reported | Odds Ratio | 1.0 | PMID 41713442 |
| Assessing the impact of nicotinic partial agonists compared to NRT on opioid and cigarette use: A secondary analysis investigating treatment outcomes for co-occurring nicotine and opioid use.Journal of substance use and addiction treatment · 2026 | not_reported | Odds Ratio | 12.0 | PMID 41558587 |
| Factors associated with mortality and recurrence among patients with multidrug-resistant tuberculosis (MDR-TB): a systematic review, meta-analysis and meta-regression.Infectious diseases (London, England) · 2026 | mortality | Odds Ratio | 2.8 95% CI 1.92–4.09 p < .001 | PMID 42017750 |
| Factors associated with mortality and recurrence among patients with multidrug-resistant tuberculosis (MDR-TB): a systematic review, meta-analysis and meta-regression.Infectious diseases (London, England) · 2026 | mortality | Odds Ratio | 2.67 95% CI 1.64–4.38 p < .001 | PMID 42017750 |
| Factors associated with mortality and recurrence among patients with multidrug-resistant tuberculosis (MDR-TB): a systematic review, meta-analysis and meta-regression.Infectious diseases (London, England) · 2026 | mortality | Odds Ratio | 3.15 95% CI 2.28–4.36 p < .001 | PMID 42017750 |
| Factors associated with mortality and recurrence among patients with multidrug-resistant tuberculosis (MDR-TB): a systematic review, meta-analysis and meta-regression.Infectious diseases (London, England) · 2026 | mortality | Odds Ratio | 3.53 95% CI 1.03–12.09 p < .001 | PMID 42017750 |
| Factors associated with mortality and recurrence among patients with multidrug-resistant tuberculosis (MDR-TB): a systematic review, meta-analysis and meta-regression.Infectious diseases (London, England) · 2026 | mortality | Odds Ratio | 2.94 95% CI 1.08–8.0 p < .001 | PMID 42017750 |
| Renal outcomes with dolutegravir plus lamivudine versus bictegravir/emtricitabine/tenofovir alafenamide in ART-naive adults with HIV.AIDS (London, England) · 2026 | not_reported | Percentage Comparison | 29.9percent vs 16.8percent P > 0.05 | PMID 42084114 |
| Renal outcomes with dolutegravir plus lamivudine versus bictegravir/emtricitabine/tenofovir alafenamide in ART-naive adults with HIV.AIDS (London, England) · 2026 | not_reported | Percentage Comparison | 5.1percent vs 4.7percent P > 0.05 | PMID 42084114 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 21.9percent vs 17.9percent P = 0.650 | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 7.3percent vs 5.1percent | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 3.8percent vs 23.2percent P = 0.027 | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 16.8percent vs 40.2percent P = 0.027 | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 55.7percent vs 26.1percent P = 0.03 | PMID 42055353 |
| Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.International journal of antimicrobial agents · 2026 | not_reported | Percentage Comparison | 24.9percent vs 49.2percent P = 0.03 | PMID 42055353 |
| Syphilis infection and incident dementia in two real-world cohorts: A harmonized propensity-matched analysis in Taiwan NHIRD and TriNetX Asia-Pacific.Brain, behavior, and immunity · 2026 | not_reported | Hazard Ratio | 1.35 95% CI 1.23–1.48 | PMID 42035811 |
| Syphilis infection and incident dementia in two real-world cohorts: A harmonized propensity-matched analysis in Taiwan NHIRD and TriNetX Asia-Pacific.Brain, behavior, and immunity · 2026 | not_reported | Hazard Ratio | 1.64 95% CI 1.42–1.89 | PMID 42035811 |
| Syphilis infection and incident dementia in two real-world cohorts: A harmonized propensity-matched analysis in Taiwan NHIRD and TriNetX Asia-Pacific.Brain, behavior, and immunity · 2026 | not_reported | Hazard Ratio | 1.48 95% CI 1.22–1.79 | PMID 42035811 |
Funding and conflicts of interest
Conflict and funding fields reproduce what is available in PubMed records. Missing disclosure data does not establish that no conflict or funding existed.
View records with declared financial or industry relationships 12
Bodies, Boundaries, and Belonging: A Nurse's Guide to Providing Affirming Sexual Health Care for Transgender and Gender-Diverse Individuals.
Disclosures Dr A. Elliott is currently an employee of ViiV Healthcare. The statements and beliefs expressed in this article are solely those of the authors and does not reflect the position or beliefs of ViiV Healthcare. Drs C-H. Shrader and K. Duffy have no conflicts to disclose.
PMID 42527015 · 2026In vitro and in vivo base editing of CCR5 in hematopoietic stem cells confers HIV-1 resistance.
Declaration of interests A.L. and H.-P.K. are academic co-founders of Ensoma Bio. H.-P.K. is a paid advisor for Ensoma Bio. S.R. is a consultant to Inograft Inc. and Ensoma Inc.
PMID 41832601 · 2026Changes in weight and glycemia after initiation of integrase strand transfer inhibitors among people with HIV and diabetes.
Dr. Brown has served as a consultant to ViiV Healthcare, Gilead Sciences, Janssen, and EMD Serono. Dr. Alexander is past Chair of FDA’s Peripheral and Central Nervous System Advisory Committee and a co-founding Principal and equity holder in Stage Analytics. These arrangements have been reviewed and approved by Johns Hopkins University in accordance with its conflict-of-interest policies. Dr. Falade-Nwulia received grants from AbbVie to the institution and received advisory fees from Gilead Sciences. Dr. Marconi has received investigator-initiated research grants (to the institution) and research support from Eli Lilly, Bayer, Gilead Sciences, Merck, Pfizer, and ViiV Healthcare. Dr Kassaye contributed to the development of HIV educational materials for VINDICO CME. Other authors have no potential conflicts of interest to report.
PMID 41879108 · 2026Risk of type 2 diabetes mellitus after treatment with direct-acting antivirals for hepatitis C virus in people with HIV.
GT has received grants unrelated to this study and paid to her institution from Gilead Sciences Europe, UCL, ECDC, EU, and National funds. B.S. reports financial support for travel grants from Gilead Sciences and ViiV healthcare, and for advisory boards from Gilead Sciences and MSD, paid to his institution. MK reports grants for investigator-initiated studies from ViiV Healthcare, AbbVie, and Gilead; consulting fees from ViiV Healthcare, AbbVie, and Gilead, all outside the submitted work; and is supported by a Tier I Canada Research Chair. JMM has received consulting honoraria and/or research grants from Angelini, Gilead Sciences, Jansen, MSD, Novartis, Pfizer, and ViiV Healthcare. JMM received a personal 80:20 research grant from Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain, during 2017–26.
PMID 41879095 · 2026Utility of Artificial Intelligence-Driven Chatbots in Suggesting Solutions to Stapling Misadventures in Colorectal Surgery.
Declaration of Conflicting InterestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Steven Wexner is a consultant for Activ Surgical, Arthex, Baxter, Becton, Dickinson and Co., Intuitive Surgical, OstomyCure, Takeda, and Virtual Ports, has consulting agreements with stock options for consulting with GI View, OstomyCure, and Virtual Ports, is the Data Safety Monitoring Board chair of Polypid, and receives royalties from Intuitive Surgical, Karl Storz Endoscopy America Inc., and Unique Surgical Solutions, LLC. None of the remaining authors reports any conflicts of interest. Sameh Hany Emile, Preeti Singh, Nir Horesh, Lucia Oliveira, and Julio Mayol do not report any conflicts of interest.
PMID 41460110 · 2026A 48-Week, Randomized Controlled Trial of Doravirine for Individuals With HIV and Obesity on Integrase Inhibitors and Tenofovir Alafenamide: The Do IT Study (ACTG A5391).
Potential conflicts of interest. J. R. K. has served as a consultant to Gilead, Merck, and Theratechnologies. He has received research support from Gilead and Merck, and provided expert testimony on behalf of Gilead. J. E. L. has served as a consultant to Gilead, ViiV, and Theratechnologies. K. E. has served as a consultant to Gilead, Merck, and ViiV and has received research support from Gilead and Theratechnologies. J. O’H. has received research support from Janssen. R. E. C. is a full-time employee of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., Rahway, NJ, United States, and stockholder of Merck & Co., Inc., Rahway, NJ, United States. P. B.-Z is a contractor for the Division of AIDS at the National Institute of Allergy and Infectious Diseases. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest.
PMID 41847923 · 2026HIV tri-specific killer engagers directly enhance NK cell function and safely expand NK cells in vivo.
Declaration of interests M.F. and J.S.M. receive research support and, with the University of Minnesota, are shared owners of the TriKE technology licensed by the University to GT Biopharma, Inc. M.F. and J.S.M. also consult for GT Biopharma, Inc. M.F., Z.D., T.W.S., and J.S.M. are inventors on patents related to the TriKE platform and/or HIV-targeting TriKE molecules. M.F. and J.S.M. hold stock options in GT Biopharma, Inc., a company which may commercially benefit from the results of this research project. This relationship has been reviewed and managed by the University of Minnesota in accordance with its conflict-of-interest policy. R.T.C. holds stock in GT Biopharma, Inc. The content of this manuscript was not funded by GT Biopharma, Inc., and the data and design were under the control of the investigators.
PMID 42242227 · 2026Burden of disease in US patients with skeletal versus muscular or pain manifestations of hypophosphatasia: An analysis from the Global HPP Registry.
Declaration of competing interest Priya Kishnani is a consultant for and has received research funding and honoraria from Alexion, AstraZeneca Rare Disease. Steven Ing has received research grants paid to his institution from Alexion, Amgen, Calcilytix, Radius, Takeda, and Ultragenyx and has served on an advisory board and/or as a consultant for Amgen, Bone Health & Osteoporosis Foundation, Extend Biosciences, and Radius. Julie Hoover-Fong has participated in advisory boards and served as a consultant for Ascendis, AstraZeneca, BioMarin, Children's Mercy Research Institute, Medscape, Pfizer, QED, and Therachon and has received research support from AstraZeneca, BioMarin, and QED. J. Carl Pallais has been a consultant for Alexion, AstraZeneca Rare Disease and Ensho Health and received research funding to his institution from Alexion, AstraZeneca Rare Disease. Angie Voskopoja, Shona Fang, and William R. Mowrey are employees of Alexion, AstraZeneca Rare Disease, and may hold stock or stock options in AstraZeneca. Eric Rush has received research funding to his institution from Alexion, AstraZeneca Rare Disease and Ultragenyx. He has received consulting fees and payment or honoraria from Alexion, AstraZeneca Rare Disease, Ultragenyx, Inozyme, Ipsen, and Kyowa Kirin. He has received support for meetings and/or travel from Alexion, AstraZeneca Rare Disease and Kyowa Kirin and participates on a data safety monitoring or advisory board for Inozyme. Kathryn Dahir is a clinical trial investigator and consultant for Alexion, AstraZeneca Rare Disease, Regeneron, Kyowa Kirin and Ultragenyx.
PMID 42365936 · 2026Adverse Pregnancy Outcomes Among Women with Human Immunodeficiency Virus Taking Isoniazid Preventive Therapy During the First Trimester.
Potential conflicts of interest. A. G. reports Advisory Board roles from NIAID and Indo-US Science and Technology Forum (IUSSTF). M. H. reports institutional research and training grants related to infectious diseases from US NIH; board membership of Botswana-Harvard Partnership through employer; spouse's research grants from NIH related to infectious diseases research. C. A. B. reports institutional grant support for clinical trials from Gilead and DNAe; consulting fees (paid to author) from National Data and Analytics Platform (NDAP), Inc.; honoraria for medical education lectures and travel support (paid to author) from International Antiviral Society–United States (IAS-USA), a non-profit medical education entity; and unpaid positions as Present of the non-profit Conference on Retroviruses and Opportunistic Infections (CROI) Foundation Board, and Secretary/Treasurer of the IAS-USA Board of Directors. R. E. C. reports spouse's stock in Merck. S. S. reports institutional research support from ViiV Healthcare and participation on a Data Safety Monitoring or Advisory board for now completed NIH coronavirus disease (COVID)-related trials. All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.
PMID 37768207 · 2024The emerging and evolving evidence supporting creatine as an ergogenic aid: history and applications.
CMK has received grants, honoraria, and consulting fees from companies who do business in areas related to exercise and nutrition. He currently serves as a scientific advisor to multiple companies who do business in exercise and nutrition, and he currently serves as a Scientific Affiliate for Alzchem and on a Scientific Advisory Board for NNB Nutrition, companies that manufacture creatine. DG conducted industry-sponsored research involving creatine supplementation and received creatine donations for scientific studies and travel support for presentations involving creatine supplementation at scientific conferences and serves on the Scientific Advisory Board for Alzchem, Create and Iovate (companies that manufacture creatine products). RBK has conducted industry-sponsored research on creatine through grants awarded to the universities he has been affiliated, received financial support for presenting invited lectures at conferences about sports nutrition and creatine. Additionally, he serves as Chair of the Scientific Advisory Board for AlzChem (a company that makes creatine monohydrate). He does not own any patents, receive royalties for the sale of creatine or any dietary supplement, or have any ownership in a company that sells creatine or any dietary supplements. TNZ has conducted industry sponsored research involving creatine supplementation and has received research funding from industry sponsors related to sports nutrition products and ingredients. JRS has received grants and contracts to research dietary supplements, has served as a paid consultant for industry, and received honoraria for speaking at conferences and writing lay articles about sports nutrition. He is a Chair of the Scientific Advisory Board for Alzchem. SF is a scientific advisor for Bear Balanced® and has received creatine donations from Creapure® for research purposes. PM and RS declare that no commercial or financial relationships exist that could be construed as a potential conflict of interest.
PMID 41870601 · 2026Antiretroviral Activity, Pharmacokinetics, and Safety of MK-8527, an Oral Nucleoside Reverse Transcriptase Translocation Inhibitor, in Adults With HIV-1 Who Had Not Previously Taken Antiretroviral Agents: Results From 2 Open-Label, Phase 1 Studies.
Potential conflicts of interest. R. P. C., Y. K., R. C. V., A. B., G. G., C. C., A. A., X. Z., J.-F. D., C. L., T. R., R. P. M., S. A. S., M. I., and G. L. G. are current or former employees of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., Rahway, NJ, USA, and may own stock and/or options in Merck & Co., Inc., Rahway, NJ, USA. All other authors report no potential conflicts. A. A., S. A. S., and M. I. are employee of Merck Sharp & Dohme LLC, a subsidiary of Merck & Co., Inc., Rahway, NJ, USA, at the time the study was conducted.
PMID 41830320 · 2026Frailty phenotype transitions and functional improvements during a supervised exercise trial in older people with HIV: results from the HEALTH Trial.
KME received grant funding from Gilead Sciences and has served as a consultant for ViiV, Merck, and Gilead (all of which were paid to the University of Colorado). SM serves as a consultant to ViiV.
PMID 42407092 · 2026Current Standard-of-Care Sources
Alexandria uses this label only for PubMed-indexed guidelines or consensus documents. These are source publications, not individualized recommendations.
Management of brain-heart multimorbidity: a clinical practice guideline.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
PMID 41912243Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026
PMID 40197438[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026
PMID 42236454[Allogeneic stem cell transplantation for persons living with HIV (SFGM-TC)].
Bulletin du cancer · 2026
PMID 42103547[Current indications for cochlear implantation].
HNO · 2026
PMID 41718821Breastfeeding in Patients With Human Immunodeficiency Virus.
Obstetrics and gynecology · 2026
PMID 41926772British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026
PMID 42117446Systematic Review and Network Meta-Analysis of Psychosocial Interventions on Antiretroviral Therapy Adherence.
Nursing research · 2026
PMID 41656685Inflammatory Biomarkers Predicting Major Adverse Cardiovascular Events in People Living With HIV: A Systematic Review and Meta-Analysis.
Journal of the International AIDS Society · 2026
PMID 42041228Metal-artefact-reduction MRI for diagnosing periprosthetic joint infection: a systematic review and meta-analysis.
Skeletal radiology · 2026
PMID 41792512Gait analysis methods in people with spinal cord injury: a systematic review.
Journal of neuroengineering and rehabilitation · 2026
PMID 41821044Dysregulated Metabolism in People Living With HIV in the Modern ART-Era: A Systematic Review of Targeted Metabolomics Studies.
Reviews in medical virology · 2026
PMID 42406562Highest-Priority Research
Management of brain-heart multimorbidity: a clinical practice guideline.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
BACKGROUND: Although brain and heart conditions share overlapping risk factors and commonly co-occur, current cardiac and neurologic clinical guidelines are typically produced within specialty silos. The objective of this guideline from a Canadian Cardiovascular Harmonized National Guideline Endeavour (C-CHANGE) panel is to expand on current cardiovascular guidelines to include evidence from the neurologic and mental health literature, with specific recommendations for providers managing comorbid brain and heart conditions. METHODS: The guideline development panel comprised an Executive Steering Committee; 10 expert subgroups to develop research questions and draft recommendations for specif…
PMID 41912243Development of a risk prediction model for relapse in patients with schizophrenia based on a systematic review and meta-analysis.
Psychiatry research · 2026
BACKGROUND: The high relapse rate in patients with schizophrenia imposes a significant burden on both families and society, hindering patients' recovery. Predictive modeling of relapse risk factors aids in early identification of high-risk patients for timely intervention. METHODS: A comprehensive search of multiple databases was conducted to collect both domestic and international publications on factors influencing relapse in patients with schizophrenia, up to July 1, 2024. After literature screening, data extraction, and quality assessment by two researchers, meta-analysis was performed using RevMan 5.4 software to calculate combined odds ratios (OR) and 95% confidence intervals (CIs). A …
PMID 41955842Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.
The Cochrane database of systematic reviews · 2025
BACKGROUND: Low-complexity automated nucleic acid amplification tests (LC-aNAATs) are molecular World Health Organization (WHO)-recommended rapid diagnostic tests (also known as mWRDs) widely used to diagnose tuberculosis disease. The lateral flow urine lipoarabinomannan assay (LF-LAM) is recommended by the WHO to assist in diagnosing tuberculosis disease amongst people with HIV. Previous systematic reviews have assessed the diagnostic accuracy of LC-aNAATs and LF-LAM used in isolation for the detection of tuberculosis, but in clinical practice the tests may be used in parallel (i.e. LC-aNAAT in combination with LF-LAM). OBJECTIVES: To compare the diagnostic accuracy of the parallel use of L…
PMID 40492485Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026
The Association of Ringside Physicians (ARP) emphasizes the importance of screening combat sports athletes for blood-borne infections, including hepatitis B, HIV, and hepatitis C, to mitigate transmission risks and ensure participant safety. Although transmission of hepatitis B and C and HIV in combat sports is rare, protecting athletes is of utmost importance. It is the recommendation of the ARP that all fighters participating in combat sports, in which the presence of blood is a common occurrence and is allowed during competition, should undergo testing for HIV, hepatitis B (HBV), and hepatitis C (HCV). Testing should be conducted using serum samples, because rapid tests are not considered…
PMID 40197438[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clinical management of MDR/RR-TB in China. In response to recent advances in global evidence-based medicine and in consideration of China's specific context, the Chinese Medical Associ…
PMID 42236454Clinical Practice Guideline for the Diagnosis and Management of Tinnitus in Korea.
Clinical and experimental otorhinolaryngology · 2026
Standardized, evidence-based guideline for tinnitus management is currently lacking in Korea. This guideline aims to provide evidence-based recommendations for the diagnosis and management of tinnitus in Korean adults, adapted to the Korean healthcare system. A multidisciplinary panel (eight otorhinolaryngologists, one neurologist, one psychiatrist, and one audiologist) conducted systematic literature searches up to 2025 using PubMed, Embase, Cochrane Library, KoreaMed, and KMBASE. Evidence quality was assessed using the GRADE methodology. Nine key clinical questions (KQs) were developed in PICO format, and recommendations were finalized through a modified Delphi process (≥80% agreement thre…
PMID 42409067[Allogeneic stem cell transplantation for persons living with HIV (SFGM-TC)].
Bulletin du cancer · 2026
People living with HIV (PLWH) experienced an increased risk of heme malignancies. The place of cellular therapy as consolidation is well established in the general population, but remains to be confirmed in PLWH. Control of HIV has dramatically been improved due to combined antiretroviral therapy, and continuation of the treatment all through the graft procedure resulted in survival and TRM comparable with the general population. So, PLWH with an indication of auto- or allo-graft must be referred as eligible for the procedure. The conditioning regimen depends mainly on the malignancy and comorbidities. In allograft setting, the choice of the donor and the stem cell source must follow standar…
PMID 42103547[Current indications for cochlear implantation].
HNO · 2026
The indications for treatment with a cochlear implant (CI) have steadily expanded over the years. While the CI was originally designed for deaf adults, the range of indications now also includes patients with profound uni- or bilateral sensorineural hearing loss, unilateral deafness, or residual hearing. Infants and toddlers are also fitted, preferably before the age of 1 year, in order to create optimal conditions for language development. New developments such as gene therapy for otoferlin mutations or CI treatment for vestibular schwannomas further expand the treatment options. The indication is determined individually for each ear, taking audiological, imaging, psychosocial, and cognitiv…
PMID 41718821Breastfeeding in Patients With Human Immunodeficiency Virus.
Obstetrics and gynecology · 2026
This Clinical Practice Update provides revised guidance regarding the opportunity for infant feeding in patients with human immunodeficiency virus (HIV) based on revised recommendations from the U.S. Department of Health and Human Services and the American Academy of Pediatrics. This document updates the content in Committee Opinion No. 756, Optimizing Support for Breastfeeding as Part of Obstetric Practice (Obstet Gynecol 2018;132:e187-96).
PMID 41926772Factors associated with tuberculosis patient delay: a meta-analysis.
Frontiers in public health · 2026
BACKGROUND: Tuberculosis (TB) is among the top 10 causes of global death, and patient delay is a key factor causing higher mortality. This study intends to analyze the associated factors with TB patient delay. METHODS: Embase, Cochrane Library, PubMed, and Web of Science were systematically searched for online available studies and unpublished sources from inception to 2025. STATA15.1 was adopted for data analyses, heterogeneity by inverse variance (I 2) and Cochran's Q-tests, and publication bias by Egger's tests. The Newcastle-Ottawa Scale was utilized for assessing the quality of cohort and case-control studies, and the Agency for Healthcare Research and Quality criteria for cross-section…
PMID 42523815Effects of hearing aid use on memory, executive function, and cognitive impairment among older adults with hearing loss: a systematic review and meta-analysis.
The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
OBJECTIVES: This study aimed to investigate the effects of hearing aid use on various cognitive domains (global cognition, memory, executive function/attention) and the risk of cognitive impairment, and to analyze how these effects differ across sociodemographic factors and severity of cognitive decline among older adults with hearing loss. METHODS: PubMed, Web of Science, Cochrane, CNKI, and Wanfang databases were searched, with a search period from the establishment of the database to May 1, 2025. Standardized mean difference (SMD) was used to synthesize data on different cognitive function domains, and odds ratio (OR) and relative risk (RR) were used to synthesize data on cognitive impair…
PMID 41803081British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
PMID 42117446Latest Research — Last 24 Months
Effects of hearing aid use on memory, executive function, and cognitive impairment among older adults with hearing loss: a systematic review and meta-analysis.
The journals of gerontology. Series B, Psychological sciences and social sciences · PMID 41803081
The impact of HIV coinfection on mpox patients: a systematic review and meta-analysis.
Emerging microbes & infections · PMID 42461714
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · PMID 42400399
Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.
Journal of the International Association of Providers of AIDS Care · PMID 42538058
Cervical length surveillance for predicting spontaneous preterm birth in women with congenital uterine anomalies: A systematic review and diagnostic accuracy meta-analysis.
European journal of obstetrics, gynecology, and reproductive biology · PMID 42541967
Prevalence and risk of cardiovascular events among people living with HIV: a meta-analysis.
Annals of medicine · PMID 42478138
Goals of care discussions in hospitalised patients: systematic review of randomised trials.
BMJ supportive & palliative care · PMID 41469164
A mixed methods systematic review of cancer treatment decision-making in vulnerable populations.
Patient education and counseling · PMID 41570487
Youth-friendly health services for tuberculosis care: an integrative review and implementation science synthesis.
BMC health services research · PMID 42271397
HIV and Human Papilloma Virus Community Service Integration Among Women: A Systematic Review and Narrative Synthesis.
The Journal of the Association of Nurses in AIDS Care : JANAC · PMID 42460889
Treatment Options Studied in the PubMed Collection
These are interventions detected in PubMed metadata and abstracts. Inclusion does not establish approval, effectiveness, suitability, or standard-of-care status.
antiretroviral therapy
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, quality of life, mortality, viral suppression, HIV transmission, drug resistance, virologic failure, adverse events
- Populations represented
- general population; HIV-1; CD4 count; HIV-1; drug resistance; children; HIV-1; viral load
- Mechanism
- OBJECTIVES: We investigated weight gain amongst people with HIV (PWH) in Kampala after switching their antiretroviral therapy (ART) anchor drug from nevirapine, efavirenz, or a protease inhibitor to dolutegravir The cumulative risk of at least 10% weight gain by 36 months was 37.8%, and this was more likely if they were female, aged 25-49 years or their previous ART included efavirenz or a protease inhibitor but less likely if the preswitch BMI was at least 25 kg/m 2
Anti-HIV Agents
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, mortality, adverse events, viral suppression, drug resistance, quality of life, serious adverse events, virologic failure
- Populations represented
- general population; HIV-1; drug resistance; children; HIV-1; drug resistance; HIV-1; viral load
- Mechanism
- Ainuovirine (ANV), a novel non-nucleoside reverse transcriptase inhibitor, demonstrates a favorable preclinical safety profile Among the available antiretroviral therapies, non-nucleoside reverse transcriptase inhibitors (NNRTIs) play a crucial role by targeting viral reverse transcriptase (RT) through non-competitive inhibition
PrEP
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, HIV transmission, drug resistance, adverse events, quality of life
- Populations represented
- general population; HIV-1; second-line; drug resistance; locally advanced; advanced
- Mechanism
- Participants underwent individual randomization to 3 arms: (1) HAPA-based cognitive behavioral intervention featuring tailored WeChat messages and 2 structured motivational interviews targeting stage-specific barriers; (2) combined HAPA intervention with GCEI linked to peer group initiation rates, incorporating facilitated offline group activities; or (3) standard care control receiving nonpersonalized HIV prevention information Geographic targeting at ≥0.7% incidence was more cost-effective, averting approximately 8450 acquisitions at a net cost of US$8530 per acquisition averted
pre-exposure prophylaxis
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, HIV transmission
- Populations represented
- general population
- Mechanism
- Participants underwent individual randomization to 3 arms: (1) HAPA-based cognitive behavioral intervention featuring tailored WeChat messages and 2 structured motivational interviews targeting stage-specific barriers; (2) combined HAPA intervention with GCEI linked to peer group initiation rates, incorporating facilitated offline group activities; or (3) standard care control receiving nonpersonalized HIV prevention information
Pyridones
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, viral suppression, serious adverse events, quality of life
- Populations represented
- general population; HIV-1; HIV-1; viral load; first-line; second-line; third-line
- Mechanism
- OBJECTIVES: We investigated weight gain amongst people with HIV (PWH) in Kampala after switching their antiretroviral therapy (ART) anchor drug from nevirapine, efavirenz, or a protease inhibitor to dolutegravir The cumulative risk of at least 10% weight gain by 36 months was 37.8%, and this was more likely if they were female, aged 25-49 years or their previous ART included efavirenz or a protease inhibitor but less likely if the preswitch BMI was at least 25 kg/m 2
Tenofovir
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, drug resistance, adverse events, viral suppression, quality of life
- Populations represented
- general population; drug resistance; HIV-1; first-line; HIV-1; viral load
- Mechanism
- BACKGROUND: Integrase inhibitors (INSTI) and tenofovir alafenamide (TAF) have been associated with greater weight gain compared to nonnucleoside reverse transcriptase inhibitors (NNRTIs) and tenofovir disoproxil fumarate (TDF), but the effects of an antiretroviral regimen switch on weight are unclear Ainuovirine (ANV), a novel non-nucleoside reverse transcriptase inhibitor, demonstrates a favorable preclinical safety profile
Anti-Retroviral Agents
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, viral suppression, adverse events, recurrence
- Populations represented
- general population; chronic HIV infection
- Mechanism
- Identifying factors contributing to poor adherence could refine targeting strategies and optimize resource distribution
Dolutegravir
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, quality of life, undetectable viral load, viral suppression
- Populations represented
- general population; children; first-line; HIV-1; first-line; viral load; second-line; third-line
- Mechanism
- OBJECTIVES: We investigated weight gain amongst people with HIV (PWH) in Kampala after switching their antiretroviral therapy (ART) anchor drug from nevirapine, efavirenz, or a protease inhibitor to dolutegravir The cumulative risk of at least 10% weight gain by 36 months was 37.8%, and this was more likely if they were female, aged 25-49 years or their previous ART included efavirenz or a protease inhibitor but less likely if the preswitch BMI was at least 25 kg/m 2
HIV Antibodies
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, serious adverse events, virologic failure
- Populations represented
- HIV-1; general population; HIV-1; perinatal HIV; children; early-stage; HIV RNA; HIV-1; viral load
- Mechanism
- Notable progress includes promising results in germline-targeting and sequential immunization for the induction of broadly neutralizing antibody precursors, a better understanding of the mechanisms of reservoir persistence, and encouraging signals that immune-based strategies can lead to postintervention control This study (HVTN 140/HPTN 101) sought to evaluate PGDM1400LS (targeting V3-glycan) administered alone (part A, previously reported), and in combination (part B) with VRC07-523LS (targeting CD4 binding site) and PGT121.414.LS (targeting V2-apex) in healthy adults without HIV-1
Antibodies, Neutralizing
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, serious adverse events, virologic failure
- Populations represented
- general population; HIV-1; HIV-1; perinatal HIV; children; HIV-1; viral load
- Mechanism
- Neutralizing antibody (NAb) levels against 19 SARS-CoV-2 variants were measured using a multiplex bead-based flow cytometry assay This study (HVTN 140/HPTN 101) sought to evaluate PGDM1400LS (targeting V3-glycan) administered alone (part A, previously reported), and in combination (part B) with VRC07-523LS (targeting CD4 binding site) and PGT121.414.LS (targeting V2-apex) in healthy adults without HIV-1
Antitubercular Agents
- Research status
- insufficiently reported
- Outcomes represented
- mortality, reported clinical outcomes, recurrence
- Populations represented
- general population; children
- Mechanism
- INTERPRETATION: In this study, undernutrition, ever-smoking, and alcohol misuse accounted for more than one-third of all unfavorable treatment outcomes and may present high-yield intervention targets to improve TB treatment outcomes in India Identifying factors contributing to poor adherence could refine targeting strategies and optimize resource distribution
Piperazines
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, viral suppression, adverse events, quality of life
- Populations represented
- general population; HIV-1; viral load; HIV-1; first-line
- Mechanism
- OBJECTIVES: We investigated weight gain amongst people with HIV (PWH) in Kampala after switching their antiretroviral therapy (ART) anchor drug from nevirapine, efavirenz, or a protease inhibitor to dolutegravir The cumulative risk of at least 10% weight gain by 36 months was 37.8%, and this was more likely if they were female, aged 25-49 years or their previous ART included efavirenz or a protease inhibitor but less likely if the preswitch BMI was at least 25 kg/m 2
Oxazines
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, viral suppression
- Populations represented
- general population; HIV-1; first-line; second-line; third-line
- Mechanism
- OBJECTIVES: We investigated weight gain amongst people with HIV (PWH) in Kampala after switching their antiretroviral therapy (ART) anchor drug from nevirapine, efavirenz, or a protease inhibitor to dolutegravir The cumulative risk of at least 10% weight gain by 36 months was 37.8%, and this was more likely if they were female, aged 25-49 years or their previous ART included efavirenz or a protease inhibitor but less likely if the preswitch BMI was at least 25 kg/m 2
Heterocyclic Compounds, 3-Ring
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, viral suppression, quality of life
- Populations represented
- general population; HIV-1; first-line
- Mechanism
- OBJECTIVES: We investigated weight gain amongst people with HIV (PWH) in Kampala after switching their antiretroviral therapy (ART) anchor drug from nevirapine, efavirenz, or a protease inhibitor to dolutegravir The cumulative risk of at least 10% weight gain by 36 months was 37.8%, and this was more likely if they were female, aged 25-49 years or their previous ART included efavirenz or a protease inhibitor but less likely if the preswitch BMI was at least 25 kg/m 2
Biomarkers
- Research status
- harm signal
- Outcomes represented
- reported clinical outcomes, mortality
- Populations represented
- general population; CD4 count; HIV RNA; CD4 count
- Mechanism
- Bioinformatic network analysis was performed to identify potential molecular targets In silico network analysis suggested potential inflammatory and metabolic targets of miR-23a-3p; however, these findings require experimental validation
HIV Integrase Inhibitors
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, drug resistance, mortality, virologic failure
- Populations represented
- general population; HIV-1; drug resistance
- Mechanism
- OBJECTIVES: We investigated weight gain amongst people with HIV (PWH) in Kampala after switching their antiretroviral therapy (ART) anchor drug from nevirapine, efavirenz, or a protease inhibitor to dolutegravir The cumulative risk of at least 10% weight gain by 36 months was 37.8%, and this was more likely if they were female, aged 25-49 years or their previous ART included efavirenz or a protease inhibitor but less likely if the preswitch BMI was at least 25 kg/m 2
Lamivudine
- Research status
- insufficiently reported
- Outcomes represented
- reported clinical outcomes, adverse events, viral suppression, virologic failure
- Populations represented
- HIV-1; first-line; general population; viral load
- Mechanism
- Ainuovirine (ANV), a novel non-nucleoside reverse transcriptase inhibitor, demonstrates a favorable preclinical safety profile Those with prior Non-Nucleoside Reverse Transcriptase Inhibitor failure or 3TC resistance were excluded
Emtricitabine
- Research status
- insufficiently reported
- Outcomes represented
- adverse events, viral suppression, serious adverse events, reported clinical outcomes, quality of life
- Populations represented
- HIV-1; general population; HIV-1; viral load
- Mechanism
- Not explicitly reported in the retrieved PubMed metadata or abstracts.
Conflicting Research
antiretroviral therapy · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Anti-HIV Agents · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Antitubercular Agents · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Tenofovir · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Isoniazid · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
antiretroviral therapy · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: CD4 count. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Biomarkers · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Caffeine · reported clinical outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Papillomavirus Vaccines · reported clinical outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
antiretroviral therapy · multiple reported outcomes
Status: apparently conflicting; different clinical questions. Population: HIV-1; CD4 count. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The records report different endpoints or outcome definitions.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Chewing Gum · reported clinical outcomes
Status: apparently conflicting; different clinical questions. Population: general population. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Anti-Retroviral Agents · mortality
Status: apparently conflicting; different clinical questions. Population: CD4 count. Comparator: multiple or inconsistently reported comparators.
- The records use different or inconsistently reported comparators.
- The evidence combines different study designs.
- Some abstracts do not state whether the primary endpoint was met.
Failed or Negative Trials
Adenovirus type 5 vector-based COVID-19 vaccine does not increase the likelihood of HIV infection.
randomized controlled trial · 2026 · PMID 41785679
A Randomized Trial to Compare Dolutegravir Plus Boosted Darunavir Versus Recommended Standard of Care Antiretroviral Regimens in People With HIV-1, Whose First-line Non-nucleoside Reverse Transcriptase Inhibitor Therapy Has Failed: Final 96-week Results of the D2EFT Study.
randomized controlled trial · 2026 · PMID 40577173
Comparison of the Hearing Benefits and User Satisfaction With Hearing Aids and Personal Sound Amplification Products: A Multicenter Prospective Randomized Crossover Trial.
randomized controlled trial · 2026 · PMID 42011002
Fluconazole plus flucytosine versus fluconazole alone for adults with HIV-associated cryptococcal antigenaemia identified through screening: a multi-centre phase III randomised-controlled trial.
randomized controlled trial · 2026 · PMID 41877274
LC16m8 for Pre-exposure Prophylaxis Against Mpox in a High-Risk Population: An Open-Label Randomized Trial.
randomized controlled trial · 2026 · PMID 39982831
Efficacy and safety of the Chinese herbal medicine Yiaikang capsule in treating AIDS: a randomized, double-blind, controlled trial.
randomized controlled trial · 2026 · PMID 41967778
Comparable Inflammatory and Metabolic Outcomes After Switching to Bictegravir/Emtricitabine/Tenofovir Alafenamide Versus Continuing Dolutegravir/Lamivudine in Virologically Suppressed Adults With HIV (INSTINCT/GESIDA10918 Study).
randomized controlled trial · 2026 · PMID 41070447
Promoting shared decision-making in colorectal cancer screening in primary care: A cluster randomized controlled trial.
randomized controlled trial · 2026 · PMID 42263092
HIV Care Retention and Cost Analysis in Multi-Month ART Dispensing: A Randomized Controlled Trial in China.
randomized controlled trial · 2026 · PMID 42339560
Baseline determinants of adherence for drug-sensitive TB treatment in a South African prospective cohort: a focus on HIV infection and anti-retroviral therapy, clinical care access, and TB stigma.
randomized controlled trial · 2026 · PMID 41501688
Emerging and Experimental Research
The Effectiveness of Artificial Intelligence in Undergraduate Health Professions Education: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
meta analysis · 2026 · PMID 42085678
A Systematic Review of Quantitative Health Preference Methods to Support Value Clarification and Shared Decision Making: A Report of an ISPOR Special Interest Group.
systematic review · 2026 · PMID 42000134
Implementation of therapeutic adherence in adult patients diagnosed with the Human Immunodeficiency Virus: A systematic review.
systematic review · 2026 · PMID 42155336
Integrating smoking cessation into HIV care settings: A systematic review and meta-analysis of effectiveness and the evidence gap in cost-effectiveness.
meta analysis · 2026 · PMID 42531253
Islatravir distribution in plasma, peripheral blood mononuclear cells, and mucosal tissues after monthly oral dosing.
randomized controlled trial · 2026 · PMID 41789892
[Cochlear implantation in Ménière's disease].
systematic review · 2026 · PMID 41644838
Effects of Semaglutide on Cognitive Function in People With HIV: A Randomized, Controlled Trial.
randomized controlled trial · 2026 · PMID 41098140
Interventions to improve access to sexual and reproductive health services for adolescents living with HIV in sub-Saharan Africa: a scoping review.
systematic review · 2026 · PMID 42331589
Understanding trial designs and acceptability of participation in an HIV vaccine trial with concurrent randomisation to oral pre-exposure prophylaxis in East and Southern Africa: a longitudinal qualitative study.
randomized controlled trial · 2026 · PMID 42141483
Bispecific 10E8.4/iMab broadly neutralizing antibody in people with or without HIV-1: a partially randomized phase 1 trial.
randomized controlled trial · 2026 · PMID 42414619
Evidence Gaps
Detailed risk-of-bias assessment remains limited
PubMed abstracts often do not include enough methodological detail for a complete study-level risk-of-bias assessment.
Complete Ranked PubMed Index
The retrieval-priority score orders records using publication type, recency, sample-size signals, and replication signals. It is not a recommendation or a formal risk-of-bias grade.
Current Standard Of Care62 records
Management of brain-heart multimorbidity: a clinical practice guideline.
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026 · PMID 41912243
BACKGROUND: Although brain and heart conditions share overlapping risk factors and commonly co-occur, current cardiac and neurologic clinical guidelines are typically produced within specialty silos. The objective of this guideline from a Canadian Cardiovascular Harmonized National Guideline Endeavour (C-CHANGE) panel is to expand on current cardiovascular guidelines to include evidence from the neurologic and mental health literature, with specific recommendations for providers managing comorbid brain and heart co…
Blood-Borne Infection Prevention in Combat Sports: Position Statement of the Association of Ringside Physicians.
Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine · 2026 · PMID 40197438
The Association of Ringside Physicians (ARP) emphasizes the importance of screening combat sports athletes for blood-borne infections, including hepatitis B, HIV, and hepatitis C, to mitigate transmission risks and ensure participant safety. Although transmission of hepatitis B and C and HIV in combat sports is rare, protecting athletes is of utmost importance. It is the recommendation of the ARP that all fighters participating in combat sports, in which the presence of blood is a common occurrence and is allowed d…
[Allogeneic stem cell transplantation for persons living with HIV (SFGM-TC)].
Bulletin du cancer · 2026 · PMID 42103547
People living with HIV (PLWH) experienced an increased risk of heme malignancies. The place of cellular therapy as consolidation is well established in the general population, but remains to be confirmed in PLWH. Control of HIV has dramatically been improved due to combined antiretroviral therapy, and continuation of the treatment all through the graft procedure resulted in survival and TRM comparable with the general population. So, PLWH with an indication of auto- or allo-graft must be referred as eligible for th…
[Chinese guideline for the chemotherapy of multidrug-resistant/rifampicin-resistant tuberculosis (2026 edition)].
Zhonghua jie he he hu xi za zhi = Zhonghua jiehe he huxi zazhi = Chinese journal of tuberculosis and respiratory diseases · 2026 · PMID 42236454
Multidrug-resistant tuberculosis (MDR-TB) and rifampicin-resistant tuberculosis (RR-TB) pose significant challenges to global tuberculosis prevention and treatment efforts. At present, the chemotherapy of MDR/RR-TB is still hampered by prolonged treatment duration and suboptimal success rates. In 2019, the Chinese Medical Association Tuberculosis Branch issued the Chinese Expert Consensus on the Treatment of MDR-TB and RR-TB, which has provided essential guidance for standardizing the diagnosis, treatment, and clin…
Breastfeeding in Patients With Human Immunodeficiency Virus.
Obstetrics and gynecology · 2026 · PMID 41926772
This Clinical Practice Update provides revised guidance regarding the opportunity for infant feeding in patients with human immunodeficiency virus (HIV) based on revised recommendations from the U.S. Department of Health and Human Services and the American Academy of Pediatrics. This document updates the content in Committee Opinion No. 756, Optimizing Support for Breastfeeding as Part of Obstetric Practice (Obstet Gynecol 2018;132:e187-96).
[Current indications for cochlear implantation].
HNO · 2026 · PMID 41718821
The indications for treatment with a cochlear implant (CI) have steadily expanded over the years. While the CI was originally designed for deaf adults, the range of indications now also includes patients with profound uni- or bilateral sensorineural hearing loss, unilateral deafness, or residual hearing. Infants and toddlers are also fitted, preferably before the age of 1 year, in order to create optimal conditions for language development. New developments such as gene therapy for otoferlin mutations or CI treatme…
British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026 · PMID 42117446
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
Systematic Review and Network Meta-Analysis of Psychosocial Interventions on Antiretroviral Therapy Adherence.
Nursing research · 2026 · PMID 41656685
BACKGROUND: Antiretroviral therapy (ART) is crucial for prolonging the lives of people with human immunodeficiency virus (HIV), but adherence remains suboptimal. Psychosocial interventions show promise for improving ART adherence, yet no consensus exists on the most effective approach. OBJECTIVES: To identify the most effective psychosocial interventions for improving ART adherence in people with HIV. METHODS: Six databases (EMBASE, MEDLINE, Web of Science, CINAHL, PsycINFO, and CENTRAL) were searched from their in…
Inflammatory Biomarkers Predicting Major Adverse Cardiovascular Events in People Living With HIV: A Systematic Review and Meta-Analysis.
Journal of the International AIDS Society · 2026 · PMID 42041228
INTRODUCTION: Chronic inflammation is a unique contributor to cardiovascular disease (CVD) risk among people living with HIV, yet there is a lack of consensus on the predictive utility of inflammatory biomarkers in this population. We conducted a systematic review assessing the predictive value of inflammatory biomarkers for major adverse cardiovascular events in people living with HIV to inform their potential integration into CVD risk assessment. METHODS: MEDLINE, Embase and Google Scholar were searched for artic…
Metal-artefact-reduction MRI for diagnosing periprosthetic joint infection: a systematic review and meta-analysis.
Skeletal radiology · 2026 · PMID 41792512
BACKGROUND: Periprosthetic joint infection (PJI) remains one of the most serious. Advances in metal-artefact-reduction sequences (MARS) now allow for improved diagnostic quality imaging in the periprosthetic region. Early studies suggest the diagnostic efficacy of MARS, including subfeatures, yet no formal synthesis of available data exists. METHODS: A systematic review and meta-analysis were conducted following PRISMA-DTA and PRISMA 2020 guidelines. Eligible studies include diagnostic accuracy studies reporting MA…
Gait analysis methods in people with spinal cord injury: a systematic review.
Journal of neuroengineering and rehabilitation · 2026 · PMID 41821044
BACKGROUND: Spinal cord injury (SCI) leads to impairments in motor, sensory, and autonomic pathways, often resulting in significant disability and reduced quality of life. Recovery of ambulation is a priority for people with SCI and vital for regaining independence and social participation. The increasing incidence of incomplete SCI, especially from non-traumatic causes like degenerative cervical myelopathy, has amplified the clinical relevance of gait recovery. Although gait analysis is widely applied in neurologi…
Dysregulated Metabolism in People Living With HIV in the Modern ART-Era: A Systematic Review of Targeted Metabolomics Studies.
Reviews in medical virology · 2026 · PMID 42406562
HIV remains a significant public health issue, with 1.3 million new infections and 630,000 deaths annually, and 40.8 million people living with HIV (PLHIV) globally in 2024. Although antiretroviral therapy (ART) suppresses viral replication, it does not eradicate the virus, and metabolic dysregulation persists despite treatment. Metabolomics allows for a detailed investigation of these alterations; however, targeted metabolomics studies in ART-treated PLHIV are limited, and there is no consensus on consistently dys…
Towards consensus on the treatment of congenital craniofacial conditions: the discussion section of a doctoral thesis.
Journal of plastic surgery and hand surgery · 2026 · PMID 42095487
BACKGROUND: Congenital craniofacial conditions are a diverse group of rare and complex disorders, leading to significant functional and psychosocial challenges. Their rarity and variability hinder research and clinical standardisation, resulting in substantial practice variation across centres. International collaboration and high-quality evidence are therefore essential to improve and converge care for affected individuals. This article presents the discussion section of a doctoral thesis that addressed these chal…
Availability, acceptability and adoption of decision aids for HIV prevention and contraception for young people: a scoping review protocol.
BMJ open · 2026 · PMID 41781051
INTRODUCTION: Young people face challenges in accessing information on HIV and sexual and reproductive health services, with corresponding suboptimal uptake. Decision aids can provide information and decisional support to improve young people's engagement with health interventions. However, they have not been widely implemented among young people. The availability of different choices for HIV and pregnancy prevention means that it is important to implement interventions that facilitate informed choices for these me…
[Cochlear implantation in Ménière's disease].
HNO · 2026 · PMID 41644838
Menière's disease is a chronic inner ear disorder characterized by recurrent vertigo attacks, tinnitus, and fluctuating hearing loss, which may progress to severe sensorineural hearing impairment in a subset of patients. Since 2015, international consensus criteria distinguish between definite and probable disease. Current therapeutic strategies follow a stepwise approach, ranging from non-ablative to ablative interventions. Cochlear implantation (CI) has emerged as an effective option for auditory rehabilitation a…
Frailty phenotype transitions and functional improvements during a supervised exercise trial in older people with HIV: results from the HEALTH Trial.
Age and ageing · 2026 · PMID 42407092
BACKGROUND: Frailty and sarcopenia contribute to functional decline in older people with HIV (PWH), yet intervention data remain limited. We evaluated changes in frailty phenotype status, sarcopenia-related outcomes and functional performance during a supervised exercise trial and assessed associations between baseline frailty, study withdrawal and intervention response. METHODS: The High-Intensity Exercise to Attenuate Limitations and Train Habits in Older Adults with HIV (HEALTH) study randomised sedentary PWH ag…
Methamphetamine use and HIV prevention: a qualitative study on challenges and opportunities for PrEP utilization.
AIDS care · 2026 · PMID 41498432
Methamphetamine use often co-occurs with sexual behaviors that may increase HIV acquisition risk and disrupt adherence to HIV pre-exposure prophylaxis (PrEP). To explore barriers and opportunities for PrEP among people who use methamphetamine, we conducted semi-structured interviews with 28 self-reported HIV-negative adults (ages 18-55) with current moderate-to-high risk methamphetamine use in the New York City metropolitan area. Transcripts were thematically analyzed with double coding and iterative consensus. Par…
Operational strategies among infectious disease clinical trial sites during pandemics: a scoping review.
Trials · 2026 · PMID 41943131
PURPOSE: The aim of this study is to examine documented strategies, challenges, and lessons related to clinical trial site operations during pandemics. METHODS: This review focused on seven major pandemics: COVID-19, HIV/AIDS, Ebola, SARS, MERS, H1N1, and Zika. Searches were conducted using PubMed and Embase between September 2024 and February 2025, yielding 7572 unique records. After dual screening, 47 articles met inclusion criteria, with an additional 8 identified through citation searching, for a total of 55. N…
Determinants of long-acting cabotegravir plus rilpivirine discontinuation in real-world HIV care: insights from the relativity cohort.
AIDS (London, England) · 2026 · PMID 41805169
OBJECTIVES: To evaluate real-world persistence with long-acting cabotegravir plus rilpivirine (CAB+RPV LA) in a nationwide cohort of virologically suppressed adults, describe the main clinical and structural reasons for discontinuation, and identify predictors of early interruption in routine practice. DESIGN: Ambispective, multicenter cohort study assessing the durability, safety, adherence, and virological outcomes of CAB+RPV LA implementation across 58 Spanish healthcare settings. METHODS: Adults initiating CAB+…
Nomogram model for predicting incomplete immune reconstitution in people living with HIV based on clinical characteristics.
Frontiers in immunology · 2026 · PMID 41846935
BACKGROUND: Despite the success of antiretroviral therapy (ART) for human immunodeficiency virus (HIV) in China, immune non-response (INR) remains critical for the long-term quality of life of people living with HIV (PLWH). Although the consensus on diagnosis and management of immunological non-responders in HIV infection (Version 2023) was published in China to standardize diagnostic criteria, prediction models for INR based on these criteria remain scarce. This study aims to develop and validate a nomogram model …
Real-world lymphoma cohort in an HIV-endemic setting: cohort design, epidemiological features and impact of implementing novel classification standards.
BMC cancer · 2026 · PMID 41928152
BACKGROUND: Lymphoma real-world observational data and accurate diagnostic systems are lacking in low-resource HIV-endemic settings. We established a new lymphoma registry to generate internationally comparable, clinically validated data, with up-to-date disease classification. We also describe our findings on aggressive B-cell lymphoma. METHODS: The descriptive retrospective cohort included patients ≥ 13 years of age newly diagnosed with lymphoma from 2005 to 2020. Patients were enrolled at a single site in a regi…
The impact of accumulating immune adaptation in circulating strains of HIV-1.
HIV medicine · 2026 · PMID 41795223
BACKGROUND: Mutations in human immunodeficiency virus type 1 (HIV-1) enable the virus to evade recognition and killing by human leucocyte antigen (HLA)-restricted T cells. These viral adaptations are specific to the HLA type of individuals and are therefore evident as HLA allele-HIV sequence associations at the population level. Most studies of HLA associations have been cross-sectional and may not capture selective changes that have accumulated to reach fixation at the population level, with potential impacts on v…
Profile of SARS-CoV-2/HIV-1 coinfection in patients from the extreme south of Brazil.
Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2026 · PMID 41811606
The COVID-19 pandemic, caused by SARS-CoV-2, has resulted in millions of infections and deaths. Studies describing the pathophysiology and characterizing the outcome of the disease in specific populations, including those living with HIV, are necessary. There is no consensus on whether the disease worsens in immunosuppressed patients, which is considered a risk factor, or if immunosuppression might confer protection against cytokine storms. This retrospective descriptive study reports on the profile of SARS-CoV-2/H…
Comparative evaluation of multimodal large language models for diagnostic accuracy in pediatric electrocardiography: a prospective comparative diagnostic accuracy study.
European journal of pediatrics · 2026 · PMID 41872525
UNLABELLED: We evaluated three multimodal LLMs, ChatGPT (GPT-5.2), Gemini 3, and Microsoft Copilot, in pediatric ECG interpretation, focusing on clinically significant abnormalities and emergency arrhythmias with likelihood ratios as primary outcome measures. This prospective comparative diagnostic accuracy study (STARD/STARD-AI) included 264 pediatric patients with 12-lead ECGs (November 2024-November 2025). De-identified images were submitted via standardized zero-shot prompt. Three blinded pediatric cardiologist…
Hypophosphatasia: low penetrance of pathogenic and likely-pathogenic ALPL variants identified through an unselected biorepository.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026 · PMID 41269245
Hypophosphatasia (HPP) is a heritable multisystem disorder caused by pathogenic variants in the tissue nonspecific alkaline phosphatase (ALP)-coding gene ALPL. The genotype-phenotype correlation in heterozygous adults with HPP remains incompletely understood. In this genotype-based study, we aimed to measure the prevalence of pathogenic or likely-pathogenic ALPL variants and to test the hypothesis that HPP penetrance is low in adult carriers. A total of 37 147 genomes from unselected individuals visiting a tertiary…
Diagnosis And Screening117 records
Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.
The Cochrane database of systematic reviews · 2025 · PMID 40492485
BACKGROUND: Low-complexity automated nucleic acid amplification tests (LC-aNAATs) are molecular World Health Organization (WHO)-recommended rapid diagnostic tests (also known as mWRDs) widely used to diagnose tuberculosis disease. The lateral flow urine lipoarabinomannan assay (LF-LAM) is recommended by the WHO to assist in diagnosing tuberculosis disease amongst people with HIV. Previous systematic reviews have assessed the diagnostic accuracy of LC-aNAATs and LF-LAM used in isolation for the detection of tubercul…
The relationship between digit ratio (2D:4D) and autoimmune diseases: A systematic review and meta-analysis.
Early human development · 2026 · PMID 42034071
OBJECTIVE: To explore the association between the second-to-fourth digit ratio (2D:4D) and autoimmune diseases (AIDs). METHODS: Relevant studies were retrieved from multiple databases up to October 2025. The 2D:4D ratio of both hands (2D:4D R + L), right hand minus left hand (ΔR - L 2D:4D), right hand (2D:4D R), left hand (2D:4D L), and Type 3 finger pattern (index finger shorter than the ring finger) were extracted. The pooled standardized mean difference (SMD) and odds ratio (OR) with their respective 95% confide…
Cervical length surveillance for predicting spontaneous preterm birth in women with congenital uterine anomalies: A systematic review and diagnostic accuracy meta-analysis.
European journal of obstetrics, gynecology, and reproductive biology · 2026 · PMID 42541967
BACKGROUND: The role of transvaginal cervical length surveillance in predicting spontaneous preterm birth (sPTB) in women with congenital uterine anomalies (CUA) remains unclear. This study is a systematic review and diagnostic accuracy meta-analysis of its predictive value in this population. METHODS: A literature review of MEDLINE, EMBASE and Cochrane Library was conducted from inception to December 2025. Observational studies assessing second-trimester cervical length measurement in pregnant women with CUAs were…
Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.
The Cochrane database of systematic reviews · 2024 · PMID 39908067
This is a protocol for a Cochrane Review (diagnostic). The objectives are as follows: To compare the diagnostic accuracy of parallel use of lateral flow urine lipoarabinomannan on urine and low-complexity automated nucleic acid amplification tests on respiratory samples versus each test alone for detection of tuberculosis disease in adults and adolescents living with HIV who present with presumptive tuberculosis. Secondary objectives To investigate the following sources of heterogeneity: clinical setting; signs and…
Magnitude and factors associated with diabetes mellitus among people living with HIV/AIDS in Eastern Africa. Evidence from Ethiopia, Kenya, Uganda and Tanzania. A systematic review and meta-analysis.
Endocrine · 2026 · PMID 42541631
BACKGROUND: The introduction of combination antiretroviral therapy (cART) has improved survival among people living with HIV (PLHIV) but increased the risk of non-communicable diseases, including diabetes mellitus (DM). In East Africa, estimates of DM prevalence among PLHIV vary widely, and contributing factors are not well defined. This study aimed to estimate the pooled prevalence of DM and identify associated risk factors among PLHIV in the region. METHODS: A systematic review and meta-analysis were conducted fo…
Efficacy and safety of the Chinese herbal medicine Yiaikang capsule in treating AIDS: a randomized, double-blind, controlled trial.
Journal of ethnopharmacology · 2026 · PMID 41967778
ETHNOPHARMACOLOGICAL RELEVANCE: The Shuyu pill is a traditional Chinese medicine (TCM) formula, used to treat Xu Lao for over 1800 years. Studies have reported the effectiveness of Yiaikang capsules (YAK), a modified form of Shuyu pills, in AIDS treatment. However, clinical evidence for the management of AIDS using YAK is lacking. We aimed to evaluate the efficacy and safety of YAK combined with antiretroviral therapy (ART) among people living with HIV infection. MATERIALS AND METHODS: We conducted a randomized, do…
HIV and Human Papilloma Virus Community Service Integration Among Women: A Systematic Review and Narrative Synthesis.
The Journal of the Association of Nurses in AIDS Care : JANAC · 2026 · PMID 42460889
Cervical cancer (CC) is a leading cause of death, with women with HIV at an increased risk. Geographic disparities in CC and HIV reflect inequities in care access. The purpose of this systematic review was to evaluate integrated models for HIV and CC screening. This review was conducted following PRISMA guidelines. Full-text screening and data extraction were conducted independently. Eligible studies described integrated HIV and CC services. Of 4,280 records, 24 met inclusion criteria. Most studies ( n = 21) were c…
Updating knowledge on existing approaches on advanced care planning interventions: An umbrella review.
Archives of gerontology and geriatrics · 2026 · PMID 42085825
CONTEXT: Advanced care planning (ACP) can reduce hospitalizations, increase quality of life, and align treatment with patient wishes, while lowering healthcare costs. However, healthcare providers' discomfort, lack of training, and patient anxiety may hinder ACP. Furthermore, disparities exist among minority and low-income groups. Growing research highlights the need for standardized definitions and broader implementation, especially post-COVID-19, incorporating digital tools, economic impacts, ethics, and family r…
A 3-month clofazimine-rifapentine-containing regimen for drug-susceptible tuberculosis versus standard of care (Clo-Fast): a randomised, open-label, phase 2c clinical trial.
The Lancet. Infectious diseases · 2026 · PMID 40915311
BACKGROUND: Based on results from preclinical and clinical studies, a five-drug combination of isoniazid, rifapentine, pyrazinamide, ethambutol, and clofazimine was identified with treatment shortening potential for drug-susceptible tuberculosis; the Clo-Fast trial aimed to determine the efficacy and safety of this regimen. We compared 3 months of isoniazid, rifapentine, pyrazinamide, ethambutol, and clofazimine, administered with a clofazimine loading dose, to the standard 6 month regimen of isoniazid, rifampicin,…
Feeding the gut-immune axis: dietary, prebiotic, and probiotic strategies to target persistent inflammation in ART-treated HIV: a narrative review.
Frontiers in immunology · 2026 · PMID 42539524
People living with HIV (PWH) experience ongoing systemic inflammation driven by gut dysbiosis, epithelial barrier disruption, and microbial translocation, despite antiretroviral therapy (ART). This review examines evidence from randomized controlled trials, mechanistic studies, systematic reviews, and meta-analyses evaluating nutritional and microbiome-based interventions to reduce inflammation in PWH. Reduced production of short-chain fatty acids (SCFAs) by the gut microbiota has been observed to precede morbidity…
Prevalence of neurotoxicity symptoms among postpartum women on isoniazid preventive therapy and efavirenz-based treatment for HIV: an exploratory objective of the IMPAACT P1078 randomized trial.
BMC pregnancy and childbirth · 2023 · PMID 36650479
BACKGROUND: This exploratory analysis investigates the prevalence and risk factors of neurocognitive toxicity in postpartum women on HIV treatment in response to a concern of an Isoniazid Preventive Therapy (IPT)/Efavirenz interaction. TRIAL DESIGN: Pregnant women on HIV treatment from countries with high TB prevalence were randomized in IMPAACT P1078 to 28 weeks of IPT started either during pregnancy or at 12 weeks postpartum. Partway through study implementation, the Patient Health Questionnaire 9, the cognitive …
Voluntary HIV Testing and Counselling Initiatives in Occupational Settings: A Scoping Review.
International journal of environmental research and public health · 2025 · PMID 40003488
Voluntary HIV testing and counselling (VCT) in the workplace could reach population groups who may be at risk for HIV but may not readily seek out testing from other services. We conducted a scoping review to understand (a) the nature of evidence related to initiatives and interventions for vocationally active adults on VCT in occupational settings, and (b) any facilitators and barriers to the delivery of and/or engagement with VCT initiatives/interventions in the workplace. JBI scoping review methodology was follo…
Evidence-based service delivery interventions for testing, linking, treating, and retaining children and adolescents living with HIV in primary health care settings: Protocol for a systematic review.
PloS one · 2022 · PMID 35709211
BACKGROUND: At the end of 2019, there were about 2.8 million children and adolescents aged 0-19 living with HIV. In contrast to pregnant women and adults, service delivery for children and adolescents living with HIV continues to lag behind with regard to access to care, components of care delivery, treatment options, and clinical and immunologic outcomes. AIM: The aim of this systematic review is to synthesize the evidence on the most effective interventions, models, programs, and strategies to optimize the delive…
Timing of maternal isoniazid preventive therapy on tuberculosis infection among infants exposed to HIV in low-income and middle-income settings: a secondary analysis of the TB APPRISE trial.
The Lancet. Child & adolescent health · 2023 · PMID 37634517
BACKGROUND: Infants born to women with HIV in settings with a high tuberculosis burden are at risk of tuberculosis infection and rapid progression to active disease. Maternal isoniazid preventive therapy might mitigate this risk, but optimal timing of therapy remains unclear. The TB APPRISE trial showed that initiation of isoniazid during pregnancy resulted in more frequent adverse pregnancy outcomes than when initiated postpartum. We aimed to determine the proportion of infants testing positive for tuberculosis in…
Effect of the relationship between anaemia and systemic inflammation on the risk of incident tuberculosis and death in people with advanced HIV: a sub-analysis of the REMEMBER trial.
EClinicalMedicine · 2023 · PMID 37287871
BACKGROUND: Tuberculosis (TB) is an infectious morbidity that commonly occurs in people living with HIV (PWH) and increases the progression of HIV disease, as well as the risk of death. Simple markers of progression are much needed to identify those at highest risk for poor outcome. This study aimed to assess how baseline severity of anaemia and associated inflammatory profiles impact death and the incidence of TB in a cohort of PWH who received TB preventive therapy (TPT). METHODS: This study is a secondary postho…
Protocol for an attention-matched randomized controlled trial of 2GETHER: a relationship education and HIV prevention program for young male couples.
Trials · 2022 · PMID 35725624
BACKGROUND: Young men who have sex with men (YMSM) are disproportionately impacted by the HIV epidemic in the USA, and a large number of new infections among YMSM occur in the context of main or primary partnerships. At the same time, healthy romantic relationships promote health and wellbeing by improving social support and encouraging healthy behaviors. Thus, we created 2GETHER: a relationship education and HIV prevention program for young male couples. 2GETHER is delivered face-to-face in a university setting an…
An Interpretable Machine Learning Model for Predicting the Presence of Talaromycosis in HIV Patients Lacking Skin Lesions.
Mycopathologia · 2026 · PMID 42477230
INTRODUCTION: The existing predictive models for talaromycosis in people living with HIV without skin lesions are limited by established risk factors and traditional statistical approaches. This study aims to develop an interpretable machine learning(ML) model for predicting the presence of talaromycosis in HIV patients without skin lesions and to validate its clinical applicability. METHODS: This retrospective multicenter study involved the analysis of electronic medical records from four tertiary hospitals in Chi…
Enhanced detection of low-level viremia by cobas 5800/6800 testing systems: a multi-center evaluation and clinical calibration study in China.
Frontiers in cellular and infection microbiology · 2026 · PMID 42539470
INTRODUCTION: With the advent of more sensitive HIV-1 viral load (VL) testing systems, a greater number of low VL samples can be identified. However, for some patients who were previously virally suppressed, the new testing system may yield discordant results, posing challenges for clinical decision-making. This study systematically evaluated and compared the performance of the cobas 5800/6800 testing systems and the cobas AmpliPrep/cobas TaqMan (CAP/CTM) testing systems. METHODS: The performance of the cobas 5800/…
Missed Opportunities for HIV Testing in Hospitalised Adults in Türkiye: Indicator Conditions and Testing Coverage in a National Multicentre Point-Prevalence Survey (HIV-ICs-TR).
Scientific reports · 2026 · PMID 42218185
To quantify the prevalence of HIV testing indications among hospitalised adults in Türkiye, assess HIV testing coverage when clinically indicated, and identify missed diagnostic opportunities in a national multicentre point-prevalence survey. We conducted a national multicentre cross-sectional point-prevalence survey across tertiary referral hospitals from all seven geographical regions of Türkiye. Adult inpatients present at 08:00 on a predefined index day were assessed for predefined HIV testing indications, incl…
Identification of pulmonary hypertension with pulmonary vascular surface volume ratio by non-contrast CT.
BMC cardiovascular disorders · 2026 · PMID 42522016
BACKGROUND: The diagnosis of pulmonary hypertension (PH) relies primarily on invasive right heart catheterization (RHC). Although imaging modalities, including echocardiography, computed tomography angiography (CTA) and computed tomography (CT), offer clinical utility, their effectiveness in early detection remains limited. OBJECTIVES: To clarify the relationship between group 1/2 PH and radiomic-morphological features of the pulmonary vasculature derived from non-contrast CT. METHODS: We retrospectively enrolled c…
The implementation of tuberculosis preventive therapy in HIV care clinics in Africa, Asia and Latin America: a multiregional site survey.
BMJ global health · 2026 · PMID 41592909
INTRODUCTION: Towards the 'End TB Strategy' targets, the WHO recommends the provision of tuberculosis (TB) preventive therapy (TPT) for high-risk groups including people living with HIV (PLWH). 3 years after the release of the updated 2020 WHO guidelines, we investigated the implementation of TPT services at HIV clinics in low-income and middle-income countries (LMICs), focusing on TB screening, populations eligible for TPT and available TPT regimens. METHODS: In 2023, we surveyed HIV care clinics in the Internatio…
Indicator condition-guided HIV testing in patients with mononucleosis-like illness and community-acquired pneumonia in an Emergency Department setting: A prospective study from Poland (2015-2018).
PloS one · 2026 · PMID 42525658
BACKGROUND: Despite advances in HIV care, late diagnosis remains a major public health challenge in Europe, with nearly half of HIV diagnoses in the EU/EEA occurring at a late stage. In Poland, a substantial proportion of people living with HIV remain undiagnosed. Indicator condition-guided testing has been proposed as an effective strategy to reduce missed opportunities for earlier diagnosis. METHODS: A prospective cohort study was conducted at the Emergency Department of the Hospital for Infectious Diseases in Wa…
Contribution of hepatic steatosis to subclinical atherosclerosis progression in people with HIV receiving integrase inhibitors: a 5-year prospective cohort study.
AIDS (London, England) · 2026 · PMID 41921079
BACKGROUND AND OBJECTIVES: Cardiovascular disease (CVD) remains elevated among people with HIV (PWH) despite virological suppression. Whether metabolic-hepatic abnormalities contribute to vascular remodeling during contemporary integrase strand transfer inhibitor (INSTI)-based antiretroviral therapy (ART) remains uncertain. We evaluated long-term carotid intima-media thickness (cIMT) trajectories and their metabolic, hepatic, and inflammatory determinants. METHODS AND DESIGN: We conducted a 5-year prospective cohor…
All-cause and cause-specific mortality trends among people with and without HIV in the Siaya health and demographic surveillance system, Kenya, 2011-2018.
Global health action · 2026 · PMID 41782524
BACKGROUND: All-cause mortality among people with HIV (PWH) in sub-Saharan Africa declined after antiretroviral therapy's introduction, but data in rural settings on evolving causes of death as this population age remain limited. OBJECTIVES: To compare all-cause and cause-specific mortality trends among PWH and people without HIV (PWOH) in western Kenya using a prospective cohort study. METHODS: Data from the Siaya Health and Demographic Surveillance System were used to estimate mortality rates from 2011 to 2018 am…
Metabolic and redox pathway dysregulation in HIV-associated coronary endothelial dysfunction.
American journal of physiology. Heart and circulatory physiology · 2026 · PMID 42302383
People with HIV (PWH) remain at increased risk for cardiovascular disease despite sustained viral suppression on antiretroviral therapy, but the biological mechanisms underlying this risk are incompletely understood. We hypothesized that coronary endothelial dysfunction in virally suppressed PWH is associated with specific circulating proteomic signatures reflecting metabolic and redox pathway dysregulation. We conducted a prospective observational study integrating in vivo stress cardiovascular magnetic resonance …
Evidence Syntheses72 records
Development of a risk prediction model for relapse in patients with schizophrenia based on a systematic review and meta-analysis.
Psychiatry research · 2026 · PMID 41955842
BACKGROUND: The high relapse rate in patients with schizophrenia imposes a significant burden on both families and society, hindering patients' recovery. Predictive modeling of relapse risk factors aids in early identification of high-risk patients for timely intervention. METHODS: A comprehensive search of multiple databases was conducted to collect both domestic and international publications on factors influencing relapse in patients with schizophrenia, up to July 1, 2024. After literature screening, data extrac…
Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.
The Cochrane database of systematic reviews · 2025 · PMID 40492485
BACKGROUND: Low-complexity automated nucleic acid amplification tests (LC-aNAATs) are molecular World Health Organization (WHO)-recommended rapid diagnostic tests (also known as mWRDs) widely used to diagnose tuberculosis disease. The lateral flow urine lipoarabinomannan assay (LF-LAM) is recommended by the WHO to assist in diagnosing tuberculosis disease amongst people with HIV. Previous systematic reviews have assessed the diagnostic accuracy of LC-aNAATs and LF-LAM used in isolation for the detection of tubercul…
Breastfeeding in Patients With Human Immunodeficiency Virus.
Obstetrics and gynecology · 2026 · PMID 41926772
This Clinical Practice Update provides revised guidance regarding the opportunity for infant feeding in patients with human immunodeficiency virus (HIV) based on revised recommendations from the U.S. Department of Health and Human Services and the American Academy of Pediatrics. This document updates the content in Committee Opinion No. 756, Optimizing Support for Breastfeeding as Part of Obstetric Practice (Obstet Gynecol 2018;132:e187-96).
Effects of hearing aid use on memory, executive function, and cognitive impairment among older adults with hearing loss: a systematic review and meta-analysis.
The journals of gerontology. Series B, Psychological sciences and social sciences · 2026 · PMID 41803081
OBJECTIVES: This study aimed to investigate the effects of hearing aid use on various cognitive domains (global cognition, memory, executive function/attention) and the risk of cognitive impairment, and to analyze how these effects differ across sociodemographic factors and severity of cognitive decline among older adults with hearing loss. METHODS: PubMed, Web of Science, Cochrane, CNKI, and Wanfang databases were searched, with a search period from the establishment of the database to May 1, 2025. Standardized me…
Factors associated with tuberculosis patient delay: a meta-analysis.
Frontiers in public health · 2026 · PMID 42523815
BACKGROUND: Tuberculosis (TB) is among the top 10 causes of global death, and patient delay is a key factor causing higher mortality. This study intends to analyze the associated factors with TB patient delay. METHODS: Embase, Cochrane Library, PubMed, and Web of Science were systematically searched for online available studies and unpublished sources from inception to 2025. STATA15.1 was adopted for data analyses, heterogeneity by inverse variance (I 2) and Cochran's Q-tests, and publication bias by Egger's tests.…
British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026 · PMID 42117446
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
Factors associated with mortality and recurrence among patients with multidrug-resistant tuberculosis (MDR-TB): a systematic review, meta-analysis and meta-regression.
Infectious diseases (London, England) · 2026 · PMID 42017750
BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) remains a major global health concern due to its high mortality and recurrence rates. Understanding the factors associated with these adverse outcomes is essential for guiding targeted interventions and strengthening TB control strategies. OBJECTIVE: To synthesise evidence on factors associated with mortality and recurrence among patients with MDR-TB. METHODS: A systematic review and meta-analyses were conducted following PRISMA guidelines. Searches were perform…
Effectiveness of Digital Health Interventions for Improving Antiretroviral Therapy Outcomes in People With HIV: Meta-Analysis and Trial Sequential Analysis of Randomized Controlled Trials.
Journal of medical Internet research · 2026 · PMID 42490547
BACKGROUND: Digital health interventions (DHIs) are increasingly used to support antiretroviral therapy (ART) management among people living with HIV. However, existing systematic reviews have largely focused on single intervention types or limited outcomes, and few have integrated multiple DHI modalities across both behavioral and clinical end points. Additionally, previous evidence has rarely incorporated analytical approaches, such as prediction intervals (PIs) or trial sequential analysis (TSA), leaving uncerta…
The impact of HIV coinfection on mpox patients: a systematic review and meta-analysis.
Emerging microbes & infections · 2026 · PMID 42461714
A substantial proportion of mpox cases occur in people with HIV, but how HIV coinfection and immune status affect clinical outcomes remains unclear. We systematically searched major databases up to March 2025 for observational studies comparing mpox patients with and without HIV coinfection. Pooled effect sizes were calculated using random-effects models. Risk ratios (RRs) or standardized mean differences (SMDs) with 95% confidence intervals were used for dichotomous or continuous outcomes. Post hoc subgroup analys…
Exercise for osteoarthritis of the hip.
The Cochrane database of systematic reviews · 2026 · PMID 42486497
RATIONALE: Hip osteoarthritis is a major public health issue. International treatment guidelines recommend exercise to manage symptoms. This is an update of a review first published in 2009 and last updated in 2014. OBJECTIVES: To determine the effects of land-based exercise on pain, physical function, quality of life, participant-reported treatment success, study withdrawals, and adverse events in people with hip osteoarthritis. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, and two trial registries from Fe…
The relationship between digit ratio (2D:4D) and autoimmune diseases: A systematic review and meta-analysis.
Early human development · 2026 · PMID 42034071
OBJECTIVE: To explore the association between the second-to-fourth digit ratio (2D:4D) and autoimmune diseases (AIDs). METHODS: Relevant studies were retrieved from multiple databases up to October 2025. The 2D:4D ratio of both hands (2D:4D R + L), right hand minus left hand (ΔR - L 2D:4D), right hand (2D:4D R), left hand (2D:4D L), and Type 3 finger pattern (index finger shorter than the ring finger) were extracted. The pooled standardized mean difference (SMD) and odds ratio (OR) with their respective 95% confide…
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Benchmarking long-acting injectable antiretroviral therapy against real-world oral antiretroviral therapy in southern China: a matching-adjusted indirect comparison of global trial data.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026 · PMID 42044724
INTRODUCTION: Long-acting injectable (LAI) antiretroviral efficacy derives largely from Western-centric trials, yet its translation to China's centralized public health model remains unknown. We addressed this gap by benchmarking global trial data against real-world evidence from Southern China. METHODS: We performed a systematic review and meta-analysis (PROSPERO CRD420251249065) of RCTs comparing LAI versus standard oral therapy (SOT), followed by MAIC using individual patient data from a Chinese cohort stratifie…
Prevalence of HIV-associated nephropathy in children: a systematic review with meta-analysis of studies published between 2004 and 2019.
Pediatric nephrology (Berlin, Germany) · 2026 · PMID 41649528
INTRODUCTION: Despite major advances in antiretroviral therapy, HIV infection remains a significant global public health challenge. HIV can directly affect the kidneys, leading to HIV-associated nephropathy in children, a condition characterized by proteinuria, elevated serum creatinine, and kidney enlargement. HIV-associated nephropathy is a serious complication that may progress to kidney failure and death. OBJECTIVE: To estimate the prevalence of HIV-associated nephropathy in children. METHODS: We searched PubMe…
Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.
Journal of the International Association of Providers of AIDS Care · 2026 · PMID 42538058
BackgroundHIV-associated lipodystrophy, a complication of combined antiretroviral therapy (CART), causes significant physical and psychological distress in people living with HIV (PLWH), compromising treatment adherence. Tesamorelin, a growth hormone-releasing hormone (GHRH) analogue, has emerged as a therapeutic option.ObjectiveTo systematically evaluate the efficacy and safety of tesamorelin in HIV-infected individuals with lipodystrophy receiving CART, incorporating GRADE assessment.MethodsWe searched PubMed, ht…
Syphilis infection and incident dementia in two real-world cohorts: A harmonized propensity-matched analysis in Taiwan NHIRD and TriNetX Asia-Pacific.
Brain, behavior, and immunity · 2026 · PMID 42035811
BACKGROUND: Syphilis is a treatable infection with established neurotropism and broad systemic inflammatory consequences, but population-level evidence linking a history of syphilis to later dementia remains limited. We examined this association across two independent real-world data sources using harmonized analytic methods. METHODS: We conducted retrospective cohort analyses in Taiwan's National Health Insurance Research Database (NHIRD, 2001-2020) and the TriNetX Asia-Pacific electronic health record network (20…
Automated Insulin Delivery Systems in Cystic Fibrosis-Related Diabetes: A Systematic Review and Meta-Analysis.
Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2026 · PMID 41933587
OBJECTIVES: To assess the effects of automated insulin delivery systems (AIDs) on glycemic control and selected metabolic and pulmonary outcomes in people with cystic fibrosis related diabetes (pwCFRD). METHODS: We searched MEDLINE (via PubMed), Embase, and Cochrane Library for studies of AIDs in pwCFRD. Eligible studies included at least 14 days of follow-up and reported continuous glucose monitoring outcomes. The primary outcome was time in range (3.9-10.0 mmol/L or 70-180 mg/dL). Additional outcomes included tim…
From community engagement to lived experience leadership: a systematic review of HIV services among men who have sex with men.
Health promotion international · 2026 · PMID 42391518
Community responses are essential to achieving the global goal of Ending AIDS by 2030, yet men who have sex with men (MSM) remain underrepresented and often tokenized within HIV initiatives. While community engagement is widely emphasized, far less attention has been given to leadership rooted in lived experience. Meaningful community engagement requires recognizing MSM not merely as a target population, but as leaders shaping HIV responses. This systematic review examines how MSM perceive the use of their lived ex…
A Systematic Review of Quantitative Health Preference Methods to Support Value Clarification and Shared Decision Making: A Report of an ISPOR Special Interest Group.
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2026 · PMID 42000134
OBJECTIVES: This study aimed to explore the design and outcomes of preference-based value clarification methods (Pb-VCMs) used in the context of supporting patients' clinical decision making to understand whether guidance is used in Pb-VCM development and which Pb-VCM is most effective. METHODS: In April of 2023, PubMed, Scopus, and Web of Science were searched for studies reporting the development and/or evaluation of Pb-VCMs without restrictions on publication date. Two reviewers independently extracted data incl…
Dysregulated Metabolism in People Living With HIV in the Modern ART-Era: A Systematic Review of Targeted Metabolomics Studies.
Reviews in medical virology · 2026 · PMID 42406562
HIV remains a significant public health issue, with 1.3 million new infections and 630,000 deaths annually, and 40.8 million people living with HIV (PLHIV) globally in 2024. Although antiretroviral therapy (ART) suppresses viral replication, it does not eradicate the virus, and metabolic dysregulation persists despite treatment. Metabolomics allows for a detailed investigation of these alterations; however, targeted metabolomics studies in ART-treated PLHIV are limited, and there is no consensus on consistently dys…
Effects of targeted interventions on HIV testing, knowledge and sexual risk behaviours among long-distance truck drivers: a systematic review and meta-analysis.
BMJ open · 2026 · PMID 42457421
OBJECTIVES: We aimed to systematically summarise and quantify the empirical evidence on targeted interventions and their effects on various HIV prevention outcomes for long-distance truck drivers (LDTDs) globally. DESIGN: A systematic review and meta-analysis. DATA SOURCES: We searched PubMed, PubMed Central (PMC), Cumulated Index to Nursing and Allied Health Literature (CINAHL), ProQuest Central, EBSCOhost, ScienceDirect, World Health Organisation (Global Index Medicus), Cochrane Library, Scientific Electronic Lib…
A systematic review of patient decision aids for hypertension.
BMC medical informatics and decision making · 2026 · PMID 42436484
BACKGROUND: Hypertension is a major cause of premature death and a modifiable risk factor for cardiovascular disease. Effective management includes both pharmacological treatment strategies, including antihypertensive medications, and non-pharmacological treatment strategies, such as lifestyle changes. Shared decision making (SDM) between patients and healthcare professionals is essential to determine the most appropriate treatment for hypertension. Patient decision aids (PDAs) facilitate SDM by providing informati…
Maternal-to-Child-Transmission of Human Immunodeficiency Virus in Maternal Preterm Premature Rupture of the Membranes: A Systematic Review.
The journal of obstetrics and gynaecology research · 2026 · PMID 42409579
AIM: Preterm premature rupture of membranes (PPROM) in the context of maternal human immunodeficiency virus (HIV) infection poses a significant clinical dilemma, as clinicians must balance the risks of prematurity with the risks of delaying delivery and potentially increasing the chance of mother-to-child transmission (MTCT) of HIV. This review aimed to identify the rate of MTCT in HIV-positive pregnant individuals with PPROM and assess neonatal outcomes. METHODS: A systematic search strategy following PRISMA guide…
Risk and protective factors associated with depressive symptoms in older adults with visual impairment: a systematic review.
The Gerontologist · 2026 · PMID 42287712
BACKGROUND AND OBJECTIVES: This systematic review aimed to synthesize risk and protective factors associated with depressive symptoms in older adults with visual impairment. RESEARCH DESIGN AND METHODS: We included quantitative studies that examined factors associated with depressive symptoms in adults aged 60 or older with visual impairment. Five electronic bibliographic databases (PubMed, Web of Science, Embase, PsycINFO, and CINAHL Complete) were searched in November 2025 in collaboration with medical librarians…
Fast-Acting Caffeine: Does Caffeinated Chewing Gum Enhance Muscular Strength, Endurance, and Jumping Performance? A Systematic Review and Meta-Analysis.
Journal of strength and conditioning research · 2026 · PMID 42228847
Varovic, D and Grgic, J. Fast-acting caffeine: Does caffeinated chewing gum enhance muscular strength, endurance, and jumping performance? A systematic review and meta-analysis. J Strength Cond Res 40(8): 1020-1029, 2026-Caffeine delivered through chewing gum is rapidly absorbed, making it a practical ergogenic aid for athletes. We aimed to conduct a systematic review and a multilevel meta-analysis exploring the effects of caffeinated chewing gum on muscular strength, endurance, and jump height. We searched 4 datab…
Landmark Evidence64 records
Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.
The Cochrane database of systematic reviews · 2025 · PMID 40492485
BACKGROUND: Low-complexity automated nucleic acid amplification tests (LC-aNAATs) are molecular World Health Organization (WHO)-recommended rapid diagnostic tests (also known as mWRDs) widely used to diagnose tuberculosis disease. The lateral flow urine lipoarabinomannan assay (LF-LAM) is recommended by the WHO to assist in diagnosing tuberculosis disease amongst people with HIV. Previous systematic reviews have assessed the diagnostic accuracy of LC-aNAATs and LF-LAM used in isolation for the detection of tubercul…
Effects of hearing aid use on memory, executive function, and cognitive impairment among older adults with hearing loss: a systematic review and meta-analysis.
The journals of gerontology. Series B, Psychological sciences and social sciences · 2026 · PMID 41803081
OBJECTIVES: This study aimed to investigate the effects of hearing aid use on various cognitive domains (global cognition, memory, executive function/attention) and the risk of cognitive impairment, and to analyze how these effects differ across sociodemographic factors and severity of cognitive decline among older adults with hearing loss. METHODS: PubMed, Web of Science, Cochrane, CNKI, and Wanfang databases were searched, with a search period from the establishment of the database to May 1, 2025. Standardized me…
What is polypharmacy in people living with HIV/AIDS? A systematic review.
AIDS research and therapy · 2022 · PMID 35918746
Polypharmacy in people living with HIV/AIDS (PLWHA) is a rising morbidity that exacts hefty economic burden on health budgets in addition to other adverse clinical outcomes. Despite recent advances, uncertainty remains around its exact definition in PLWHA. In this systematic review and Meta-analysis, we explored relevant databases (PUBMED, EMBASE, CROI) for studies evaluating polypharmacy in PLWHA from January 2000 to August 2021 to ascertain the exact numerical threshold that defines this morbidity. Two independen…
Antiviral therapy for cytomegalovirus retinitis: A systematic review and meta-analysis.
Survey of ophthalmology · 2025 · PMID 39549781
Cytomegalovirus retinitis (CMVR) is a significant cause of blindness in patients with advanced acquired immunodeficiency syndrome (AIDS). There are no established guidelines for its treatment, resulting in varied antiviral approaches. We pooled data from 59 studies (4501 patients) to evaluate treatment variations and outcomes (CRD42022321088). Overall pooled estimates showed visual acuity improvement at 18 % (95 % CI: 7-41 %), inflammation resolution at 90 % (95 % CI: 81-95 %), retinal detachment at 11 % (95 % CI: …
Human Immunodeficiency Virus Infection and Incident Heart Failure: A Meta-Analysis of Prospective Studies.
Journal of acquired immune deficiency syndromes (1999) · 2021 · PMID 33492019
OBJECTIVES: To systematically analyze available prospective evidence on the association between HIV infection and incident heart failure (HF). METHODS: A systematic search of PubMed, EMBASE, Web of Science, and manual search of relevant articles through June 1st, 2020, was conducted. Two authors independently performed full-text assessments and data extraction. The pooled relative risk with 95% confidence interval was estimated using DerSimonian and Laird random-effects models, with inverse-variance fixed-effects m…
Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.
Journal of the International Association of Providers of AIDS Care · 2026 · PMID 42538058
BackgroundHIV-associated lipodystrophy, a complication of combined antiretroviral therapy (CART), causes significant physical and psychological distress in people living with HIV (PLWH), compromising treatment adherence. Tesamorelin, a growth hormone-releasing hormone (GHRH) analogue, has emerged as a therapeutic option.ObjectiveTo systematically evaluate the efficacy and safety of tesamorelin in HIV-infected individuals with lipodystrophy receiving CART, incorporating GRADE assessment.MethodsWe searched PubMed, ht…
Executive function in HIV-affected children and adolescents: a systematic review and meta-analyses.
AIDS care · 2021 · PMID 33764813
This review aimed to determine: whether EF is affected in children and adolescents (2-24-years-old) with perinatal HIV infection, perinatal HIV exposure without infection, and behaviourally acquired HIV. A systematic review (PROSPERO number: CRD42017067813) was conducted using 11 electronic databases (01.01.1981-09.07.2019) and 8 conference websites. Primary quantitative studies with EF scores on cognitive tasks and/or behavioural report measures were included. Meta-analyses were performed by EF subtype and subpopu…
Prevalence of suicide ideation among HIV/AIDS patients in China: A systematic review and meta-analysis.
Frontiers in public health · 2023 · PMID 36908478
OBJECTIVE: A systematic review and meta-analysis was performed to evaluate the prevalence of suicide ideation among HIV/AIDS patients in China. METHODS: Systematic search of CNKI, Wanfang, China biology medicine database, Weipu, EMBASE, Web of science and PubMed for studies related to the suicide ideation of HIV/AIDS patients. The incidence of suicide ideation of HIV / AIDS patients in China was investigated by meta-analysis. RESULTS: A total of 16 studies were included (n = 6,174). The incidence of suicidal ideati…
A Systematic Review of Risk Factors for Suicide Among Persons Living with HIV (1996-2020).
AIDS and behavior · 2022 · PMID 35107660
Persons living with HIV (PWH) are at elevated risk for suicide. We conducted a systematic literature review following PRISMA-P guidelines to examine risk factors associated with suicide as a cause of morbidity among PWH. We searched six electronic databases using search terms (suicide, suicide attempt, self-harm, self-injurious behavior, HIV, AIDS, PWH). We focused on factors that were specific to HIV infection (CD4 count, HIV-1 RNA, and antiretroviral therapy [ART]). The initial search yielded N = 2657 studies. El…
Isoniazid preventive therapy plus antiretroviral therapy for the prevention of tuberculosis: a systematic review and meta-analysis of individual participant data.
The lancet. HIV · 2021 · PMID 33387480
BACKGROUND: Isoniazid preventive therapy prevents active tuberculosis in people with HIV, but previous studies have found no evidence of benefit in people with HIV who had a negative tuberculin skin test, and a non-significant effect on mortality. We aimed to estimate the effect of isoniazid preventive therapy given with antiretroviral therapy (ART) for the prevention of tuberculosis and death among people with HIV across population subgroups. METHODS: We searched PubMed, Embase, the Cochrane database, and conferen…
HIV Testing Disruptions and Service Adaptations During the COVID-19 Pandemic: A Systematic Literature Review.
AIDS and behavior · 2024 · PMID 37548796
Access to treatment and care in safe clinical settings improves people's lives with HIV. The COVID-19 pandemic disrupted vital HIV programs and services, increasing the risk of adverse health outcomes for people with HIV and HIV transmission rates in the community. This systematic literature review provides a meta-analysis of HIV testing disruptions and a synthesis of HIV/AIDS services adapted during COVID-19. We searched scholarly databases from 01 January 2020 to 30 June 2022 using key terms on HIV testing rates …
Mental health and retention in HIV care: A systematic review and meta-analysis.
Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2018 · PMID 29781655
OBJECTIVE: Mental health (MH) diagnoses, which are prevalent among persons living with HIV infection, might be linked to failed retention in HIV care. This review synthesized the quantitative evidence regarding associations between MH diagnoses or symptoms and retention in HIV care, as well as determined if MH service utilization (MHSU) is associated with improved retention in HIV care. METHOD: A comprehensive search of the Centers for Disease Control and Prevention's HIV/AIDS Prevention Research Synthesis database…
Estimates of the global burden of cervical cancer associated with HIV.
The Lancet. Global health · 2021 · PMID 33212031
BACKGROUND: HIV enhances human papillomavirus (HPV)-induced carcinogenesis. However, the contribution of HIV to cervical cancer burden at a population level has not been quantified. We aimed to investigate cervical cancer risk among women living with HIV and to estimate the global cervical cancer burden associated with HIV. METHODS: We did a systematic literature search and meta-analysis of five databases (PubMed, Embase, Global Health [CABI.org], Web of Science, and Global Index Medicus) to identify studies analys…
Indirect Treatment Comparison of the Efficacy of Long-Acting Injectable Cabotegravir Compared With Lenacapavir for HIV Pre-exposure Prophylaxis.
Advances in therapy · 2026 · PMID 42171901
INTRODUCTION: Long-acting injectable cabotegravir (hereafter referred to as cabotegravir) is the first long-acting injectable approved for pre-exposure prophylaxis (PrEP) based on the HPTN 083 and 084 trials. Long-acting injectable lenacapavir (hereafter referred to as lenacapavir) was approved for PrEP based on the PURPOSE 1 and 2 trials. In the absence of a head-to-head trial, we conducted an indirect treatment comparison (ITC) to assess efficacy of lenacapavir versus cabotegravir in reducing the risk of HIV acqu…
The impact of decision tools during oncological consultation with lung cancer patients: A systematic review within the I3LUNG project.
Cancer medicine · 2024 · PMID 38741546
INTRODUCTION: To date, lung cancer is one of the most lethal diagnoses worldwide. A variety of lung cancer treatments and modalities are available, which are generally presented during the patient and doctor consultation. The implementation of decision tools to facilitate patient's decision-making and the management of their healthcare process during medical consultation is fundamental. Studies have demonstrated that decision tools are helpful to promote health management and decision-making of lung cancer patients…
Goals of care discussions in hospitalised patients: systematic review of randomised trials.
BMJ supportive & palliative care · 2026 · PMID 41469164
IMPORTANCE: Structured communication tools and decision aids are recommended to facilitate goals of care discussions (GOCDs) in hospitalised patients, but their impact remains unclear. OBJECTIVE: To determine the effectiveness of communication tools and decision aids on GOCDs between healthcare providers, patients and substitute decision makers. DATA SOURCES: PubMed, Web of Science, CINAHL and ClinicalTrials.gov were searched from January 2015 to July 2025, with backward citation tracking to identify additional tri…
Post-migration HIV acquisition: A systematic review and meta-analysis.
Epidemiology and infection · 2024 · PMID 38425215
Migrants in Europe face a disproportionate burden of HIV infection; however, it remains unclear if this can be prevented through public health interventions in host countries. We undertake a systematic review and meta-analysis to estimate post-migration HIV acquisition (PMHA) as a proportion of all HIV cases in European migrants. MEDLINE, EMBASE, Global Health, HMIC, and Cochrane Library were searched with terms capturing 'HIV', 'migration', and 'Europe'. Data relating to the proportion of HIV acquired following mi…
A mixed methods systematic review of cancer treatment decision-making in vulnerable populations.
Patient education and counseling · 2026 · PMID 41570487
INTRODUCTION: Vulnerable cancer patients are at risk of making uninformed treatment decisions. Most patient decision aids (PtDAs) have been developed for high-income country (HIC) populations, with limited testing or adaptation for use in vulnerable populations, either contextually or geographically. This review aimed to understand how PtDAs address the treatment decision-making needs of vulnerable cancer patients. METHODS: We conducted a mixed-methods systematic review of RCTs and other effectiveness studies of Pt…
Dermatological manifestation of HIV infection: systematic review and meta-analysis.
BMC infectious diseases · 2025 · PMID 41162862
INTRODUCTION: Since its discovery in 1981, AIDS has become a significant global public health issue, impacting more than 38 million people worldwide with HIV. Despite a 32% reduction in new HIV infections since 2010, millions continue to be affected, often experiencing dermatological problems. This study aims to examine the epidemiology of these dermatological issues in HIV patients by reviewing existing research. METHODS: We conducted an extensive search across MEDLINE, Web of Science, Google Scholar, and grey lit…
Magnitude and factors associated with diabetes mellitus among people living with HIV/AIDS in Eastern Africa. Evidence from Ethiopia, Kenya, Uganda and Tanzania. A systematic review and meta-analysis.
Endocrine · 2026 · PMID 42541631
BACKGROUND: The introduction of combination antiretroviral therapy (cART) has improved survival among people living with HIV (PLHIV) but increased the risk of non-communicable diseases, including diabetes mellitus (DM). In East Africa, estimates of DM prevalence among PLHIV vary widely, and contributing factors are not well defined. This study aimed to estimate the pooled prevalence of DM and identify associated risk factors among PLHIV in the region. METHODS: A systematic review and meta-analysis were conducted fo…
Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.
The Cochrane database of systematic reviews · 2024 · PMID 39908067
This is a protocol for a Cochrane Review (diagnostic). The objectives are as follows: To compare the diagnostic accuracy of parallel use of lateral flow urine lipoarabinomannan on urine and low-complexity automated nucleic acid amplification tests on respiratory samples versus each test alone for detection of tuberculosis disease in adults and adolescents living with HIV who present with presumptive tuberculosis. Secondary objectives To investigate the following sources of heterogeneity: clinical setting; signs and…
HIV infection and esophageal cancer in Sub-Saharan Africa: a comprehensive meta-analysis.
AIDS reviews · 2024 · PMID 38530745
Africa hosts the highest burden of esophageal cancer (49%) and HIV (60%) worldwide. It is imperative to investigate the synergistic impact of these two diseases on African populations. This study conducted an exhaustive computerized search of databases, including Medline/PubMed, Embase, Web of Science, Scopus, Cochrane library, and African Journals Online, to identify eligible studies up to October 2023. HIV infection was the exposure, esophageal cancer risk was the outcome, and healthy subjects with no cancer hist…
Factors associated with pyomyositis: A systematic review and meta-analysis.
Tropical medicine & international health : TM & IH · 2021 · PMID 34407271
OBJECTIVES: Pyomyositis, an acute bacterial infection of skeletal muscle usually resulting in abscess formation, is well recognised in tropical regions where it can account for up to 4% of adult surgical admissions. It is increasingly being reported from high-income temperate countries. Pyomyositis occurs across all ages and in both sexes. Mortality ranges from 1% to 23%. Many risk factors have been suggested. We aimed to identify factors associated with pyomyositis. METHODS: We undertook a systematic review and me…
Risk of mortality in HIV-infected COVID-19 patients: A systematic review and meta-analysis.
Journal of infection and public health · 2022 · PMID 35617829
BACKGROUND: The relationship between HIV infection and COVID-19 clinical outcomes remains a significant public health research problem. We aimed to determine the association of HIV comorbidity with COVID-19 mortality. METHODS: We searched PubMed, Google Scholar and World Health Organization library databases for relevant studies. All searches were conducted from 1st to 7th December 2021. Title, abstract and full text screening was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Ana…
Statin effects on the incidence of major non-cardiovascular disease events among a global cohort of people with HIV: a randomised controlled trial.
The lancet. HIV · 2025 · PMID 40180472
BACKGROUND: Given the pleiotropic effects of statins beyond lipid-lowering, statins might positively impact other, non-cardiovascular diseases (non-CVDs). In this study, we prospectively assessed statin effects on non-CVD events and their incidence among people with HIV globally. METHODS: The Randomized Trial to Prevent Vascular Events in HIV (REPRIEVE; ClinicalTrials.gov, NCT02344290) was a randomised, placebo-controlled trial of pitavastatin for CVD prevention took place from 2015 to 2023 at 145 research sites in…
Most Effective Evidence Supported Treatments85 records
Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.
The Cochrane database of systematic reviews · 2025 · PMID 40492485
BACKGROUND: Low-complexity automated nucleic acid amplification tests (LC-aNAATs) are molecular World Health Organization (WHO)-recommended rapid diagnostic tests (also known as mWRDs) widely used to diagnose tuberculosis disease. The lateral flow urine lipoarabinomannan assay (LF-LAM) is recommended by the WHO to assist in diagnosing tuberculosis disease amongst people with HIV. Previous systematic reviews have assessed the diagnostic accuracy of LC-aNAATs and LF-LAM used in isolation for the detection of tubercul…
Factors associated with tuberculosis patient delay: a meta-analysis.
Frontiers in public health · 2026 · PMID 42523815
BACKGROUND: Tuberculosis (TB) is among the top 10 causes of global death, and patient delay is a key factor causing higher mortality. This study intends to analyze the associated factors with TB patient delay. METHODS: Embase, Cochrane Library, PubMed, and Web of Science were systematically searched for online available studies and unpublished sources from inception to 2025. STATA15.1 was adopted for data analyses, heterogeneity by inverse variance (I 2) and Cochran's Q-tests, and publication bias by Egger's tests.…
Effects of hearing aid use on memory, executive function, and cognitive impairment among older adults with hearing loss: a systematic review and meta-analysis.
The journals of gerontology. Series B, Psychological sciences and social sciences · 2026 · PMID 41803081
OBJECTIVES: This study aimed to investigate the effects of hearing aid use on various cognitive domains (global cognition, memory, executive function/attention) and the risk of cognitive impairment, and to analyze how these effects differ across sociodemographic factors and severity of cognitive decline among older adults with hearing loss. METHODS: PubMed, Web of Science, Cochrane, CNKI, and Wanfang databases were searched, with a search period from the establishment of the database to May 1, 2025. Standardized me…
British Association of Sexual Health and HIV guidelines on the management of viral hepatitis 2026.
International journal of STD & AIDS · 2026 · PMID 42117446
The 2026 British Association for Sexual Health and HIV (BASHH) guidelines for the management of viral hepatitis are in line with current evidence and practice within the United Kingdom. We provide evidence-based recommendations for the prevention, diagnosis and initial management of viral hepatitis A, B, C and D. Key updates are detailed at the start of the article.
Factors associated with mortality and recurrence among patients with multidrug-resistant tuberculosis (MDR-TB): a systematic review, meta-analysis and meta-regression.
Infectious diseases (London, England) · 2026 · PMID 42017750
BACKGROUND: Multidrug-resistant tuberculosis (MDR-TB) remains a major global health concern due to its high mortality and recurrence rates. Understanding the factors associated with these adverse outcomes is essential for guiding targeted interventions and strengthening TB control strategies. OBJECTIVE: To synthesise evidence on factors associated with mortality and recurrence among patients with MDR-TB. METHODS: A systematic review and meta-analyses were conducted following PRISMA guidelines. Searches were perform…
Effectiveness of Digital Health Interventions for Improving Antiretroviral Therapy Outcomes in People With HIV: Meta-Analysis and Trial Sequential Analysis of Randomized Controlled Trials.
Journal of medical Internet research · 2026 · PMID 42490547
BACKGROUND: Digital health interventions (DHIs) are increasingly used to support antiretroviral therapy (ART) management among people living with HIV. However, existing systematic reviews have largely focused on single intervention types or limited outcomes, and few have integrated multiple DHI modalities across both behavioral and clinical end points. Additionally, previous evidence has rarely incorporated analytical approaches, such as prediction intervals (PIs) or trial sequential analysis (TSA), leaving uncerta…
Exercise for osteoarthritis of the hip.
The Cochrane database of systematic reviews · 2026 · PMID 42486497
RATIONALE: Hip osteoarthritis is a major public health issue. International treatment guidelines recommend exercise to manage symptoms. This is an update of a review first published in 2009 and last updated in 2014. OBJECTIVES: To determine the effects of land-based exercise on pain, physical function, quality of life, participant-reported treatment success, study withdrawals, and adverse events in people with hip osteoarthritis. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, and two trial registries from Fe…
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Prevalence of HIV-associated nephropathy in children: a systematic review with meta-analysis of studies published between 2004 and 2019.
Pediatric nephrology (Berlin, Germany) · 2026 · PMID 41649528
INTRODUCTION: Despite major advances in antiretroviral therapy, HIV infection remains a significant global public health challenge. HIV can directly affect the kidneys, leading to HIV-associated nephropathy in children, a condition characterized by proteinuria, elevated serum creatinine, and kidney enlargement. HIV-associated nephropathy is a serious complication that may progress to kidney failure and death. OBJECTIVE: To estimate the prevalence of HIV-associated nephropathy in children. METHODS: We searched PubMe…
Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.
Journal of the International Association of Providers of AIDS Care · 2026 · PMID 42538058
BackgroundHIV-associated lipodystrophy, a complication of combined antiretroviral therapy (CART), causes significant physical and psychological distress in people living with HIV (PLWH), compromising treatment adherence. Tesamorelin, a growth hormone-releasing hormone (GHRH) analogue, has emerged as a therapeutic option.ObjectiveTo systematically evaluate the efficacy and safety of tesamorelin in HIV-infected individuals with lipodystrophy receiving CART, incorporating GRADE assessment.MethodsWe searched PubMed, ht…
From community engagement to lived experience leadership: a systematic review of HIV services among men who have sex with men.
Health promotion international · 2026 · PMID 42391518
Community responses are essential to achieving the global goal of Ending AIDS by 2030, yet men who have sex with men (MSM) remain underrepresented and often tokenized within HIV initiatives. While community engagement is widely emphasized, far less attention has been given to leadership rooted in lived experience. Meaningful community engagement requires recognizing MSM not merely as a target population, but as leaders shaping HIV responses. This systematic review examines how MSM perceive the use of their lived ex…
Dysregulated Metabolism in People Living With HIV in the Modern ART-Era: A Systematic Review of Targeted Metabolomics Studies.
Reviews in medical virology · 2026 · PMID 42406562
HIV remains a significant public health issue, with 1.3 million new infections and 630,000 deaths annually, and 40.8 million people living with HIV (PLHIV) globally in 2024. Although antiretroviral therapy (ART) suppresses viral replication, it does not eradicate the virus, and metabolic dysregulation persists despite treatment. Metabolomics allows for a detailed investigation of these alterations; however, targeted metabolomics studies in ART-treated PLHIV are limited, and there is no consensus on consistently dys…
A systematic review of patient decision aids for hypertension.
BMC medical informatics and decision making · 2026 · PMID 42436484
BACKGROUND: Hypertension is a major cause of premature death and a modifiable risk factor for cardiovascular disease. Effective management includes both pharmacological treatment strategies, including antihypertensive medications, and non-pharmacological treatment strategies, such as lifestyle changes. Shared decision making (SDM) between patients and healthcare professionals is essential to determine the most appropriate treatment for hypertension. Patient decision aids (PDAs) facilitate SDM by providing informati…
Broadly neutralizing antibodies for HIV therapy in clinical trials: a systematic review.
Infectious diseases of poverty · 2026 · PMID 42387620
BACKGROUND: Lifelong daily antiretroviral therapy (ART) effectively suppresses human immunodeficiency virus type 1 (HIV-1) replication but does not eradicate the virus, underscoring the urgent need for long-acting antivirals and functional cure strategies. Broadly neutralizing antibodies (bNAbs) have emerged as a promising approach for achieving durable HIV-1 remission. In this systematic review, we summarize recent advances in the development of bNAbs for HIV-1 treatment. METHODS: We searched PubMed, Embase, and W…
HIV Mortality Surveillance in Nigeria, A Systematic Review of Trends, Determinants, and Implications For Public Health Policy.
Journal of community health · 2026 · PMID 42047974
Despite substantial progress in expanding antiretroviral therapy (ART) coverage and scaling up prevention interventions, Human Immunodeficiency Virus (HIV) related mortality remains a significant public health challenge in several high-burden settings, including Nigeria. Persistent data system fragmentation, late diagnosis, and socio-structural inequities have slowed progress toward epidemic control. This systematic review synthesizes evidence on the epidemiological trends, determinants, and surveillance performanc…
Exploring the barriers and facilitators to accessing and engaging with information resources about rheumatoid arthritis (RA) by ethnic minority or non-native patients: A systematic review and thematic synthesis.
Patient education and counseling · 2026 · PMID 42034004
OBJECTIVES: To identify and synthesise existing literature describing barriers and facilitators to accessing and engaging with rheumatoid arthritis (RA) self-management information by non-native and ethnic minority groups. METHODS: Four electronic databases were searched from inception to October 2024 and screened by two independent reviewers against the following prespecified inclusion criteria: 1. must include participants who are diagnosed with RA and non-English language speakers; 2. Had participants who were a…
Integrating Shared Decision-Making Into Breast Cancer Postmastectomy Reconstruction: A Systematic Review of Evidence, Barriers, and Real-World Implementation.
International journal of cancer · 2026 · PMID 42098969
This systematic review synthesizes empirical evidence on the development, effectiveness, patient experience, and implementation of decision aids (DAs) for postmastectomy breast reconstruction (PMBR) and to evaluate the role of pre-consultation educational interventions in supporting shared decision-making (SDM). Following PRISMA guidelines and a preregistered protocol (OSF: https://osf.io/mu9hv), six electronic databases and gray literature sources were searched for studies on PMBR DAs through November 2025. Eligib…
A mixed methods systematic review of cancer treatment decision-making in vulnerable populations.
Patient education and counseling · 2026 · PMID 41570487
INTRODUCTION: Vulnerable cancer patients are at risk of making uninformed treatment decisions. Most patient decision aids (PtDAs) have been developed for high-income country (HIC) populations, with limited testing or adaptation for use in vulnerable populations, either contextually or geographically. This review aimed to understand how PtDAs address the treatment decision-making needs of vulnerable cancer patients. METHODS: We conducted a mixed-methods systematic review of RCTs and other effectiveness studies of Pt…
Indirect Treatment Comparison of the Efficacy of Long-Acting Injectable Cabotegravir Compared With Lenacapavir for HIV Pre-exposure Prophylaxis.
Advances in therapy · 2026 · PMID 42171901
INTRODUCTION: Long-acting injectable cabotegravir (hereafter referred to as cabotegravir) is the first long-acting injectable approved for pre-exposure prophylaxis (PrEP) based on the HPTN 083 and 084 trials. Long-acting injectable lenacapavir (hereafter referred to as lenacapavir) was approved for PrEP based on the PURPOSE 1 and 2 trials. In the absence of a head-to-head trial, we conducted an indirect treatment comparison (ITC) to assess efficacy of lenacapavir versus cabotegravir in reducing the risk of HIV acqu…
Rare colorectal manifestations of pediatric gastrointestinal lymphoma: a systematic review of clinical spectrum and surgical implications.
Pediatric surgery international · 2026 · PMID 42437396
PURPOSE: Pediatric colorectal malignancies are rare, with lymphomas- predominantly non- Hodgkin's lymphoma (NHL) representing the most common type, accounting to 0.5-2% of large bowel malignancies. Colorectal NHL can be primary or secondary. This study analyzes the rare manifestations of pediatric colorectal lymphoma and examines their diagnostic challenges and surgical implications. METHOD: A Pubmed search was done with search words "lymphoma of colon pediatric" with filter of last 5 years on 12 Feb 2026. The sear…
Prevalence and risk of cardiovascular events among people living with HIV: a meta-analysis.
Annals of medicine · 2026 · PMID 42478138
BACKGROUND: People living with HIV (PLWH) have increased cardiovascular risk, but the contribution of HIV-related factors to all-cause cardiovascular events remains unclear. We assessed the prevalence and determinants of cardiovascular events in PLWH, including subtype-specific risk profiles. METHODS: PubMed, EMBASE, Cochrane Library, Web of Science and Scopus were searched from January 1, 2004 to October 31, 2024. Observational studies reporting cardiovascular event prevalence or adjusted risk estimates in PLWH we…
The impact of decision tools during oncological consultation with lung cancer patients: A systematic review within the I3LUNG project.
Cancer medicine · 2024 · PMID 38741546
INTRODUCTION: To date, lung cancer is one of the most lethal diagnoses worldwide. A variety of lung cancer treatments and modalities are available, which are generally presented during the patient and doctor consultation. The implementation of decision tools to facilitate patient's decision-making and the management of their healthcare process during medical consultation is fundamental. Studies have demonstrated that decision tools are helpful to promote health management and decision-making of lung cancer patients…
Integrating smoking cessation into HIV care settings: A systematic review and meta-analysis of effectiveness and the evidence gap in cost-effectiveness.
PloS one · 2026 · PMID 42531253
The prevalence of smoking among people living with HIV (PLWH) is higher than in the general population, and PLWH who smoke are at increased risk of both smoking- and HIV-related comorbidities. As most PLWH reside in low- and middle-income countries (LMICs), there is a need for effective and cost-effective smoking cessation interventions in resource-constrained settings. We systematically reviewed and meta-analyzed the effectiveness of smoking cessation interventions for PLWH and looked for economic evaluations. Fou…
Implementation of therapeutic adherence in adult patients diagnosed with the Human Immunodeficiency Virus: A systematic review.
Patient education and counseling · 2026 · PMID 42155336
OBJECTIVES: To systematically map and summarize the available knowledge on interventions that promote medication adherence among adult HIV patients and to describe the current state of the art regarding the impact of these interventions on clinical and psychosocial outcomes. METHODS: A systematic search was conducted and two researchers screened eligible studies independently. The Joanna Briggs Institute Quality Appraisal for Randomized Controlled Trials, Cross-Sectional Studies, and Quasi-Experimental Studies were…
Integrated Care Models for HIV, Diabetes and Hypertension in Sub-Saharan Africa: A Systematic Review of Effectiveness, Implementation and Real-World Applicability.
Journal of the International AIDS Society · 2026 · PMID 42402976
BACKGROUND: Sub-Saharan Africa faces a syndemic of HIV and non-communicable diseases (NCDs), particularly diabetes and hypertension. Integrated care models have been promoted to improve service efficiency and patient outcomes; however, evidence on their effectiveness, implementation and real-world applicability remains fragmented. OBJECTIVE: This systematic review aimed to assess the clinical and service delivery effectiveness of integrated HIV-diabetes-hypertension care models in sub-Saharan Africa and to identify…
New Research Last 24 Months264 records
Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.
The Cochrane database of systematic reviews · 2025 · PMID 40492485
BACKGROUND: Low-complexity automated nucleic acid amplification tests (LC-aNAATs) are molecular World Health Organization (WHO)-recommended rapid diagnostic tests (also known as mWRDs) widely used to diagnose tuberculosis disease. The lateral flow urine lipoarabinomannan assay (LF-LAM) is recommended by the WHO to assist in diagnosing tuberculosis disease amongst people with HIV. Previous systematic reviews have assessed the diagnostic accuracy of LC-aNAATs and LF-LAM used in isolation for the detection of tubercul…
Effects of hearing aid use on memory, executive function, and cognitive impairment among older adults with hearing loss: a systematic review and meta-analysis.
The journals of gerontology. Series B, Psychological sciences and social sciences · 2026 · PMID 41803081
OBJECTIVES: This study aimed to investigate the effects of hearing aid use on various cognitive domains (global cognition, memory, executive function/attention) and the risk of cognitive impairment, and to analyze how these effects differ across sociodemographic factors and severity of cognitive decline among older adults with hearing loss. METHODS: PubMed, Web of Science, Cochrane, CNKI, and Wanfang databases were searched, with a search period from the establishment of the database to May 1, 2025. Standardized me…
The impact of HIV coinfection on mpox patients: a systematic review and meta-analysis.
Emerging microbes & infections · 2026 · PMID 42461714
A substantial proportion of mpox cases occur in people with HIV, but how HIV coinfection and immune status affect clinical outcomes remains unclear. We systematically searched major databases up to March 2025 for observational studies comparing mpox patients with and without HIV coinfection. Pooled effect sizes were calculated using random-effects models. Risk ratios (RRs) or standardized mean differences (SMDs) with 95% confidence intervals were used for dichotomous or continuous outcomes. Post hoc subgroup analys…
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.
Journal of the International Association of Providers of AIDS Care · 2026 · PMID 42538058
BackgroundHIV-associated lipodystrophy, a complication of combined antiretroviral therapy (CART), causes significant physical and psychological distress in people living with HIV (PLWH), compromising treatment adherence. Tesamorelin, a growth hormone-releasing hormone (GHRH) analogue, has emerged as a therapeutic option.ObjectiveTo systematically evaluate the efficacy and safety of tesamorelin in HIV-infected individuals with lipodystrophy receiving CART, incorporating GRADE assessment.MethodsWe searched PubMed, ht…
Cervical length surveillance for predicting spontaneous preterm birth in women with congenital uterine anomalies: A systematic review and diagnostic accuracy meta-analysis.
European journal of obstetrics, gynecology, and reproductive biology · 2026 · PMID 42541967
BACKGROUND: The role of transvaginal cervical length surveillance in predicting spontaneous preterm birth (sPTB) in women with congenital uterine anomalies (CUA) remains unclear. This study is a systematic review and diagnostic accuracy meta-analysis of its predictive value in this population. METHODS: A literature review of MEDLINE, EMBASE and Cochrane Library was conducted from inception to December 2025. Observational studies assessing second-trimester cervical length measurement in pregnant women with CUAs were…
Prevalence and risk of cardiovascular events among people living with HIV: a meta-analysis.
Annals of medicine · 2026 · PMID 42478138
BACKGROUND: People living with HIV (PLWH) have increased cardiovascular risk, but the contribution of HIV-related factors to all-cause cardiovascular events remains unclear. We assessed the prevalence and determinants of cardiovascular events in PLWH, including subtype-specific risk profiles. METHODS: PubMed, EMBASE, Cochrane Library, Web of Science and Scopus were searched from January 1, 2004 to October 31, 2024. Observational studies reporting cardiovascular event prevalence or adjusted risk estimates in PLWH we…
Youth-friendly health services for tuberculosis care: an integrative review and implementation science synthesis.
BMC health services research · 2026 · PMID 42271397
BACKGROUND: Adolescents and young adults (AYAs) face disproportionate risk of tuberculosis (TB) due to biological vulnerability, mobility, distinct risks for HIV infection and treatment failure, structural barriers, and limited access to adolescent-responsive care. Although the World Health Organization recommends youth-friendly health services (YFHS), implementation in TB care has received little attention. This review synthesizes current evidence on the application of YFHS principles across the TB care continuum …
A mixed methods systematic review of cancer treatment decision-making in vulnerable populations.
Patient education and counseling · 2026 · PMID 41570487
INTRODUCTION: Vulnerable cancer patients are at risk of making uninformed treatment decisions. Most patient decision aids (PtDAs) have been developed for high-income country (HIC) populations, with limited testing or adaptation for use in vulnerable populations, either contextually or geographically. This review aimed to understand how PtDAs address the treatment decision-making needs of vulnerable cancer patients. METHODS: We conducted a mixed-methods systematic review of RCTs and other effectiveness studies of Pt…
Indirect Treatment Comparison of the Efficacy of Long-Acting Injectable Cabotegravir Compared With Lenacapavir for HIV Pre-exposure Prophylaxis.
Advances in therapy · 2026 · PMID 42171901
INTRODUCTION: Long-acting injectable cabotegravir (hereafter referred to as cabotegravir) is the first long-acting injectable approved for pre-exposure prophylaxis (PrEP) based on the HPTN 083 and 084 trials. Long-acting injectable lenacapavir (hereafter referred to as lenacapavir) was approved for PrEP based on the PURPOSE 1 and 2 trials. In the absence of a head-to-head trial, we conducted an indirect treatment comparison (ITC) to assess efficacy of lenacapavir versus cabotegravir in reducing the risk of HIV acqu…
Magnitude and factors associated with diabetes mellitus among people living with HIV/AIDS in Eastern Africa. Evidence from Ethiopia, Kenya, Uganda and Tanzania. A systematic review and meta-analysis.
Endocrine · 2026 · PMID 42541631
BACKGROUND: The introduction of combination antiretroviral therapy (cART) has improved survival among people living with HIV (PLHIV) but increased the risk of non-communicable diseases, including diabetes mellitus (DM). In East Africa, estimates of DM prevalence among PLHIV vary widely, and contributing factors are not well defined. This study aimed to estimate the pooled prevalence of DM and identify associated risk factors among PLHIV in the region. METHODS: A systematic review and meta-analysis were conducted fo…
Goals of care discussions in hospitalised patients: systematic review of randomised trials.
BMJ supportive & palliative care · 2026 · PMID 41469164
IMPORTANCE: Structured communication tools and decision aids are recommended to facilitate goals of care discussions (GOCDs) in hospitalised patients, but their impact remains unclear. OBJECTIVE: To determine the effectiveness of communication tools and decision aids on GOCDs between healthcare providers, patients and substitute decision makers. DATA SOURCES: PubMed, Web of Science, CINAHL and ClinicalTrials.gov were searched from January 2015 to July 2025, with backward citation tracking to identify additional tri…
Statin effects on the incidence of major non-cardiovascular disease events among a global cohort of people with HIV: a randomised controlled trial.
The lancet. HIV · 2025 · PMID 40180472
BACKGROUND: Given the pleiotropic effects of statins beyond lipid-lowering, statins might positively impact other, non-cardiovascular diseases (non-CVDs). In this study, we prospectively assessed statin effects on non-CVD events and their incidence among people with HIV globally. METHODS: The Randomized Trial to Prevent Vascular Events in HIV (REPRIEVE; ClinicalTrials.gov, NCT02344290) was a randomised, placebo-controlled trial of pitavastatin for CVD prevention took place from 2015 to 2023 at 145 research sites in…
Efficacy and safety of a mosaic HIV-1 vaccine regimen in men who have sex with men and transgender individuals (HVTN 706/HPX3002/Mosaico): a global, randomised, double-blind, placebo-controlled, phase 3 trial.
The lancet. HIV · 2025 · PMID 41314741
BACKGROUND: There is a high unmet need for effective HIV prevention options, including vaccines, for individuals at high risk of HIV acquisition who choose not to use pre-exposure prophylaxis or other prevention strategies. This study evaluated the efficacy and safety of an HIV-1 vaccine regimen consisting of tetravalent mosaic adenovirus serotype 26-based vaccine (Ad26.Mos4.HIV) and bivalent clade C glycoprotein (gp) 140-mosaic gp140 vaccine, in a population with high seroincidence. METHODS: This randomised, doubl…
Pyrazinamide Safety, Efficacy, and Dosing for Treating Drug-Susceptible Pulmonary Tuberculosis: A Phase 3, Randomized Controlled Clinical Trial.
American journal of respiratory and critical care medicine · 2024 · PMID 39012226
Rationale: Optimizing pyrazinamide dosing is critical to improve treatment efficacy while minimizing toxicity during tuberculosis treatment. Study 31/AIDS Clinical Trials Group A5349 represents the largest phase 3 randomized controlled therapeutic trial to date for such an investigation. Objectives: We sought to report pyrazinamide pharmacokinetic parameters, risk factors for lower pyrazinamide exposure, and relationships between pyrazinamide exposure and efficacy and safety outcomes. We aimed to determine pyrazina…
Analytical treatment interruption among women with HIV in southern Africa who received VRC01 or placebo in the Antibody Mediated Prevention Study: ATI stakeholder engagement, implementation and early clinical data.
Journal of the International AIDS Society · 2025 · PMID 40462491
INTRODUCTION: Antiretroviral therapy (ART) prevents and treats, but does not eradicate, HIV. Early ART initiation is associated with post-ART virologic control, particularly among African women, and anti-HIV-1 broadly neutralizing antibodies (bnAbs) may modulate immune responses to HIV. We evaluate whether early ART with or without anti-HIV-1 bnAb VRC01, present at HIV acquisition, is associated with later ART-free control in African women and we assess potential associations with observed control. METHODS: Stakeho…
HIV and Human Papilloma Virus Community Service Integration Among Women: A Systematic Review and Narrative Synthesis.
The Journal of the Association of Nurses in AIDS Care : JANAC · 2026 · PMID 42460889
Cervical cancer (CC) is a leading cause of death, with women with HIV at an increased risk. Geographic disparities in CC and HIV reflect inequities in care access. The purpose of this systematic review was to evaluate integrated models for HIV and CC screening. This review was conducted following PRISMA guidelines. Full-text screening and data extraction were conducted independently. Eligible studies described integrated HIV and CC services. Of 4,280 records, 24 met inclusion criteria. Most studies ( n = 21) were c…
Acceptability and safety of one versus three months of rifapentine and isoniazid to prevent tuberculosis in people exposed in the household or workplace in Brazil: The Ultra-Curto randomized controlled trial.
PLoS medicine · 2026 · PMID 41666121
BACKGROUND: Short-course tuberculosis preventive therapy with isoniazid and rifapentine (HP) is widely recommended, but the acceptability and safety of one month of daily HP (1HP) compared to three months of weekly HP (3HP) is uncertain. We compared treatment with these two regimens in people with a positive latent tuberculosis infection test and without HIV infection. We hypothesized that 1HP would have greater treatment completion and fewer targeted safety events than 3HP. METHODS AND FINDINGS: We conducted a Pha…
Impact of "absolute" versus "relative" HIV risk communication on pre-exposure prophylaxis interest in Canada: a randomized survey.
AIDS care · 2026 · PMID 41257432
The way human immunodeficiency virus (HIV) acquisition risk is communicated can shape individuals' perceptions and their interest in using pre-exposure prophylaxis (PrEP). This study examined two risk communication strategies among non-PrEP-using gay, bisexual, and other men who have sex with men (GBM) in Canada. In 2022, adult GBMs in Ontario and British Columbia completed an online survey and were randomly assigned to receive HIV risk messages tailored to their risk assessment scores. Messages were framed in eith…
Urate dysregulation (hyperuricemia and gout) among people living with HIV: A protocol for a systematic review and meta-analysis.
PloS one · 2026 · PMID 42536647
INTRODUCTION: Approximately 39.9 million people are living with HIV worldwide, most in sub-Saharan Africa. Effective antiretroviral therapy has shifted attention to metabolic comorbidities, and emerging evidence links integrase inhibitors such as dolutegravir to elevated serum uric acid, yet the global burden of hyperuricemia and gout in this population is unquantified. METHODS AND ANALYSIS: This protocol describes a systematic review and meta-analysis of observational studies (cross-sectional, cohort, and case-con…
Beyond Cure: A Scoping Review of Post-Tuberculosis Long-Term Health Outcomes.
Tropical medicine and infectious disease · 2026 · PMID 42506774
BACKGROUND: Tuberculosis (TB) remains a leading cause of global morbidity and mortality, yet its impact extends far beyond microbiological cure. Many TB survivors experience persistent structural lung damage or functional impairment consistent with post-TB lung disease, while growing evidence highlights long-term non-respiratory health outcomes. Synthesizing evidence across lung and non- respiratory health outcomes, along with their risk factors, is critical to inform long-term TB care. METHODS: We conducted a scop…
A 3-month clofazimine-rifapentine-containing regimen for drug-susceptible tuberculosis versus standard of care (Clo-Fast): a randomised, open-label, phase 2c clinical trial.
The Lancet. Infectious diseases · 2026 · PMID 40915311
BACKGROUND: Based on results from preclinical and clinical studies, a five-drug combination of isoniazid, rifapentine, pyrazinamide, ethambutol, and clofazimine was identified with treatment shortening potential for drug-susceptible tuberculosis; the Clo-Fast trial aimed to determine the efficacy and safety of this regimen. We compared 3 months of isoniazid, rifapentine, pyrazinamide, ethambutol, and clofazimine, administered with a clofazimine loading dose, to the standard 6 month regimen of isoniazid, rifampicin,…
Hepatitis B virus outcomes in people with HIV after cessation of tenofovir-containing antiretroviral therapy: a systematic review and meta-analysis.
EClinicalMedicine · 2026 · PMID 42541296
BACKGROUND: Antiretroviral therapy (ART) regimens without tenofovir have risks related to hepatitis B virus (HBV). As these regimens are being used more frequently, clinicians and policy makers would benefit from an accurate estimate of the risk of HBV outcomes following tenofovir cessation. METHODS: We conducted a systematic review of HBV reactivation and infection in people with HIV who discontinue tenofovir. We searched Medline, Embase, Google Scholar, and the Cochrane database (1 January 2006-15 February 2026) …
Psychoactive Substance Use and the Impact on the AIDS Epidemic Among the MSM Population: a Meta-Analysis - Worldwide, 2014-2023.
China CDC weekly · 2024 · PMID 42535154
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: There is a correlation between psychoactive substance use and heightened human immunodeficiency virus (HIV) susceptibility in men who have sex with men (MSM) populations, although the precise impact on transmission risk remains unclear. WHAT IS ADDED BY THIS REPORT?: In MSM populations, rush poppers and amphetamines are widely used, with rates of 10.91% and 9.97%. In China, rush poppers usage is notably higher at 47.26%. For other regions and coutries, amphetamines (12.86%),…
Allergic Contact Dermatitis to Pure Henna: A Systematic Review.
Contact dermatitis · 2026 · PMID 42535430
Henna has traditionally been considered safe as a natural dye for hair, skin and nails. However, recent reports of dermatitis are increasing. While often linked to para-phenyldiamine (PPD) additives, allergic reactions to pure henna are also emerging. This review aims to provide a focused clinical overview of allergic contact dermatitis (ACD) caused specifically by pure henna. We performed a systematic review of studies reporting on cases of ACD to pure henna. We searched PubMed, SCOPUS and Web of Science without t…
Preclinical Research66 records
A 3-month clofazimine-rifapentine-containing regimen for drug-susceptible tuberculosis versus standard of care (Clo-Fast): a randomised, open-label, phase 2c clinical trial.
The Lancet. Infectious diseases · 2026 · PMID 40915311
BACKGROUND: Based on results from preclinical and clinical studies, a five-drug combination of isoniazid, rifapentine, pyrazinamide, ethambutol, and clofazimine was identified with treatment shortening potential for drug-susceptible tuberculosis; the Clo-Fast trial aimed to determine the efficacy and safety of this regimen. We compared 3 months of isoniazid, rifapentine, pyrazinamide, ethambutol, and clofazimine, administered with a clofazimine loading dose, to the standard 6 month regimen of isoniazid, rifampicin,…
Safety, pharmacokinetics, and neutralisation activity of PGDM1400LS, VRC07-523LS, and PGT121.414.LS infused intravenously or subcutaneously (HVTN 140/HPTN 101 part B): a phase 1, randomised trial.
The lancet. HIV · 2026 · PMID 42114530
BACKGROUND: Passive immunisation with a combination of broadly neutralising monoclonal antibodies (mAbs) presents a potential HIV-1 prevention modality. This study (HVTN 140/HPTN 101) sought to evaluate PGDM1400LS (targeting V3-glycan) administered alone (part A, previously reported), and in combination (part B) with VRC07-523LS (targeting CD4 binding site) and PGT121.414.LS (targeting V2-apex) in healthy adults without HIV-1. METHODS: The study was a phase 1, multicentre, randomised, open-label trial done across t…
Identification of pulmonary hypertension with pulmonary vascular surface volume ratio by non-contrast CT.
BMC cardiovascular disorders · 2026 · PMID 42522016
BACKGROUND: The diagnosis of pulmonary hypertension (PH) relies primarily on invasive right heart catheterization (RHC). Although imaging modalities, including echocardiography, computed tomography angiography (CTA) and computed tomography (CT), offer clinical utility, their effectiveness in early detection remains limited. OBJECTIVES: To clarify the relationship between group 1/2 PH and radiomic-morphological features of the pulmonary vasculature derived from non-contrast CT. METHODS: We retrospectively enrolled c…
Exposure-response modeling of QTc interval and creatine kinase-MB in healthy people and treatment-naïve adults living with HIV-1 treated with ainuovirine monotherapy or combined with lamivudine and tenofovir DF.
European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2026 · PMID 42086178
BACKGROUND: Corrected QT (QTc) interval prolongation elevates fatal arrhythmia risk in people living with HIV (PLWH). Ainuovirine (ANV), a novel non-nucleoside reverse transcriptase inhibitor, demonstrates a favorable preclinical safety profile. This study evaluated ANV's effects on QTc interval and creatine kinase MB (CK-MB) levels in humans. METHODS: A pooled analysis was conducted using data from four phase 1 clinical studies: a single ascending dose (SAD), a food effect (FED), a multiple ascending dose (MAD), a…
Biaxial determination of active and passive mechanical properties of porcine stomach smooth muscle tissue.
Journal of the mechanical behavior of biomedical materials · 2026 · PMID 42349228
The stomach is a hollow organ within the gastrointestinal tract that plays a central role in the breakdown of ingested food. Its secretion of gastric acid facilitates chemical digestion, while the contraction of its smooth muscle aids in mechanical digestion. The upper, cranial part of the stomach acts as a reservoir for ingested food, while the lower, caudal part grinds the food through peristaltic contractions. Understanding the mechanical properties of the stomach is critical to gaining insight into its function…
CD8ɑ+ cells suppress SIV replication without the development of mutations within MHC class-I-restricted epitopes during post-treatment control.
Journal of virology · 2026 · PMID 42295005
UNLABELLED: Post-treatment control (PTC) is a rare phenomenon in which people living with HIV (PLWH) maintain viral control following antiretroviral treatment (ART) interruption. Characterizing virus populations present in PTCs may help elucidate mechanisms of immunologic control, but this is challenging without detectable plasma viremia. To model PTC, eight Mauritian cynomolgus macaques (MCMs) were infected with barcoded SIVmac239M and began an 8-month ART regimen 2 weeks post-infection (wpi). Six months following…
Analytical characterization of bulk R-Salt and its odor profile to establish a framework for canine detection.
Analytical methods : advancing methods and applications · 2026 · PMID 42007971
In early 2025, an improvised explosive known as R-Salt (hexahydro-1,3,5-trinitroso-1,3,5-triazine), was recovered from multiple improvised explosive devices in a terrorist attack in New Orleans, USA. R-Salt is not commonly included in canine training kits and its odor profile has not yet been characterized, potentially affecting its detection by explosives detector canines (EDCs) in operational settings. This study provides an in-depth characterization of the headspace composition of R-Salt using thermal desorption…
Echolocating bats sacrifice binaural localization cues for target-focused hearing during high-speed foraging.
Proceedings of the National Academy of Sciences of the United States of America · 2026 · PMID 42475565
Accurate sound localization is critical to navigation and foraging in echolocating animals. During both passive listening and active echolocation, bats are thought to rely solely on interaural level differences (ILDs) between the two ears, attaining very large ILDs by orienting their outer ears apart. However, detecting weak prey echoes during high-speed foraging should instead favor target-focused pinnae that maximize sonar range and reduce clutter interference. Therefore, we propose that flying bats orient their …
In-silico molecular design approach of some phytoconstituents from Nardostachys jatamansi as HIV/AIDS agents.
3 Biotech · 2026 · PMID 42542647
Nardostachys jatamansi, a small rhizomatous herb from the Valerianaceae family, has been traditionally used in Ayurveda for neurological and gastrointestinal disorders. However, its rising demand and extensive use have led to overharvesting, placing the species at risk of extinction. This study explores the therapeutic potential of N. jatamansi phytoconstituents through in-silico evaluation as antiviral agents targeting HIV-1 reverse transcriptase. The 3D structure of HIV-1 RT (PDB ID: 6KJV) was validated through R…
Load adaptation mechanisms in tendons are determined by the hierarchical assembly.
Acta biomaterialia · 2026 · PMID 42242403
Tendons are hierarchically structured, transferring forces across multiple length scales. Loads are partitioned from the whole tendon through fascicles, fibers, and fibrils down to the tropocollagen molecules. To elucidate the structural deformation of tendons at different hierarchical levels, this study investigated the simultaneous tissue, sub-tendon, fibrillar, and molecular response to tensile load by combining in situ loading, digital image correlation and, small- and wide-angle X-ray scattering. To investigat…
Comparative population genomics reveals convergent adaptation across independent origins of avian obligate brood parasitism.
Nature ecology & evolution · 2026 · PMID 41388147
Parental care evolved as a strategy to enhance offspring survival at the cost of reduced adult survival and fecundity. While 99% of bird species provide parental care, obligate brood parasites circumvent this trade-off by exploiting the parental behaviours of other species. This radical life-history shift occurred independently seven times in birds, offering an outstanding opportunity to test for convergent adaptation. To investigate genomic adaptations underlying this transition, we analyse population resequencing…
Collective ant transport outperforms gravity-based solvers on complex puzzles.
Journal of the Royal Society, Interface · 2026 · PMID 42413933
Collective cognition, in which groups display enhanced problem-solving abilities compared with individuals, is a hallmark of ant behaviour. For instance, in navigation tasks, such as the piano movers' problem, a short-term memory-like directional persistence emerges in large enough ant groups and aids them in implementing an effective wall-following heuristic. Here, we investigate the collective problem-solving abilities of Paratrechina longicornis by presenting groups of varying sizes with an array of piano movers…
Emerging dactylellinatone attractant aids in the predation of nematodes by nematode-trapping fungus Dactylellina haptotyla.
Pesticide biochemistry and physiology · 2026 · PMID 42493056
Metabolites play an important role in pathogenic fungus-host interactions. Dactylellina haptotyla is a nematode-trapping fungus that produces traps (adhesive knobs) to capture and kill nematodes. The predation process of D. haptotyla is accompanied by changes in secondary metabolites. However, the functions and biosynthesis mechanisms of those metabolites remain unclear. In this study, dactylellinatone, a novel nematode chemoattractant from D. haptotyla associated with fungal predatory efficiency, was identified. H…
CD44 expression in renal tubules during maladaptive repair is a potential marker for the transition from acute kidney injury to chronic kidney disease in rats.
Toxicology · 2026 · PMID 42019744
Renal tubular epithelial cells (TECs) are major targets of drug-induced kidney injury, a cause of acute kidney injury (AKI). Although TEC regeneration aids recovery, maladaptive repair promotes fibrosis and chronic kidney disease (CKD). CD44 has been reported to localize predominantly to dilated/atrophic TECs in the fibrotic lesions of rat CKD models, suggesting enrichment in failed-repair TECs, but its dynamics during the AKI-to-CKD transition are unclear. We examined CD44 across rat models spanning adaptive repai…
Single-cell analysis reveals impaired Müller glia-mediated intercellular communication and photoreceptor pathology in USH1C retinal organoids.
Cellular and molecular life sciences : CMLS · 2026 · PMID 42426189
Usher syndrome type 1, caused by pathogenic variants in the USH1C gene, leads to congenital deafness and progressive retinal degeneration resulting in vision loss. While auditory deficits can be compensated by cochlea implants and hearing aids, no treatment exists to prevent retinal degeneration. Here, we generated retinal organoids from induced pluripotent stem cells of two USH1C patients to elucidate the cellular and molecular mechanisms driving ocular pathogenesis. Single-cell RNA sequencing of healthy and USH1C…
Maresin 1 Resolves Inflammation and Aids Bone Healing in Periapical Lesions.
Journal of dental research · 2026 · PMID 41408494
Chronic apical periodontitis (CAP) is a persistent inflammatory condition caused by microbial infections in the root canal system, leading to bone loss and tissue damage. In this study, we tested the hypothesis that maresin 1 (MaR1), a specialized proresolving mediator, facilitates inflammatory resolution and promotes bone healing in CAP. We developed a CAP model in mice through pulp exposure. Animals received intracanal administration of either MaR1 or a vehicle. Micro-computed tomography (micro-CT) was used to an…
Canine scent detection: an analytical chemistry perspective.
Analytical methods : advancing methods and applications · 2026 · PMID 42474436
Canine olfactory detection has been applied to explosives and narcotics identification for over five decades, yet the mechanistic and methodological basis of canine detection performance remains insufficiently understood from an analytical chemistry perspective. This review systematically examines canine scent detection through an analytical chemistry framework. The canine olfactory system, characterised by high densities of olfactory receptor cells, favourable nasal airflow dynamics, and extensive neurological pro…
Diagnostic and prognosis of benign and malignant early pulmonary nodules using serum miR-500a-3p combined with CT signs.
Nucleosides, nucleotides & nucleic acids · 2026 · PMID 42497103
Accurate differentiation and risk assessment of pulmonary nodules are central to clinical management, but precise tools are still limited, and delays in distinguishing benign from malignant nodules can lead to unnecessary procedures or missed diagnoses, highlighting the urgent need for reliable biomarkers. This study included 114 patients with pathologically confirmed pulmonary nodules, from whom baseline clinical data, serum samples, and CT imaging were collected, and a diagnostic model integrating miR-500a-3p, no…
Tuberculosis preventive therapy in postpartum women with HIV modifies M. tuberculosis-specific and nonspecific immune responses.
Frontiers in immunology · 2026 · PMID 41890718
BACKGROUND: Tuberculosis (TB) has significant morbidity in pregnant and postpartum women with HIV (pregnant and PPWWHIV). TB preventive therapy (TPT) is recommended in pregnant and PPWWHIV with documented or presumed latent TB infection (LTBI). TB-stimulated IFNγ release assay and skin test positivity decline after TPT, but the underlying mechanisms and relationship with TB-specific immunologic memory are incompletely understood. We investigated this aspect in PPWWHIV. METHODS: PPWWHIV with LTBI received isoniazid …
HCV-specific CD4+ T-cells are susceptible to HIV-1 and contribute to viral persistence during antiretroviral therapy.
EBioMedicine · 2026 · PMID 42398181
BACKGROUND: Antiretroviral therapy (ART) reduces human immunodeficiency virus type 1 (HIV-1) replication to undetectable levels but does not eliminate HIV-1 reservoirs, which persist in memory CD4+ T-cells of various antigenic specificities. Hepatitis C virus (HCV) coinfection is associated with an increase in HIV-DNA burden, but whether HCV-specific CD4+ T-cells are susceptible to HIV-1 infection and harbour replication-competent HIV reservoirs upon HCV resolution is unknown. METHODS: In this cross-sectional study…
The in vitro acquisition of CD11a by gastric cancer cells after contact with T cells via trogocytosis increases adhesion to endothelial cells.
Experimental cell research · 2026 · PMID 42097441
BACKGROUND: Recent studies reveal that during trogocytosis plasma membranes are frequently transferred upon cell-to-cell contact, and that this phenomenon plays an important role in the modulation of anti-tumor immune response. However, the accompanying physiological roles in the tumor microenvironment are poorly understood. METHODS & RESULTS: Human gastric cancer cell line OCUM-1 was co-cultured with T cells whose plasma membrane was stained with PKH26. Flow-cytometric analysis revealed that OCUM-1 was positive fo…
Trueness and scanning time of complete-arch intraoral scans of edentulous arches with implants under different moisture conditions: Effects of splinting-aid, scan body height, and scanner.
Journal of prosthodontics : official journal of the American College of Prosthodontists · 2026 · PMID 42521277
PURPOSE: This in vitro study evaluated the influence of the presence of saliva in varying levels on the trueness and scanning time of complete-arch intraoral scans for implant-supported prostheses, considering different scan body heights, splinting protocols, and scanners. MATERIALS AND METHODS: A three-dimensionally (3D)-printed edentulous maxillary model with six implants and multi-unit abutments was digitized using a metrology-grade industrial scanner (Artec Micro), using polyetheretherketone scan bodies (ISBs) …
Sp1 links CD46 to CD4 T cell metabolic fitness, survival, and retroviral control.
Science immunology · 2026 · PMID 42430443
CD46, a human-specific complement receptor, regulates gene programs essential for T helper 1 (TH1) cell differentiation, yet how it exerts direct transcriptional control remains unclear. We show that the CD46 signaling domain cytoplasmic tail 1 (CYT-1) engages the transcription factor Sp1 in human CD4 T cells to dynamically modulate Sp1-DNA interactions. Beyond promoting TH1 cell induction, CD46-Sp1-controlled programs support naive CD4 T cell survival by maintaining nutrient transporter expression and suppressing …
Chitin deacetylase 3 of Cryptococcus neoformans produces chitosans with low degree and random pattern of acetylation.
International journal of biological macromolecules · 2026 · PMID 42314267
The fungal pathogen Cryptococcus neoformans poses a significant global health concern, accounting for more than 100,000 fatalities among individuals with AIDS alone every year. In contrast to other Basidiomycetes, C. neoformans actively deacetylates the chitin in its cell wall to chitosans. The deacetylation reaction is catalyzed by four chitin deacetylases (CnCDAs 1-4), presumably to evade the chitin-triggered host immunity. In this study, we conducted a comprehensive in vitro characterization of recombinant CnCDA…
In vitro and in vivo base editing of CCR5 in hematopoietic stem cells confers HIV-1 resistance.
Molecular therapy : the journal of the American Society of Gene Therapy · 2026 · PMID 41832601
Here, we present an HIV gene therapy strategy by in vivo precision gene editing in hematopoietic stem cells (HSCs). We successfully generated a panel of helper-dependent adenoviral vectors expressing all-in-one base editors (HDAd-BEs) targeting the CCR5 gene. In an HIV-permissive cell line, transduction with the HDAd-BE vector led to near-complete target site editing, CCR5 knockout, and inhibition of HIV infection. In HSC-enriched human CD34+ cells from mobilized donors or cord blood, we measured efficient precisio…
Promising Experimental Therapies62 records
The Effectiveness of Artificial Intelligence in Undergraduate Health Professions Education: Systematic Review and Meta-Analysis of Randomized Controlled Trials.
JMIR medical education · 2026 · PMID 42085678
BACKGROUND: Health professions education faces increasing challenges from rising health care complexity, pedagogical shifts, and constrained curricular space, and rapidly expanding knowledge and technological advances. While artificial intelligence (AI) shows promise for transforming health professions education, evidence of its effectiveness remains unclear. OBJECTIVE: This study synthesized evidence from randomized controlled trials (RCTs) on the effectiveness of AI in undergraduate health professions education. …
A Systematic Review of Quantitative Health Preference Methods to Support Value Clarification and Shared Decision Making: A Report of an ISPOR Special Interest Group.
Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2026 · PMID 42000134
OBJECTIVES: This study aimed to explore the design and outcomes of preference-based value clarification methods (Pb-VCMs) used in the context of supporting patients' clinical decision making to understand whether guidance is used in Pb-VCM development and which Pb-VCM is most effective. METHODS: In April of 2023, PubMed, Scopus, and Web of Science were searched for studies reporting the development and/or evaluation of Pb-VCMs without restrictions on publication date. Two reviewers independently extracted data incl…
Integrating smoking cessation into HIV care settings: A systematic review and meta-analysis of effectiveness and the evidence gap in cost-effectiveness.
PloS one · 2026 · PMID 42531253
The prevalence of smoking among people living with HIV (PLWH) is higher than in the general population, and PLWH who smoke are at increased risk of both smoking- and HIV-related comorbidities. As most PLWH reside in low- and middle-income countries (LMICs), there is a need for effective and cost-effective smoking cessation interventions in resource-constrained settings. We systematically reviewed and meta-analyzed the effectiveness of smoking cessation interventions for PLWH and looked for economic evaluations. Fou…
Implementation of therapeutic adherence in adult patients diagnosed with the Human Immunodeficiency Virus: A systematic review.
Patient education and counseling · 2026 · PMID 42155336
OBJECTIVES: To systematically map and summarize the available knowledge on interventions that promote medication adherence among adult HIV patients and to describe the current state of the art regarding the impact of these interventions on clinical and psychosocial outcomes. METHODS: A systematic search was conducted and two researchers screened eligible studies independently. The Joanna Briggs Institute Quality Appraisal for Randomized Controlled Trials, Cross-Sectional Studies, and Quasi-Experimental Studies were…
Islatravir distribution in plasma, peripheral blood mononuclear cells, and mucosal tissues after monthly oral dosing.
AIDS (London, England) · 2026 · PMID 41789892
OBJECTIVE: Islatravir is a nucleoside reverse transcriptase translocation inhibitor (NRTTI) under development for HIV-1 treatment. We aimed to evaluate the pharmacokinetics (PK) of islatravir and its active form, islatravir-triphosphate, in blood and mucosal tissues. DESIGN: This was an exploratory substudy of a randomized, double-blind, placebo-controlled, multicenter, Phase 2a study of once-monthly islatravir in adults at low likelihood of HIV-1 exposure (NCT04003103). METHODS: Participants were randomly assigned…
[Cochlear implantation in Ménière's disease].
HNO · 2026 · PMID 41644838
Menière's disease is a chronic inner ear disorder characterized by recurrent vertigo attacks, tinnitus, and fluctuating hearing loss, which may progress to severe sensorineural hearing impairment in a subset of patients. Since 2015, international consensus criteria distinguish between definite and probable disease. Current therapeutic strategies follow a stepwise approach, ranging from non-ablative to ablative interventions. Cochlear implantation (CI) has emerged as an effective option for auditory rehabilitation a…
Effects of Semaglutide on Cognitive Function in People With HIV: A Randomized, Controlled Trial.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41098140
BACKGROUND: People with human immunodeficiency virus (HIV, PWH) are at higher risk for visceral adiposity, enhanced inflammation, and cognitive decline than controls who do not have HIV. We previously demonstrated that PWH with lipohypertrophy had a decrease in weight, visceral adipose tissue, and several inflammatory markers after receiving semaglutide, a glucagon-like peptide-1 receptor agonist. Our aim was to investigate the effect of semaglutide on cognitive function in PWH and the possible mediation of this ef…
Understanding trial designs and acceptability of participation in an HIV vaccine trial with concurrent randomisation to oral pre-exposure prophylaxis in East and Southern Africa: a longitudinal qualitative study.
Trials · 2026 · PMID 42141483
INTRODUCTION: This qualitative study was conducted to assess participants' understanding of the PrEPVacc trial design and factors that influenced decisions to participate in the trial. PrEPVacc was a phase IIb, three-arm, two-stage HIV prophylactic vaccine trial with a second randomisation to oral pre-exposure prophylaxis. The main objective was to assess the safety and efficacy of two HIV-1 prophylactic vaccine regimens, each compared to placebo, in preventing the acquisition of HIV. METHODS: Using a longitudinal …
Interventions to improve access to sexual and reproductive health services for adolescents living with HIV in sub-Saharan Africa: a scoping review.
BMJ open · 2026 · PMID 42331589
OBJECTIVE: Adolescents living with HIV (ALHIV) face barriers to accessing sexual and reproductive health (SRH) services, negatively affecting their health and quality of life. These challenges are particularly pronounced in sub-Saharan Africa (SSA), where HIV prevalence, unintended pregnancies and child marriage remain high. This review aimed to map interventions designed to improve SRH access for ALHIV in SSA, applying Levesque's framework to identify facilitators and barriers from supply-side and demand-side pers…
Bispecific 10E8.4/iMab broadly neutralizing antibody in people with or without HIV-1: a partially randomized phase 1 trial.
Nature medicine · 2026 · PMID 42414619
Broadly neutralizing antibodies (bnAbs) are a promising tool for HIV prevention and treatment. Here we conducted a first-in-human, phase 1 trial of the bispecific 10E8.4/iMab antibody, which consists of a 10E8.4 arm binding the HIV-1 envelope glycoprotein membrane-proximal external region and an ibalizumab (iMab) arm binding the human CD4 molecule. 10E8.4/iMab was administered intravenously (IV) or subcutaneously (SC). Safety/tolerability within 2 weeks of 10E8.4/iMab administration (primary outcome) and the pharma…
Resistance Analysis of Weekly Islatravir Plus Lenacapavir in People With HIV at 48 Weeks.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41885130
BACKGROUND: Islatravir (ISL), a nucleoside reverse transcriptase translocation inhibitor, and lenacapavir (LEN), a capsid inhibitor, have pharmacokinetic profiles supporting once-weekly (QW) oral dosing. In a phase 2 study, QW ISL + LEN maintained a high rate (94.2%) of viral suppression (VS; HIV-1 RNA <50 copies/mL) at week 48. We report resistance analyses through week 48. METHODS: Virologically suppressed participants received ISL (2 mg QW) plus LEN (600 mg days 1 + 2, then 300 mg QW; n = 52) or once-daily bicte…
Semaglutide slows epigenetic aging in a randomized trial of HIV-associated lipohypertrophy.
Nature communications · 2026 · PMID 42156721
Glucagon-like peptide-1 (GLP-1) receptor agonists have attracted interest as gerotherapeutics, yet clinical-trial evidence for their effects on biological aging is lacking. We report a post hoc exploratory epigenetic age analysis of a 32-week, randomized, double-blind, placebo-controlled phase 2b trial (NCT04019197) of semaglutide in adults with human immunodeficiency virus (HIV)-associated lipohypertrophy (semaglutide n = 45; placebo n = 39). The parent trial's primary endpoint was change in visceral adipose tissu…
Safety, pharmacokinetics, and neutralisation activity of PGDM1400LS, VRC07-523LS, and PGT121.414.LS infused intravenously or subcutaneously (HVTN 140/HPTN 101 part B): a phase 1, randomised trial.
The lancet. HIV · 2026 · PMID 42114530
BACKGROUND: Passive immunisation with a combination of broadly neutralising monoclonal antibodies (mAbs) presents a potential HIV-1 prevention modality. This study (HVTN 140/HPTN 101) sought to evaluate PGDM1400LS (targeting V3-glycan) administered alone (part A, previously reported), and in combination (part B) with VRC07-523LS (targeting CD4 binding site) and PGT121.414.LS (targeting V2-apex) in healthy adults without HIV-1. METHODS: The study was a phase 1, multicentre, randomised, open-label trial done across t…
Adapting mHealth Interventions to Improve Self-Management of HIV and Reduce Substance Use Among Emerging Adults in Zambia: Protocol for a Randomized Controlled Trial.
JMIR research protocols · 2026 · PMID 42470201
BACKGROUND: Sub-Saharan Africa remains the region most affected by the HIV epidemic, with Zambia experiencing a substantial burden of disease. Young people with HIV are disproportionately impacted. Emerging adulthood (ages 18-24 years) is characterized by increasing independence, risk-taking behaviors, identity exploration, and changing social supports, all of which may impact HIV self-management, including medication adherence and retention in care. Substance use may further undermine HIV outcomes. Innovative inte…
Nutrition education has a positive impact on nutritional knowledge, food consumption and body composition in PLHIV: a randomized clinical trial.
Frontiers in public health · 2026 · PMID 42245356
Antiretroviral therapy (ART) has substantially increased the life expectancy of people living with HIV (PLHIV), but its prolonged use has been associated with metabolic alterations that may negatively affect nutritional status. In this context, knowledge about food and nutrition plays a crucial role in promoting healthy food choices and preventing health complications. This study aimed to assess the impact of an intervention with Nutrition education (NE) on nutritional knowledge, food consumption, energy expenditur…
Effects of Dietary Nitrate and Caffeine on End Power and Work Above End Power During a 3 min All-Out Test in Trained Male Cyclists.
Nutrients · 2026 · PMID 42124064
BACKGROUND: The purpose of this study was to examine the effects of acute dietary nitrate (NO3-) and caffeine (CAF) supplementation on end power (EP) and work performed above EP (WEP) in trained male cyclists during a 3 min all-out test (3MT) on a cycle ergometer. METHODS: Fifteen healthy, trained male cyclists (28.5 ± 5.3 years, 79.2 ± 9.1 kg, VO2peak 55.2 ± 5.6 mL·kg-1·min-1) completed four exercise trials in a randomized, double-blind, placebo-controlled, crossover study design separated by 3-7 days. The four ex…
Acceptability of a Dolutegravir Oral Dispersible Film in Term Neonates Born to Mothers Living With HIV.
Journal of the International AIDS Society · 2026 · PMID 42319215
INTRODUCTION: Dolutegravir (DTG) is a key antiretroviral (ARV) drug for children living with HIV, but no specific formulation is available for neonates (<28 days old). One of the DTG formulations evaluated in the PETITE-DTG trial was a novel 5 mg oral DTG dispersible film (DTG-Film). Acceptability to end-users is essential when introducing new ARV drugs. We report on the experiences of mothers and health workers related to the DTG-Film. METHODS: PETITE-DTG was a phase I/II, open-label two-stage study evaluating the…
Baseline and week 48 resistance analysis in participants receiving bictegravir + lenacapavir in the phase 2 ARTISTRY-1 study.
AIDS (London, England) · 2026 · PMID 41874003
BACKGROUND: ARTISTRY-1 is an operationally seamless Phase 2/3 study evaluating the safety and efficacy of once-daily oral lenacapavir (LEN) + bictegravir (BIC) in virologically suppressed participants without known integrase strand-transfer inhibitor (INSTI) resistance, compared to a complex multi-tablet regimen. METHODS: Baseline HIV-1 resistance-associated mutations (RAMs) were assessed via historical genotypic reports (HGR) and proviral DNA genotyping (GenoSure Archive, Monogram Biosciences). The impact of basel…
A General Framework for Designing and Evaluating Active-Controlled Trials with Non-Inferiority Objectives.
Statistics in medicine · 2026 · PMID 42189090
Active-controlled trials with non-inferiority objectives are often used when effective interventions are available, but new options may offer advantages or meet public health needs. In these trials, participants are randomized to an experimental intervention or an active control. The traditional non-inferiority criterion requires that the new intervention preserve a substantial proportion of the active control effect. A key challenge is the absence of a placebo arm, which necessitates reliance on historical data to…
Epidemiological yield and cost-effectiveness of non-targeted community HIV screening in a low-prevalence district: a prospective quasi-experimental study.
Frontiers in public health · 2026 · PMID 42523627
OBJECTIVE: To evaluate the epidemiological yield, cost-effectiveness, and mechanisms of diagnostic cascade attrition of active, expanded community-based HIV screening in a low-prevalence region, and to contextualize the regional management burden. METHODS: A prospective, non-randomized, quasi-experimental study was conducted (August-December 2025) across six demographically matched sub-districts. Three implemented active community screening (intervention); three maintained routine facility-based testing (control). …
Effects of strength training on morphological changes of lipodystrophy in people living with HIV: A quasi-experimental non-randomized controlled trial.
Journal of bodywork and movement therapies · 2026 · PMID 41927229
BACKGROUND: Lipodystrophy syndrome in people living with HIV (PLHIV) is an adverse effect of antiretroviral therapy (ART), characterized by morphological changes that contribute to the social stigma associated with the disease. PURPOSE: The aim of the study was to investigate the effects of a strength training intervention on the morphological changes associated with lipodystrophy in PLHIV. METHODS: This quasi-experimental, non-randomized controlled trial was conducted over 12 weeks with 40 PLHIV (70 % male), divid…
Impact of Proviral-DNA M184V/I on 96-Week Outcomes of DTG/3TC Maintenance Therapy: Results From the VOLVER Clinical Trial.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41665101
BACKGROUND: The effect of archived lamivudine resistance mutations in the efficacy of dolutegravir plus lamivudine (DTG/3TC) remains unclear. We evaluated whether proviral-DNA M184V/I detection is associated with virological outcomes in the VOLVER-GESIDA 11820 study. METHODS: This open-label, single-arm, multicenter phase IIa trial (NCT04880785) enrolled virologically suppressed adults with documented or suspected historical lamivudine resistance if the M184V/I mutation was not detected in baseline proviral DNA pop…
Maternal and health worker preferences for paediatric antiretroviral formulations in neonates exposed to HIV.
AIDS care · 2026 · PMID 41348547
Oral liquid formulations of zidovudine (ZDV) and nevirapine (NVP) are the main antiretrovirals (ARVs) for neonates born to mothers living with HIV, but they have limitations including poor palatability, short shelf-life, frequent dosing and supply challenges. Understanding caregiver and provider preferences for infant ARV formulations is essential to guide the development of acceptable alternatives. Within the PETITE-DTG trial in South Africa (NCT05590325), evaluating the pharmacokinetics, safety and acceptability …
High Isoniazid Exposures When Administered with Rifapentine Once Weekly for Latent Tuberculosis in Individuals with Human Immunodeficiency Virus.
Antimicrobial agents and chemotherapy · 2023 · PMID 36622148
Isoniazid pharmacokinetics are not yet well-described during once weekly, high-dose administrations with rifapentine (3HP) for latent tuberculosis infection (LTBI). Fewer data describe 3HP with dolutegravir-based antiretroviral therapy for the treatment of human immunodeficiency virus (HIV). The only prior report of 3HP with dolutegravir reported elevated isoniazid exposures. We measured the plasma isoniazid levels in 30 adults receiving 3HP and dolutegravir for the treatment of LTBI and HIV. The patients were geno…
Exposure-response modeling of QTc interval and creatine kinase-MB in healthy people and treatment-naïve adults living with HIV-1 treated with ainuovirine monotherapy or combined with lamivudine and tenofovir DF.
European journal of pharmaceutical sciences : official journal of the European Federation for Pharmaceutical Sciences · 2026 · PMID 42086178
BACKGROUND: Corrected QT (QTc) interval prolongation elevates fatal arrhythmia risk in people living with HIV (PLWH). Ainuovirine (ANV), a novel non-nucleoside reverse transcriptase inhibitor, demonstrates a favorable preclinical safety profile. This study evaluated ANV's effects on QTc interval and creatine kinase MB (CK-MB) levels in humans. METHODS: A pooled analysis was conducted using data from four phase 1 clinical studies: a single ascending dose (SAD), a food effect (FED), a multiple ascending dose (MAD), a…
Prospective Cohort Studies67 records
Statin effects on the incidence of major non-cardiovascular disease events among a global cohort of people with HIV: a randomised controlled trial.
The lancet. HIV · 2025 · PMID 40180472
BACKGROUND: Given the pleiotropic effects of statins beyond lipid-lowering, statins might positively impact other, non-cardiovascular diseases (non-CVDs). In this study, we prospectively assessed statin effects on non-CVD events and their incidence among people with HIV globally. METHODS: The Randomized Trial to Prevent Vascular Events in HIV (REPRIEVE; ClinicalTrials.gov, NCT02344290) was a randomised, placebo-controlled trial of pitavastatin for CVD prevention took place from 2015 to 2023 at 145 research sites in…
Feasibility, Acceptability, and Test Performance of Point-of-Care Nucleic Acid Tests for HIV Testing and Viral Load Monitoring in the United States: Prospective Longitudinal Mixed-Methods Study.
JMIR research protocols · 2026 · PMID 42492499
BACKGROUND: With shorter window periods than serologic point-of-care (POC) tests and faster turnaround than laboratory-based nucleic acid tests (NAT), POC NATs could improve early detection of HIV. Furthermore, semiquantitative POC NAT may provide real-time monitoring for persons with HIV. There have been limited evaluations of POC NAT implementation in the United States. OBJECTIVE: This paper describes the protocols and procedures used to evaluate the acceptability and feasibility of POC NAT implementation and tes…
Epidemiological yield and cost-effectiveness of non-targeted community HIV screening in a low-prevalence district: a prospective quasi-experimental study.
Frontiers in public health · 2026 · PMID 42523627
OBJECTIVE: To evaluate the epidemiological yield, cost-effectiveness, and mechanisms of diagnostic cascade attrition of active, expanded community-based HIV screening in a low-prevalence region, and to contextualize the regional management burden. METHODS: A prospective, non-randomized, quasi-experimental study was conducted (August-December 2025) across six demographically matched sub-districts. Three implemented active community screening (intervention); three maintained routine facility-based testing (control). …
The Safety and Effectiveness of B/F/TAF for HIV-1 in a Prospective Multicenter Observational Study in the Republic of Korea.
Advances in therapy · 2026 · PMID 42060158
INTRODUCTION: This study aimed to evaluate the safety and the effectiveness of B/F/TAF in patients living with HIV-1 treated in real-world settings in the Republic of Korea (ROK). METHODS: This prospective, multicenter, observational study aimed to enroll all patients initiating B/F/TAF at 45 sites between July 2019 and November 2023. Safety was assessed up to 48 weeks post-treatment initiation. HIV-1 RNA and CD4 + T-cell were recorded at baseline, and then at approximately 48 weeks (i.e., between 36 and 64 weeks) …
Using inability to walk to predict in-hospital mortality in a high-income country - A comparison with the National Early Warning Score in a multicenter prospective cohort.
Journal of critical care · 2026 · PMID 42044607
BACKGROUND: Inability to walk (IATW) has predicted mortality in emergency units and in low-income settings, but its value among inpatients in high-income countries is unknown. AIM: To evaluate the predictive accuracy of IATW for 30-day in-hospital mortality among inpatients in a high-income country, compare its performance with NEWS CRITICAL (the threshold for urgent review), and assess whether IATW provides complementary risk stratification when combined with NEWS. METHODS: All adult inpatients in four Swedish hos…
Renal outcomes with dolutegravir plus lamivudine versus bictegravir/emtricitabine/tenofovir alafenamide in ART-naive adults with HIV.
AIDS (London, England) · 2026 · PMID 42084114
OBJECTIVE: Dolutegravir plus lamivudine (DTG + 3TC) and bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) are guideline-recommended first-line regimens for people with HIV (PWH), but their comparative renal safety remains unclear. We aimed to compare kidney outcomes between these regimens in antiretroviral therapy (ART)-naive PWH, stratified by baseline renal function. METHODS: We conducted a multicenter, prospective cohort study in China (2018-2025) enrolling 2655 ART-naive PWH initiating DTG + 3TC ( n…
External Evaluation of Population Pharmacokinetic Models of Cabotegravir, During Its Oral and Intramuscular Administration in HIV-Infected Patients.
CPT: pharmacometrics & systems pharmacology · 2026 · PMID 42170807
Cabotegravir (CAB), combined with rilpivirine, is the first long-acting injectable therapy approved for HIV-1 maintenance treatment. While adherence and patient satisfaction have been improved, pharmacokinetic (PK) variability remains a concern. Two population PK models have been developed: one based on data from phase I-III trials and the other on routine clinical data. However, neither model has undergone thorough external evaluation. The aim of this study was to evaluate the predictive performance of these model…
Using Tenofovir Diphosphate Levels to Evaluate Factors Associated With PrEP Non-Adherence and Performance of Indirect Adherence Measures in Latin America: A Prospective, Single-Arm, Open-Label, Multicentre Implementation Study (ImPrEP).
Journal of the International AIDS Society · 2026 · PMID 42502240
INTRODUCTION: Tenofovir-based oral pre-exposure prophylaxis (PrEP) is pivotal for HIV prevention in Latin America. Monitoring PrEP adherence is crucial for maximizing its impact and identifying individuals who may benefit from additional support. We evaluated the performance of indirect adherence measures and factors associated with PrEP non-adherence in Brazil, Mexico and Peru. METHODS: ImPrEP was a prospective, multicentre, PrEP implementation study which enrolled 9509 persons from 6 February 2018 to 30 June 2021…
Contribution of Key Comorbidities to Unfavorable Treatment Outcomes Among Adults With Drug-Sensitive Pulmonary TB in India: A Prospective Cohort Analysis.
Chest · 2026 · PMID 40939932
BACKGROUND: The population-level impact of risk factors for unfavorable TB treatment outcomes depends on their relative prevalence in the population. Unadjusted and adjusted attributable fractions (AFs) were calculated to estimate the proportion of unfavorable TB treatment outcomes that can be attributed to key risk factors in India. RESEARCH QUESTION: What proportion of unfavorable TB treatment outcomes can be attributed to key risk factors in India? STUDY DESIGN AND METHODS: Adults with drug-sensitive pulmonary T…
Trends in AIDS-defining illnesses among people living with HIV in clinical care in Europe: results from the EuroSIDA multicentre cohort study (2003-24).
The lancet. HIV · 2026 · PMID 42190668
BACKGROUND: Despite substantial declines in AIDS-defining illnesses following implementation of treat-all policies across Europe, these conditions remain a substantial cause of morbidity and mortality among people with HIV. This study aimed to describe temporal trends in AIDS-defining illnesses across Europe, including trends in the incidences of specific illnesses, and to investigate associated risk factors. METHODS: Adults with HIV in clinical care were enrolled consecutively at 113 collaborating clinics in EuroS…
De Novo Cancer in Liver Transplant Patients With HIV Infection: A Multicenter Nationwide Cohort Study.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41989878
BACKGROUND: Patients with human immunodeficiency virus (HIV) infection have been gradually accepted as solid organ transplant recipients, although there is still concern that the burden of immunosuppression and HIV infection could increase the risk of post-transplant cancer. METHODS: The risk of de novo cancer was evaluated in a prospective cohort of 272 HIV-positive and 816 matched HIV-negative liver transplant recipients in Spain (2002-2012). All tumors, except hepatocellular carcinoma recurrence and non-melanoma…
Hepatitis E virus seroprevalence in South Africa: a multi-site study among HIV-negative and HIV-positive adults and age-stratified children (2-17 Years).
BMC infectious diseases · 2026 · PMID 42414915
BACKGROUND: Hepatitis E virus (HEV) seroprevalence varies by age and geography. Data on HEV seroprevalence across age groups and among people living with HIV (PLWH) in South Africa is scarce. METHODS: We conducted a prospective multi-site assessment of anti-HEV IgG seroprevalence on 859 South African participants enrolled at three clinical research centres including Newtown Clinical Research Centre in Johannesburg, Be Part Research in Mbekweni, Western Cape, and Mecru Clinical Research Unit in Garankuwa, Pretoria. …
Virological and drug-resistance outcomes for people living with HIV initiating or switching to tenofovir, lamivudine, and dolutegravir in six PEPFAR-supported countries: a prospective cohort study.
The lancet. HIV · 2025 · PMID 41314742
BACKGROUND: A combined regimen of tenofovir disoproxil fumarate, lamivudine, and dolutegravir is widely prescribed for people living with HIV in programmes supported by the US President's Emergency Plan for AIDS Relief (PEPFAR). This study aimed to assess long-term virological and drug-resistance outcomes in response to initiation of or switching to the tenofovir-lamivudine-dolutegravir combination among individuals receiving care through such programmes. METHODS: The Advancing Clinical Therapeutics Globally (ACTG)…
Oral Lesions in People Living with HIV: The Lining HIV Study.
Pathogens (Basel, Switzerland) · 2026 · PMID 42515006
Oral manifestations are common in people living with HIV (PLWH) and may affect oral health-related quality of life (OHRQoL), while data from Greece remain limited. This multicenter prospective cohort study evaluated oral health status and OHRQoL among PLWH and explored associations with antiretroviral therapy (ART) and clinical factors. Overall, 370 PLWH from seven referral centers were included. Participants underwent oral examination, with oral hygiene assessed using the Simplified Oral Hygiene Index (OHI-S), and…
Meningococcal and pneumococcal carriage in children with HIV.
AIDS (London, England) · 2026 · PMID 41879086
BACKGROUND: Children with HIV (CWH) remain at increased risk for colonization and invasive disease by Neisseria meningitidis and Streptococcus pneumoniae despite antiretroviral therapy (ART) and vaccination. Data on nasopharyngeal carriage in this group are limited in Türkiye. METHODS: In this multicenter prospective study, nasopharyngeal swabs were obtained from 80 CWH and 180 age-matched healthy controls between July and December 2024 in İstanbul and İzmir. Samples were analyzed by real-time PCR for N. meningitid…
Three-year virological outcomes among adolescent girls and young women living with human immunodeficiency virus enrolled in vertical transmission prevention services during pregnancy and postpartum in Tanzania: A prospective cohort study.
International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2026 · PMID 42055312
OBJECTIVES: This large cohort study examines long-term trends and predictors of viremia among pregnant and postpartum adolescent girls and young women (AGYW) living with human immunodeficiency virus (HIV) in Tanzania. METHODS: This prospective cohort study included 7703 pregnant/postpartum AGYW with at least one viral load (VL) enrolled in routine prevention of mother-to-child transmission (PMTCT) care between 2018 and 2020 across three regions in Tanzania and followed for a minimum of 36 months. Poisson generalize…
PrEP surfing: HIV preexposure prophylaxis use of sex partners as HIV prevention strategy among men who have sex with men.
AIDS (London, England) · 2026 · PMID 42013447
OBJECTIVE: Having condomless anal sex while relying on the HIV preexposure prophylaxis (PrEP) use of one's sex partner is referred to as PrEP surfing. We aimed to estimate the proportion of men who have sex with men (MSM) practicing PrEP surfing, their intention to practice it, and determinants of both. DESIGN: Open prospective cohort study. METHODS: We included MSM participating in the Amsterdam Cohort Studies in 2021-2023. Biannually, participants completed questionnaires on recent (=preceding 6 months) sexual be…
Prevalence and Correlates of Heavy Alcohol use among People Living with HIV who use Unregulated Drugs in Vancouver, Canada.
AIDS and behavior · 2024 · PMID 38662276
Among people living with HIV (PLWH), heavy alcohol use is associated with many negative health consequences. However, the impacts of heavy alcohol use are not well described for PLWH who use drugs. Thus, we investigated the prevalence and correlates of heavy alcohol use among a cohort of people who use drugs (PWUD) living with HIV in Vancouver, Canada. We accessed data from an ongoing community-recruited prospective cohort of PLWH who use drugs with linked comprehensive HIV clinical monitoring data. We used general…
Indicator condition-guided HIV testing in patients with mononucleosis-like illness and community-acquired pneumonia in an Emergency Department setting: A prospective study from Poland (2015-2018).
PloS one · 2026 · PMID 42525658
BACKGROUND: Despite advances in HIV care, late diagnosis remains a major public health challenge in Europe, with nearly half of HIV diagnoses in the EU/EEA occurring at a late stage. In Poland, a substantial proportion of people living with HIV remain undiagnosed. Indicator condition-guided testing has been proposed as an effective strategy to reduce missed opportunities for earlier diagnosis. METHODS: A prospective cohort study was conducted at the Emergency Department of the Hospital for Infectious Diseases in Wa…
Hepatitis B Outcomes After Switching to Long-Acting Cabotegravir/Rilpivirine in People With HIV: Reactivation, Incident Infection, and Liver Safety Across Diverse Serological Profiles.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41539988
BACKGROUND: Long-acting cabotegravir/rilpivirine (LA-CAB/RPV) therapy for HIV, lacks activity against hepatitis B virus (HBV). We evaluate HBV serological profiles and risk of HBV reactivation (HBVr) or incident infection (HBVi) in people with HIV (PWH) switching to LA-CAB/RPV. METHODS: Prospective cohort study of PWH initiating LA-CAB/RPV at Hospital Clínic Barcelona between February/2023 and February/2025. HBV serology, vaccination status, and liver function tests (LFTs) were assessed at baseline. Follow-up LFTs …
From Awareness to Action Study: Improving Human Papillomavirus Knowledge, Screening and Vaccine Uptake Among Mother-Adolescent Pairs in the HOMINY Study in Nigeria: A Longitudinal Study.
Journal of the International AIDS Society · 2026 · PMID 42499163
INTRODUCTION: Persistent cervical infection with high-risk human papillomavirus (HPV) in women is a leading cause of cervical cancer, and its co-infection among people living with HIV increases the risk of other HPV-associated cancers, including oropharyngeal and anogenital cancers. In sub-Saharan Africa, awareness of HPV is limited, screening and vaccine adoption are critically low, undermining efforts towards sexually transmitted infection (STI) elimination. METHODS: From Awareness to ACTion (FACT) study assessed…
Heterogeneous longitudinal trajectories of sense of coherence and associated characteristics among newly diagnosed HIV-positive men who have sex with men: A cohort study.
International journal of nursing sciences · 2026 · PMID 42521396
OBJECTIVE: This study aimed to identify heterogeneous longitudinal trajectories of sense of coherence (SOC) among newly diagnosed HIV-positive men who have sex with men (MSM) and examine associated characteristics and factors across different trajectories. METHODS: A prospective cohort study was conducted by recruiting newly diagnosed HIV-positive MSM from a tertiary hospital and a social work service center in Changsha, China. Follow-up surveys were administered at baseline (T1), 3 months (T2), and 6 months (T3). …
Response times from gap detection threshold testing relate to cognitive processing speed in young adults.
Neuroscience · 2026 · PMID 42398888
OBJECTIVE: In addition to a gap detection threshold, an auditory gap detection task also provides information on response time. This study investigated the association of response time from an adaptive gap detection task with two validated measures of cognitive processing speed as well as scores from a cognitive screener, while accounting for the effects of age, peripheral hearing ability, and HIV status. DESIGN: Participants (age 17-45 years) were from a prospective cohort study in Dar es Salaam, Tanzania with nor…
Willingness to use microbicides among females who use unregulated drugs in Vancouver, Canada.
AIDS care · 2026 · PMID 41572437
Microbicides are an emerging HIV-focused biomedical intervention offering protection against HIV. Despite potential benefits, willingness to use these products has not been well studied, especially among females who use unregulated drugs. Between June 2021 and May 2022, data were drawn from two prospective cohorts of people who use drugs in Vancouver, Canada. Analyses focused on participants who were female sex at birth and sexually active. Multivariable logistic regression identified correlates of willingness to u…
Contribution of hepatic steatosis to subclinical atherosclerosis progression in people with HIV receiving integrase inhibitors: a 5-year prospective cohort study.
AIDS (London, England) · 2026 · PMID 41921079
BACKGROUND AND OBJECTIVES: Cardiovascular disease (CVD) remains elevated among people with HIV (PWH) despite virological suppression. Whether metabolic-hepatic abnormalities contribute to vascular remodeling during contemporary integrase strand transfer inhibitor (INSTI)-based antiretroviral therapy (ART) remains uncertain. We evaluated long-term carotid intima-media thickness (cIMT) trajectories and their metabolic, hepatic, and inflammatory determinants. METHODS AND DESIGN: We conducted a 5-year prospective cohor…
Quality Of Life65 records
Clinical Practice Guideline for the Diagnosis and Management of Tinnitus in Korea.
Clinical and experimental otorhinolaryngology · 2026 · PMID 42409067
Standardized, evidence-based guideline for tinnitus management is currently lacking in Korea. This guideline aims to provide evidence-based recommendations for the diagnosis and management of tinnitus in Korean adults, adapted to the Korean healthcare system. A multidisciplinary panel (eight otorhinolaryngologists, one neurologist, one psychiatrist, and one audiologist) conducted systematic literature searches up to 2025 using PubMed, Embase, Cochrane Library, KoreaMed, and KMBASE. Evidence quality was assessed usi…
Exercise for osteoarthritis of the hip.
The Cochrane database of systematic reviews · 2026 · PMID 42486497
RATIONALE: Hip osteoarthritis is a major public health issue. International treatment guidelines recommend exercise to manage symptoms. This is an update of a review first published in 2009 and last updated in 2014. OBJECTIVES: To determine the effects of land-based exercise on pain, physical function, quality of life, participant-reported treatment success, study withdrawals, and adverse events in people with hip osteoarthritis. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, and two trial registries from Fe…
Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.
Journal of the International Association of Providers of AIDS Care · 2026 · PMID 42538058
BackgroundHIV-associated lipodystrophy, a complication of combined antiretroviral therapy (CART), causes significant physical and psychological distress in people living with HIV (PLWH), compromising treatment adherence. Tesamorelin, a growth hormone-releasing hormone (GHRH) analogue, has emerged as a therapeutic option.ObjectiveTo systematically evaluate the efficacy and safety of tesamorelin in HIV-infected individuals with lipodystrophy receiving CART, incorporating GRADE assessment.MethodsWe searched PubMed, ht…
Quality of Life in Children With Cochlear Implants: A Systematic Review and Meta-Analysis of Different Quality of Life Domains.
Journal of speech, language, and hearing research : JSLHR · 2026 · PMID 42525886
PURPOSE: The primary objective of this study was to assess the quality of life (QoL) in children with cochlear implants (CIs) from the children's and parents' perspectives through utilizing the Pediatric Quality of Life Inventory (PedsQL) and KINDL questionnaires. A secondary objective was to compare the QoL of children with CIs to those using hearing aids and to children with normal hearing (NH). METHOD: A total of 1,830 records were obtained since the search was systematically carried out across databases, which …
Design thinking as health intervention strategy for active aging from 2014 to 2024: A systematic review.
Work (Reading, Mass.) · 2026 · PMID 41761483
BackgroundThe global population is aging rapidly, creating an urgent need to motivate older adults to engage with health interventions despite challenges such as low health literacy, physical and cognitive limitations, perceived stigma, limited resources, and low engagement with new technologies. Design Thinking (DT), a user-centered innovation approach, has been increasingly applied in public health to enhance intervention design and implementation. Systematic reviews on the application of DT in active aging inter…
Prevalence and associated factors of ICD/DSM-diagnosed depressive disorders among people living with HIV: A systematic review and meta-analysis.
Journal of affective disorders · 2026 · PMID 41806928
BACKGROUND: Depressive disorders are highly prevalent among people living with HIV (PLWH), severely impairing quality of life and antiretroviral therapy (ART) adherence. While ART advances call for reassessing depressive disorders among PLWH prevalence, most studies rely on self-report tools rather than standardized clinical diagnoses. Linked to HIV stigma, low CD4+ T-cell counts, and ART-related side effects, depressive disorders among PLWH requires targeted prevention and intervention strategies. METHODS: An exte…
Updating knowledge on existing approaches on advanced care planning interventions: An umbrella review.
Archives of gerontology and geriatrics · 2026 · PMID 42085825
CONTEXT: Advanced care planning (ACP) can reduce hospitalizations, increase quality of life, and align treatment with patient wishes, while lowering healthcare costs. However, healthcare providers' discomfort, lack of training, and patient anxiety may hinder ACP. Furthermore, disparities exist among minority and low-income groups. Growing research highlights the need for standardized definitions and broader implementation, especially post-COVID-19, incorporating digital tools, economic impacts, ethics, and family r…
[Cochlear implantation in Ménière's disease].
HNO · 2026 · PMID 41644838
Menière's disease is a chronic inner ear disorder characterized by recurrent vertigo attacks, tinnitus, and fluctuating hearing loss, which may progress to severe sensorineural hearing impairment in a subset of patients. Since 2015, international consensus criteria distinguish between definite and probable disease. Current therapeutic strategies follow a stepwise approach, ranging from non-ablative to ablative interventions. Cochlear implantation (CI) has emerged as an effective option for auditory rehabilitation a…
Efficacy of Non-Pharmacological Interventions in Improving Health-Related Quality of Life in People Living With HIV: A Bayesian Network Meta-Analysis of Randomized Controlled Trials.
Worldviews on evidence-based nursing · 2026 · PMID 42503697
BACKGROUND: With antiretroviral therapy, HIV has become a manageable chronic condition, shifting focus to improving health-related quality of life (HRQoL). Non-pharmacological interventions offer distinct advantages for optimizing long-term health outcomes in people living with HIV. OBJECTIVES: To identify optimal non-pharmacological interventions for improving overall HRQoL and its domains (physical, psychological, social, environmental, independence, spiritual). METHODS: Ten databases (Embase, MEDLINE, Web of Sci…
Shared Decision making aids in palliative care: A systematic review & meta-analysis of randomized controlled trials.
Palliative medicine · 2026 · PMID 42517466
BACKGROUND: Shared Decision Making in palliative care encompassing patient-clinician collaboration has shown potential for improved patient outcomes. However, the impact of decision aids intended to support palliative care decision making discussions across clinical care settings remains uncertain. AIM: To assess the impact of shared of decision aids on decision making, clinical outcomes, and quality of life for patients with palliative care needs and their caregivers. DESIGN: Systematic review and meta-analysis of…
Unheard Voices: A Systematic Literature Review of Studies Using Self-Report Methods to Gather the Perspectives of Autistic Adults with Intellectual Disability.
Autism in adulthood · 2026 · PMID 42383261
BACKGROUND: Autistic individuals with intellectual disability remain significantly underrepresented in research, particularly in studies that capture their lived experiences through self-report methods. This systematic review critically examines existing research employing self-report methods in studies where the focus is on autistic adults who have intellectual disability, evaluating the scope of this research, the self-report measures used, and the extent of community involvement. METHODS: We conducted a systemat…
Identification and synthesis of decision-making factors in vestibular schwannoma treatment.
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026 · PMID 41838144
BACKGROUND: Managing vestibular schwannomas (VS) involves complex choices among wait-and-scan, stereotactic radiotherapy, and surgery. Although shared decision-making (SDM) is increasingly emphasized, the factors reported to influence treatment choices remain incompletely characterized. OBJECTIVE: This systematic review aims to synthesize reported factors influencing treatment decision-making in VS and inform SDM practices. METHODS: In accordance with the PRISMA 2020 guidelines, a systematic literature search was c…
Effectiveness of Decision Aids for Breast Cancer Treatment: A Systematic Review and Meta-Analysis.
Cancer nursing · 2026 · PMID 42476578
BACKGROUND: Decision aids (DAs) have been developed to support decision-making for breast cancer treatments, but evidence regarding their effectiveness remains inconclusive. OBJECTIVES: To systematically identify and synthesize evidence on the effectiveness of DAs for breast cancer treatment on decision conflict, decision regret, shared decision-making (SDM), quality of life (QoL), health-related quality of life (HRQoL), and surgical choices. METHODS: A systematic search across 9 databases from inception to October…
Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.
International journal of antimicrobial agents · 2026 · PMID 42055353
OBJECTIVE: To evaluate if switching from dolutegravir/lamivudine (DTG/3TC) to bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) improves neuropsychiatric tolerability in suppressed adults with stable neuropsychiatric comorbidities. METHODS: MIND was a phase IV, randomised, double-blind, multicentre trial. Participants were assigned (1:1) to switch to BIC/FTC/TAF or continue DTG/3TC. The primary endpoint was the proportion of grade 2-4 neuropsychiatric adverse events (NP-AEs) at week 24. Secondary endpoi…
Proof-of-concept randomised controlled trial of data-driven hearing rehabilitation versus standard care in older adults with hearing loss: the healthy hearing for healthy ageing protocol.
BMJ open · 2026 · PMID 42481198
INTRODUCTION: Hearing aids (HAs) can alleviate hearing loss; however, HA rehabilitation is frequently hampered by delayed diagnosis, suboptimal fitting and lack of systematic follow-up. Although the association between hearing loss and cognitive decline has been identified, evidence from randomised controlled trials remains limited. Addressing these gaps is essential for reducing hearing loss-related experiences and evaluating whether effective HA use could reduce the risk of cognitive decline. METHODS AND ANALYSIS…
Multidimensional associations of HbA1c with behavioural, psychosocial, and economic factors across Educational Pharmaceutical Care Interventional Program (EPCIP) timeline: a prospective, longitudinal, RCT study.
BMC endocrine disorders · 2026 · PMID 42432611
INTRODUCTION: According to real-time data from Gujarat, which has the third highest score in the country nationally (7.55%), shows that behavioral, psychological, and economic stressors are associated with elevating HbA1c levels. The current investigation of multifaceted connection within the educational pharmaceutical care interventional program (EPCIP) timeline provides important information about regional causes of inadequate glycaemic control and aids in the development of tailored diabetes management strategie…
A Stepped Care, Peer-Delivered Intervention to Improve Substance Use and HIV Medication Adherence in Primary Care in South Africa (Project Khanya): Protocol for a Hybrid Type 2 Effectiveness-Implementation Randomized Controlled Trial.
JMIR research protocols · 2026 · PMID 42390468
BACKGROUND: A substance use disorder (SUD) treatment gap exists globally, with the greatest gaps in settings with the fewest resources. Integrating SUD care into primary care is needed to expand access to SUD care and support adherence to chronic disease services, especially HIV, in high-burden areas. Guided by stakeholder feedback, our team has previously adapted and piloted a peer-delivered behavioral intervention for antiretroviral therapy (ART) adherence for people with HIV and SUD in HIV care ("Khanya")-based …
Effects of crutch-assisted walking on pain, gait, and hip function in early and middle-stage osteonecrosis: a randomized trial.
Journal of orthopaedic translation · 2026 · PMID 42375815
BACKGROUND: Early-to middle-stage osteonecrosis of the femoral head (ONFH) is commonly associated with pain, gait impairment, and functional limitation. Although protective weight-bearing is frequently recommended, high-quality evidence supporting standardized crutch use as a non-surgical intervention remains limited. OBJECTIVE: To evaluate the effects of daily crutch-assisted walking on pain, hip function, gait performance, health-related quality of life, and bone metabolic markers in patients with early-to middle…
Nine Months of Fluoxetine Aids in the Reduction of Posttraumatic Stress Symptoms following a Traumatic Musculoskeletal Injury: A Randomized Controlled Trial.
Journal of orthopaedic trauma · 2026 · PMID 42441660
OBJECTIVES: To determine whether Fluoxetine, prescribed by orthopaedic providers during the immediate post-traumatic period, can lessen post-traumatic stress symptoms in survivors of traumatic musculoskeletal injuries. METHODS: Design: Non-Blinded Prospective Randomized Clinical Trial. SETTING: Single Academic Level 1 Trauma Center. PATIENT SELECTION CRITERIA: From July 2021 to December 2023, orthopaedic surgical patients admitted for a high-energy musculoskeletal trauma (injuries not resulting from a ground level …
Tesamorelin as an Adjunct to Exercise for Improving Physical Function in HIV (TRIUMPH): a clinical trial protocol.
BMJ open · 2026 · PMID 42419889
BACKGROUND: The Tesamorelin as an Adjunct to Exercise for Improving Physical Function in HIV (TRIUMPH) study is a randomised controlled trial with the overall goal of examining the combined effect of exercise and the growth hormone-releasing hormone analogue tesamorelin on physical function. METHODS: TRIUMPH is a two-site, double-blind, randomised trial of 100 sedentary older adults (aged 50-80 years) living with HIV who are frail or at risk for frailty and have excess abdominal adiposity. Enrolled participants wil…
Using agile development methodology to develop a decision aid for complex rectal cancer.
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2026 · PMID 42173033
INTRODUCTION: Approximately 5-10% of rectal cancer diagnoses are locally advanced (LARC) at presentation and between 4 and 8% recur locally after initial treatment, locally recurrent rectal cancer (LRRC). For patients diagnosed with LARC/LRRC pelvic exenteration (PE) may be potentially curative, but is likely to impact on subsequent quality of life (QoL). To make optimal decisions about their treatment options patients need high quality detailed comprehensible information. To date there are no validated patient dec…
Assessment of smoking status and management of smoking cessation in moderate to severe Graves' orbitopathy. A retrospective study of 78 patients.
Annales d'endocrinologie · 2026 · PMID 42167443
INTRODUCTION: Graves' orbitopathy (GO) is a frequent extra-thyroidal manifestation of autoimmune dysthyroidism. Moderate-to-severe forms impair quality of life and visual prognosis. Smoking has been identified for some 30 years as one of the main risk factors. Recently, effective targeted therapies have emerged for GO, but are costly. The aim of this study was to evaluate the assessment of smoking status and management of smoking cessation in a population of moderate-to-severe Graves' orbitopathy in real life. METH…
Patient-reported quality of life in people living with HIV in Romania: a cross-sectional PROM-based study.
HIV research & clinical practice · 2026 · PMID 42169383
BACKGROUND: In Romania, people living with HIV represent heterogeneous cohorts shaped by distinct epidemiological and social contexts. While antiretroviral therapy (ART) has markedly improved survival, quality-of-life (QoL) encompasses broader dimensions not fully captured by clinical indicators. Patient-reported outcome measures (PROMs) offer a valuable approach to understanding these dimensions in routine care. METHODS: We conducted a multicenter, cross-sectional study using the OCTAVE PROM to assess patient-repo…
Oral Lesions in People Living with HIV: The Lining HIV Study.
Pathogens (Basel, Switzerland) · 2026 · PMID 42515006
Oral manifestations are common in people living with HIV (PLWH) and may affect oral health-related quality of life (OHRQoL), while data from Greece remain limited. This multicenter prospective cohort study evaluated oral health status and OHRQoL among PLWH and explored associations with antiretroviral therapy (ART) and clinical factors. Overall, 370 PLWH from seven referral centers were included. Participants underwent oral examination, with oral hygiene assessed using the Simplified Oral Hygiene Index (OHI-S), and…
Comparative exploration of EQ-5D-5L bolt-on variants for fatigue, sleep, and vision in a general population sample.
Health and quality of life outcomes · 2026 · PMID 42387500
OBJECTIVE: Fatigue, sleep, and vision are among the most commonly used EQ-5D-5 L bolt-ons, with multiple alternative wordings. This study aimed to evaluate and compare the psychometric performance of the following bolt-on variants: (1) fatigue (FA) vs. tiredness (TI); (2) vision (VI) vs. VI with reference to vision aids (VI-A); and (3) sleep (SL) vs. sleep with examples in the dimension title (SL-E). METHODS: A representative sample of 1,262 adults in Hong Kong completed an online survey including the EQ-5D-5 L and…
Randomized Controlled Trials79 records
Effectiveness of Digital Health Interventions for Improving Antiretroviral Therapy Outcomes in People With HIV: Meta-Analysis and Trial Sequential Analysis of Randomized Controlled Trials.
Journal of medical Internet research · 2026 · PMID 42490547
BACKGROUND: Digital health interventions (DHIs) are increasingly used to support antiretroviral therapy (ART) management among people living with HIV. However, existing systematic reviews have largely focused on single intervention types or limited outcomes, and few have integrated multiple DHI modalities across both behavioral and clinical end points. Additionally, previous evidence has rarely incorporated analytical approaches, such as prediction intervals (PIs) or trial sequential analysis (TSA), leaving uncerta…
Exercise for osteoarthritis of the hip.
The Cochrane database of systematic reviews · 2026 · PMID 42486497
RATIONALE: Hip osteoarthritis is a major public health issue. International treatment guidelines recommend exercise to manage symptoms. This is an update of a review first published in 2009 and last updated in 2014. OBJECTIVES: To determine the effects of land-based exercise on pain, physical function, quality of life, participant-reported treatment success, study withdrawals, and adverse events in people with hip osteoarthritis. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, and two trial registries from Fe…
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.
Journal of the International Association of Providers of AIDS Care · 2026 · PMID 42538058
BackgroundHIV-associated lipodystrophy, a complication of combined antiretroviral therapy (CART), causes significant physical and psychological distress in people living with HIV (PLWH), compromising treatment adherence. Tesamorelin, a growth hormone-releasing hormone (GHRH) analogue, has emerged as a therapeutic option.ObjectiveTo systematically evaluate the efficacy and safety of tesamorelin in HIV-infected individuals with lipodystrophy receiving CART, incorporating GRADE assessment.MethodsWe searched PubMed, ht…
Effects of targeted interventions on HIV testing, knowledge and sexual risk behaviours among long-distance truck drivers: a systematic review and meta-analysis.
BMJ open · 2026 · PMID 42457421
OBJECTIVES: We aimed to systematically summarise and quantify the empirical evidence on targeted interventions and their effects on various HIV prevention outcomes for long-distance truck drivers (LDTDs) globally. DESIGN: A systematic review and meta-analysis. DATA SOURCES: We searched PubMed, PubMed Central (PMC), Cumulated Index to Nursing and Allied Health Literature (CINAHL), ProQuest Central, EBSCOhost, ScienceDirect, World Health Organisation (Global Index Medicus), Cochrane Library, Scientific Electronic Lib…
Integrated Care Models for HIV, Diabetes and Hypertension in Sub-Saharan Africa: A Systematic Review of Effectiveness, Implementation and Real-World Applicability.
Journal of the International AIDS Society · 2026 · PMID 42402976
BACKGROUND: Sub-Saharan Africa faces a syndemic of HIV and non-communicable diseases (NCDs), particularly diabetes and hypertension. Integrated care models have been promoted to improve service efficiency and patient outcomes; however, evidence on their effectiveness, implementation and real-world applicability remains fragmented. OBJECTIVE: This systematic review aimed to assess the clinical and service delivery effectiveness of integrated HIV-diabetes-hypertension care models in sub-Saharan Africa and to identify…
Integrating Shared Decision-Making Into Breast Cancer Postmastectomy Reconstruction: A Systematic Review of Evidence, Barriers, and Real-World Implementation.
International journal of cancer · 2026 · PMID 42098969
This systematic review synthesizes empirical evidence on the development, effectiveness, patient experience, and implementation of decision aids (DAs) for postmastectomy breast reconstruction (PMBR) and to evaluate the role of pre-consultation educational interventions in supporting shared decision-making (SDM). Following PRISMA guidelines and a preregistered protocol (OSF: https://osf.io/mu9hv), six electronic databases and gray literature sources were searched for studies on PMBR DAs through November 2025. Eligib…
Implementation of therapeutic adherence in adult patients diagnosed with the Human Immunodeficiency Virus: A systematic review.
Patient education and counseling · 2026 · PMID 42155336
OBJECTIVES: To systematically map and summarize the available knowledge on interventions that promote medication adherence among adult HIV patients and to describe the current state of the art regarding the impact of these interventions on clinical and psychosocial outcomes. METHODS: A systematic search was conducted and two researchers screened eligible studies independently. The Joanna Briggs Institute Quality Appraisal for Randomized Controlled Trials, Cross-Sectional Studies, and Quasi-Experimental Studies were…
Integrating smoking cessation into HIV care settings: A systematic review and meta-analysis of effectiveness and the evidence gap in cost-effectiveness.
PloS one · 2026 · PMID 42531253
The prevalence of smoking among people living with HIV (PLWH) is higher than in the general population, and PLWH who smoke are at increased risk of both smoking- and HIV-related comorbidities. As most PLWH reside in low- and middle-income countries (LMICs), there is a need for effective and cost-effective smoking cessation interventions in resource-constrained settings. We systematically reviewed and meta-analyzed the effectiveness of smoking cessation interventions for PLWH and looked for economic evaluations. Fou…
Goals of care discussions in hospitalised patients: systematic review of randomised trials.
BMJ supportive & palliative care · 2026 · PMID 41469164
IMPORTANCE: Structured communication tools and decision aids are recommended to facilitate goals of care discussions (GOCDs) in hospitalised patients, but their impact remains unclear. OBJECTIVE: To determine the effectiveness of communication tools and decision aids on GOCDs between healthcare providers, patients and substitute decision makers. DATA SOURCES: PubMed, Web of Science, CINAHL and ClinicalTrials.gov were searched from January 2015 to July 2025, with backward citation tracking to identify additional tri…
The impact and role of shared decision-making in surgical practice: A systematic review.
Cirugia espanola · 2026 · PMID 41967768
BACKGROUND: Shared decision-making (SDM) is a collaborative approach that integrates clinical evidence with patient values to guide healthcare decisions. Although widely promoted as a quality indicator, its adoption in surgical care remains variable. Understanding its impact and implementation in surgery is essential to improve patient-centred outcomes. METHODS: A systematic review with narrative synthesis was conducted in accordance with PRISMA guidelines and registered in PROSPERO (ID 1145717). MEDLINE, EMBASE, O…
Statin effects on the incidence of major non-cardiovascular disease events among a global cohort of people with HIV: a randomised controlled trial.
The lancet. HIV · 2025 · PMID 40180472
BACKGROUND: Given the pleiotropic effects of statins beyond lipid-lowering, statins might positively impact other, non-cardiovascular diseases (non-CVDs). In this study, we prospectively assessed statin effects on non-CVD events and their incidence among people with HIV globally. METHODS: The Randomized Trial to Prevent Vascular Events in HIV (REPRIEVE; ClinicalTrials.gov, NCT02344290) was a randomised, placebo-controlled trial of pitavastatin for CVD prevention took place from 2015 to 2023 at 145 research sites in…
Efficacy and safety of the Chinese herbal medicine Yiaikang capsule in treating AIDS: a randomized, double-blind, controlled trial.
Journal of ethnopharmacology · 2026 · PMID 41967778
ETHNOPHARMACOLOGICAL RELEVANCE: The Shuyu pill is a traditional Chinese medicine (TCM) formula, used to treat Xu Lao for over 1800 years. Studies have reported the effectiveness of Yiaikang capsules (YAK), a modified form of Shuyu pills, in AIDS treatment. However, clinical evidence for the management of AIDS using YAK is lacking. We aimed to evaluate the efficacy and safety of YAK combined with antiretroviral therapy (ART) among people living with HIV infection. MATERIALS AND METHODS: We conducted a randomized, do…
A 48-Week, Randomized Controlled Trial of Doravirine for Individuals With HIV and Obesity on Integrase Inhibitors and Tenofovir Alafenamide: The Do IT Study (ACTG A5391).
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41847923
BACKGROUND: Integrase inhibitors (INSTI) and tenofovir alafenamide (TAF) have been associated with greater weight gain compared to nonnucleoside reverse transcriptase inhibitors (NNRTIs) and tenofovir disoproxil fumarate (TDF), but the effects of an antiretroviral regimen switch on weight are unclear. METHODS: This 48-week, 3-parallel group, open-label, multicenter, randomized controlled trial (NCT04636437) in people with HIV and obesity on an INSTI (bictegravir, dolutegravir, or raltegravir) with TAF/emtricitabine…
Efficacy and safety of a mosaic HIV-1 vaccine regimen in men who have sex with men and transgender individuals (HVTN 706/HPX3002/Mosaico): a global, randomised, double-blind, placebo-controlled, phase 3 trial.
The lancet. HIV · 2025 · PMID 41314741
BACKGROUND: There is a high unmet need for effective HIV prevention options, including vaccines, for individuals at high risk of HIV acquisition who choose not to use pre-exposure prophylaxis or other prevention strategies. This study evaluated the efficacy and safety of an HIV-1 vaccine regimen consisting of tetravalent mosaic adenovirus serotype 26-based vaccine (Ad26.Mos4.HIV) and bivalent clade C glycoprotein (gp) 140-mosaic gp140 vaccine, in a population with high seroincidence. METHODS: This randomised, doubl…
Efficacy of dolutegravir/lamivudine in adults with HIV-1 and isolated reactive hepatitis B core antibody: Insights from Phase 3/3b study results.
HIV medicine · 2026 · PMID 41992416
OBJECTIVES: As two-drug HIV-1 antiretroviral therapy (ART) regimens become standard, data gaps remain concerning their safety and efficacy among people with isolated reactive hepatitis B core antibodies (anti-HBc). Here, we assessed the safety and efficacy of dolutegravir/lamivudine (DTG/3TC) versus three- or four-drug regimens (3DRs/4DRs) among people with HIV-1 and isolated reactive anti-HBc. METHODS: Data were evaluated from GEMINI-1, GEMINI-2, STAT, TANGO and SALSA at various time points, including Weeks 48, 96…
Pyrazinamide Safety, Efficacy, and Dosing for Treating Drug-Susceptible Pulmonary Tuberculosis: A Phase 3, Randomized Controlled Clinical Trial.
American journal of respiratory and critical care medicine · 2024 · PMID 39012226
Rationale: Optimizing pyrazinamide dosing is critical to improve treatment efficacy while minimizing toxicity during tuberculosis treatment. Study 31/AIDS Clinical Trials Group A5349 represents the largest phase 3 randomized controlled therapeutic trial to date for such an investigation. Objectives: We sought to report pyrazinamide pharmacokinetic parameters, risk factors for lower pyrazinamide exposure, and relationships between pyrazinamide exposure and efficacy and safety outcomes. We aimed to determine pyrazina…
Analytical treatment interruption among women with HIV in southern Africa who received VRC01 or placebo in the Antibody Mediated Prevention Study: ATI stakeholder engagement, implementation and early clinical data.
Journal of the International AIDS Society · 2025 · PMID 40462491
INTRODUCTION: Antiretroviral therapy (ART) prevents and treats, but does not eradicate, HIV. Early ART initiation is associated with post-ART virologic control, particularly among African women, and anti-HIV-1 broadly neutralizing antibodies (bnAbs) may modulate immune responses to HIV. We evaluate whether early ART with or without anti-HIV-1 bnAb VRC01, present at HIV acquisition, is associated with later ART-free control in African women and we assess potential associations with observed control. METHODS: Stakeho…
HIV Care Retention and Cost Analysis in Multi-Month ART Dispensing: A Randomized Controlled Trial in China.
Journal of the International AIDS Society · 2026 · PMID 42339560
INTRODUCTION: Multi-month dispensing (MMD), as a differentiated service delivery model, can reduce the frequency of clinic visits, waiting time and travel costs for clinically stable people living with HIV. This study aimed to evaluate the impact of 6-month MMD of antiretroviral therapy (ART) on retention and conduct a cost analysis in China. METHODS: We conducted a randomized, non-blind, non-inferiority study from December 2022 to March 2023 at The First Hospital of China Medical University. Eligible participants …
Islatravir distribution in plasma, peripheral blood mononuclear cells, and mucosal tissues after monthly oral dosing.
AIDS (London, England) · 2026 · PMID 41789892
OBJECTIVE: Islatravir is a nucleoside reverse transcriptase translocation inhibitor (NRTTI) under development for HIV-1 treatment. We aimed to evaluate the pharmacokinetics (PK) of islatravir and its active form, islatravir-triphosphate, in blood and mucosal tissues. DESIGN: This was an exploratory substudy of a randomized, double-blind, placebo-controlled, multicenter, Phase 2a study of once-monthly islatravir in adults at low likelihood of HIV-1 exposure (NCT04003103). METHODS: Participants were randomly assigned…
Effects of a Faith-Based, Multilevel Intervention on HIV-Related Stigma and HIV Knowledge Among African American Church-Affiliated Populations.
Journal of racial and ethnic health disparities · 2026 · PMID 40279062
BACKGROUND: HIV-related stigmas contribute to HIV disparities, which faith-based organizations could address, but few studies have measured faith-based HIV intervention effects on HIV-related stigmas. METHODS: Taking It to the Pews (TIPS) is a multilevel, religiously tailored HIV prevention intervention developed and implemented with faith leaders. Over 12 months, trained church health liaisons implemented the TIPS Toolkit (e.g., HIV sermon guides and responsive readings, testimonials) with the primary aim of incre…
Rifapentine With and Without Moxifloxacin for Pulmonary Tuberculosis in People With Human Immunodeficiency Virus (S31/A5349).
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023 · PMID 36041016
BACKGROUND: Tuberculosis (TB) Trials Consortium Study 31/AIDS Clinical Trials Group A5349, an international randomized open-label phase 3 noninferiority trial showed that a 4-month daily regimen substituting rifapentine for rifampin and moxifloxacin for ethambutol had noninferior efficacy and was safe for the treatment of drug-susceptible pulmonary TB (DS-PTB) compared with the standard 6-month regimen. We explored results among the prespecified subgroup of people with human immunodeficiency virus (HIV) (PWH). METH…
HIV Self-testing and Coupons Distribution by Persons Using PrEP to Create Demand for Combination HIV Prevention Services Among Men Who Have Sex With Men and Transgender Women: A Randomized Clinical Trial in the Context of the ImPrEP Project.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41983677
BACKGROUND: Despite progress in HIV treatment in Latin America, prevention efforts lag. This study assessed whether the secondary distribution of HIV self-testing (HIVST) and coupons by men who have sex with men and transgender women using preexposure prophylaxis (PrEP) is feasible and could create demand for combination HIV prevention services. SETTINGS: Substudy of the PrEP Implementation Project conducted at 2 sites in Rio de Janeiro, Brazil, and 3 sites in Lima, Peru. METHODS: A randomized controlled trial amon…
Safety and efficacy of switching to bictegravir-lenacapavir versus continuing bictegravir-emtricitabine-tenofovir alafenamide in virologically suppressed people with HIV-1 (ARTISTRY-2): a double-blind, multicentre, randomised, controlled, phase 3, non-inferiority trial.
The lancet. HIV · 2026 · PMID 42105781
BACKGROUND: There is a continued need to expand the repertoire of effective single-tablet regimens to address the diverse needs of people with HIV-1. We aimed to evaluate the safety and efficacy of switching to bictegravir-lenacapavir compared with continuing bictegravir-emtricitabine-tenofovir alafenamide in virologically suppressed people with HIV-1. METHODS: This double-blind, multicentre, randomised, controlled, phase 3, non-inferiority trial was conducted in 100 hospitals and HIV clinics across Argentina, Aust…
Acceptability and safety of one versus three months of rifapentine and isoniazid to prevent tuberculosis in people exposed in the household or workplace in Brazil: The Ultra-Curto randomized controlled trial.
PLoS medicine · 2026 · PMID 41666121
BACKGROUND: Short-course tuberculosis preventive therapy with isoniazid and rifapentine (HP) is widely recommended, but the acceptability and safety of one month of daily HP (1HP) compared to three months of weekly HP (3HP) is uncertain. We compared treatment with these two regimens in people with a positive latent tuberculosis infection test and without HIV infection. We hypothesized that 1HP would have greater treatment completion and fewer targeted safety events than 3HP. METHODS AND FINDINGS: We conducted a Pha…
Safety And Adverse Effects83 records
Exercise for osteoarthritis of the hip.
The Cochrane database of systematic reviews · 2026 · PMID 42486497
RATIONALE: Hip osteoarthritis is a major public health issue. International treatment guidelines recommend exercise to manage symptoms. This is an update of a review first published in 2009 and last updated in 2014. OBJECTIVES: To determine the effects of land-based exercise on pain, physical function, quality of life, participant-reported treatment success, study withdrawals, and adverse events in people with hip osteoarthritis. SEARCH METHODS: We searched CENTRAL, MEDLINE, Embase, and two trial registries from Fe…
Efficacy and safety of doravirine/islatravir for HIV-1: a GRADE-assessed systematic review and meta-analysis of randomized controlled trials.
HIV research & clinical practice · 2026 · PMID 42400399
BACKGROUND: The combination of doravirine and islatravir (DOR/ISL) is a novel two-drug regimen for HIV-1. Early development faced challenges due to dose-dependent immunological signals. We aimed to synthesize the evidence on the efficacy and safety of DOR/ISL across all treatment-experience categories, specifically evaluating the impact of islatravir dosage (0.25 mg vs 0.75 mg) on clinical and immunological outcomes. METHODS: We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) …
Efficacy and Safety of Tesamorelin in People Living With HIV (PLWH) With Lipodystrophy: A Systematic Review and Meta-Analysis.
Journal of the International Association of Providers of AIDS Care · 2026 · PMID 42538058
BackgroundHIV-associated lipodystrophy, a complication of combined antiretroviral therapy (CART), causes significant physical and psychological distress in people living with HIV (PLWH), compromising treatment adherence. Tesamorelin, a growth hormone-releasing hormone (GHRH) analogue, has emerged as a therapeutic option.ObjectiveTo systematically evaluate the efficacy and safety of tesamorelin in HIV-infected individuals with lipodystrophy receiving CART, incorporating GRADE assessment.MethodsWe searched PubMed, ht…
A 48-Week, Randomized Controlled Trial of Doravirine for Individuals With HIV and Obesity on Integrase Inhibitors and Tenofovir Alafenamide: The Do IT Study (ACTG A5391).
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41847923
BACKGROUND: Integrase inhibitors (INSTI) and tenofovir alafenamide (TAF) have been associated with greater weight gain compared to nonnucleoside reverse transcriptase inhibitors (NNRTIs) and tenofovir disoproxil fumarate (TDF), but the effects of an antiretroviral regimen switch on weight are unclear. METHODS: This 48-week, 3-parallel group, open-label, multicenter, randomized controlled trial (NCT04636437) in people with HIV and obesity on an INSTI (bictegravir, dolutegravir, or raltegravir) with TAF/emtricitabine…
Efficacy and safety of the Chinese herbal medicine Yiaikang capsule in treating AIDS: a randomized, double-blind, controlled trial.
Journal of ethnopharmacology · 2026 · PMID 41967778
ETHNOPHARMACOLOGICAL RELEVANCE: The Shuyu pill is a traditional Chinese medicine (TCM) formula, used to treat Xu Lao for over 1800 years. Studies have reported the effectiveness of Yiaikang capsules (YAK), a modified form of Shuyu pills, in AIDS treatment. However, clinical evidence for the management of AIDS using YAK is lacking. We aimed to evaluate the efficacy and safety of YAK combined with antiretroviral therapy (ART) among people living with HIV infection. MATERIALS AND METHODS: We conducted a randomized, do…
Efficacy and safety of a mosaic HIV-1 vaccine regimen in men who have sex with men and transgender individuals (HVTN 706/HPX3002/Mosaico): a global, randomised, double-blind, placebo-controlled, phase 3 trial.
The lancet. HIV · 2025 · PMID 41314741
BACKGROUND: There is a high unmet need for effective HIV prevention options, including vaccines, for individuals at high risk of HIV acquisition who choose not to use pre-exposure prophylaxis or other prevention strategies. This study evaluated the efficacy and safety of an HIV-1 vaccine regimen consisting of tetravalent mosaic adenovirus serotype 26-based vaccine (Ad26.Mos4.HIV) and bivalent clade C glycoprotein (gp) 140-mosaic gp140 vaccine, in a population with high seroincidence. METHODS: This randomised, doubl…
Pyrazinamide Safety, Efficacy, and Dosing for Treating Drug-Susceptible Pulmonary Tuberculosis: A Phase 3, Randomized Controlled Clinical Trial.
American journal of respiratory and critical care medicine · 2024 · PMID 39012226
Rationale: Optimizing pyrazinamide dosing is critical to improve treatment efficacy while minimizing toxicity during tuberculosis treatment. Study 31/AIDS Clinical Trials Group A5349 represents the largest phase 3 randomized controlled therapeutic trial to date for such an investigation. Objectives: We sought to report pyrazinamide pharmacokinetic parameters, risk factors for lower pyrazinamide exposure, and relationships between pyrazinamide exposure and efficacy and safety outcomes. We aimed to determine pyrazina…
Analytical treatment interruption among women with HIV in southern Africa who received VRC01 or placebo in the Antibody Mediated Prevention Study: ATI stakeholder engagement, implementation and early clinical data.
Journal of the International AIDS Society · 2025 · PMID 40462491
INTRODUCTION: Antiretroviral therapy (ART) prevents and treats, but does not eradicate, HIV. Early ART initiation is associated with post-ART virologic control, particularly among African women, and anti-HIV-1 broadly neutralizing antibodies (bnAbs) may modulate immune responses to HIV. We evaluate whether early ART with or without anti-HIV-1 bnAb VRC01, present at HIV acquisition, is associated with later ART-free control in African women and we assess potential associations with observed control. METHODS: Stakeho…
[Cochlear implantation in Ménière's disease].
HNO · 2026 · PMID 41644838
Menière's disease is a chronic inner ear disorder characterized by recurrent vertigo attacks, tinnitus, and fluctuating hearing loss, which may progress to severe sensorineural hearing impairment in a subset of patients. Since 2015, international consensus criteria distinguish between definite and probable disease. Current therapeutic strategies follow a stepwise approach, ranging from non-ablative to ablative interventions. Cochlear implantation (CI) has emerged as an effective option for auditory rehabilitation a…
Rifapentine With and Without Moxifloxacin for Pulmonary Tuberculosis in People With Human Immunodeficiency Virus (S31/A5349).
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023 · PMID 36041016
BACKGROUND: Tuberculosis (TB) Trials Consortium Study 31/AIDS Clinical Trials Group A5349, an international randomized open-label phase 3 noninferiority trial showed that a 4-month daily regimen substituting rifapentine for rifampin and moxifloxacin for ethambutol had noninferior efficacy and was safe for the treatment of drug-susceptible pulmonary TB (DS-PTB) compared with the standard 6-month regimen. We explored results among the prespecified subgroup of people with human immunodeficiency virus (HIV) (PWH). METH…
Safety and efficacy of switching to bictegravir-lenacapavir versus continuing bictegravir-emtricitabine-tenofovir alafenamide in virologically suppressed people with HIV-1 (ARTISTRY-2): a double-blind, multicentre, randomised, controlled, phase 3, non-inferiority trial.
The lancet. HIV · 2026 · PMID 42105781
BACKGROUND: There is a continued need to expand the repertoire of effective single-tablet regimens to address the diverse needs of people with HIV-1. We aimed to evaluate the safety and efficacy of switching to bictegravir-lenacapavir compared with continuing bictegravir-emtricitabine-tenofovir alafenamide in virologically suppressed people with HIV-1. METHODS: This double-blind, multicentre, randomised, controlled, phase 3, non-inferiority trial was conducted in 100 hospitals and HIV clinics across Argentina, Aust…
Acceptability and safety of one versus three months of rifapentine and isoniazid to prevent tuberculosis in people exposed in the household or workplace in Brazil: The Ultra-Curto randomized controlled trial.
PLoS medicine · 2026 · PMID 41666121
BACKGROUND: Short-course tuberculosis preventive therapy with isoniazid and rifapentine (HP) is widely recommended, but the acceptability and safety of one month of daily HP (1HP) compared to three months of weekly HP (3HP) is uncertain. We compared treatment with these two regimens in people with a positive latent tuberculosis infection test and without HIV infection. We hypothesized that 1HP would have greater treatment completion and fewer targeted safety events than 3HP. METHODS AND FINDINGS: We conducted a Pha…
The Impact of the Common Elements Treatment Approach on HIV Treatment Outcomes Among Women Experiencing Intimate Partner Violence in South Africa: A Randomized Trial.
Journal of the International AIDS Society · 2026 · PMID 42504479
INTRODUCTION: In South Africa, which has the world's highest prevalence of HIV, intimate partner violence (IPV) and common mental health conditions are barriers to retention in HIV treatment and achieving viral suppression. The Common Elements Treatment Approach (CETA), a cognitive-behavioural-therapy-based intervention designed for lay healthcare worker delivery, is effective in reducing mental and behavioural health problems but has not been trialled for effectiveness in improving HIV outcomes. We conducted a ran…
A 3-month clofazimine-rifapentine-containing regimen for drug-susceptible tuberculosis versus standard of care (Clo-Fast): a randomised, open-label, phase 2c clinical trial.
The Lancet. Infectious diseases · 2026 · PMID 40915311
BACKGROUND: Based on results from preclinical and clinical studies, a five-drug combination of isoniazid, rifapentine, pyrazinamide, ethambutol, and clofazimine was identified with treatment shortening potential for drug-susceptible tuberculosis; the Clo-Fast trial aimed to determine the efficacy and safety of this regimen. We compared 3 months of isoniazid, rifapentine, pyrazinamide, ethambutol, and clofazimine, administered with a clofazimine loading dose, to the standard 6 month regimen of isoniazid, rifampicin,…
Time to HIV rebound after infusion of long-acting broadly neutralising antibodies 3BNC117-LS and 10-1074-LS and analytical treatment interruption (the RIO trial): a double-blind, randomised, placebo-controlled trial.
The lancet. HIV · 2026 · PMID 42202839
BACKGROUND: HIV-specific broadly neutralising antibodies (bNAbs) can maintain viral control after interrupting antiretroviral therapy (ART). We investigated the duration and efficacy of Fc-engineered long-acting bNAbs (LS-bNAbs) in maintaining ART-free HIV control compared with placebo. METHODS: RIO is a double-blind, randomised, placebo-controlled trial. Eligibile participants were adults age 18-60 years, initiated on ART in early-stage HIV infection, virally suppressed on ART, and had no evidence of viral insensi…
Safety and tolerability of switching to bictegravir/emtricitabine/tenofovir alafenamide versus continuing dolutegravir/lamivudine in people living with HIV with neuropsychiatric comorbidities: Week 24 and 48 results from the Management of INSTI-associated Neuropsychiatric Disorders (MIND) clinical trial.
International journal of antimicrobial agents · 2026 · PMID 42055353
OBJECTIVE: To evaluate if switching from dolutegravir/lamivudine (DTG/3TC) to bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) improves neuropsychiatric tolerability in suppressed adults with stable neuropsychiatric comorbidities. METHODS: MIND was a phase IV, randomised, double-blind, multicentre trial. Participants were assigned (1:1) to switch to BIC/FTC/TAF or continue DTG/3TC. The primary endpoint was the proportion of grade 2-4 neuropsychiatric adverse events (NP-AEs) at week 24. Secondary endpoi…
Prevalence of neurotoxicity symptoms among postpartum women on isoniazid preventive therapy and efavirenz-based treatment for HIV: an exploratory objective of the IMPAACT P1078 randomized trial.
BMC pregnancy and childbirth · 2023 · PMID 36650479
BACKGROUND: This exploratory analysis investigates the prevalence and risk factors of neurocognitive toxicity in postpartum women on HIV treatment in response to a concern of an Isoniazid Preventive Therapy (IPT)/Efavirenz interaction. TRIAL DESIGN: Pregnant women on HIV treatment from countries with high TB prevalence were randomized in IMPAACT P1078 to 28 weeks of IPT started either during pregnancy or at 12 weeks postpartum. Partway through study implementation, the Patient Health Questionnaire 9, the cognitive …
Decreased Dolutegravir and Efavirenz Concentrations With Preserved Virological Suppression in Patients With Tuberculosis and Human Immunodeficiency Virus Receiving High-Dose Rifampicin.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023 · PMID 35861296
BACKGROUND: Higher doses of rifampicin may improve treatment outcomes and reduce the duration of tuberculosis (TB) therapy. However, drug-drug interactions with antiretroviral therapy (ART) and safety in people with human immunodeficiency virus (HIV) have not been evaluated. METHODS: This was a randomized, open-label trial where newly diagnosed TB patients were randomized to higher (35 mg/kg) or standard (10 mg/kg) daily-dose rifampicin. ART treatment-naive patients were randomized to dolutegravir- or efavirenz-bas…
Randomized, placebo-controlled phase 3 trial evaluating safety, immunogenicity, and reactogenicity of RSVPreF3-Mat in high-risk pregnant women and their infants.
Human vaccines & immunotherapeutics · 2026 · PMID 41766205
Respiratory syncytial virus (RSV) causes respiratory illness among infants; maternal vaccination confers passive protection through placental antibody transfer. This phase 3, randomized, placebo-controlled trial evaluated safety, reactogenicity, and immunogenicity of RSV prefusion protein F3 maternal vaccine (RSVPreF3-Mat), administered at 240/7 to 360/7 weeks of gestation to high-risk pregnant women (women with obstetric complications and/or human immunodeficiency virus infection or in pregnant adolescents), and t…
Baseline and week 48 resistance analysis in participants receiving bictegravir + lenacapavir in the phase 2 ARTISTRY-1 study.
AIDS (London, England) · 2026 · PMID 41874003
BACKGROUND: ARTISTRY-1 is an operationally seamless Phase 2/3 study evaluating the safety and efficacy of once-daily oral lenacapavir (LEN) + bictegravir (BIC) in virologically suppressed participants without known integrase strand-transfer inhibitor (INSTI) resistance, compared to a complex multi-tablet regimen. METHODS: Baseline HIV-1 resistance-associated mutations (RAMs) were assessed via historical genotypic reports (HGR) and proviral DNA genotyping (GenoSure Archive, Monogram Biosciences). The impact of basel…
Antiretroviral Therapy.
The New England journal of medicine · 2026 · PMID 42485628
The development of effective treatment strategies for human immunodeficiency virus (HIV) infection is a major achievement. Antiretroviral drugs inhibit key steps in the viral replication cycle and consist of six mechanistic classes: HIV entry inhibitors, reverse-transcriptase inhibitors (both nucleosides and nonnucleosides), capsid inhibitors, integrase inhibitors, and protease inhibitors. Antiretroviral therapy (ART) suppresses viral replication, thereby enhancing immune function, decreasing morbidity and mortalit…
Renal outcomes with dolutegravir plus lamivudine versus bictegravir/emtricitabine/tenofovir alafenamide in ART-naive adults with HIV.
AIDS (London, England) · 2026 · PMID 42084114
OBJECTIVE: Dolutegravir plus lamivudine (DTG + 3TC) and bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) are guideline-recommended first-line regimens for people with HIV (PWH), but their comparative renal safety remains unclear. We aimed to compare kidney outcomes between these regimens in antiretroviral therapy (ART)-naive PWH, stratified by baseline renal function. METHODS: We conducted a multicenter, prospective cohort study in China (2018-2025) enrolling 2655 ART-naive PWH initiating DTG + 3TC ( n…
Results of three multicenter observational studies of regimens containing tenofovir alafenamide among people with HIV in Japan.
Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy · 2026 · PMID 42264148
BACKGROUND: Safety data on tenofovir alafenamide (TAF)-containing regimens with >2 years' follow-up in large cohorts of people with HIV (PWH) in Japan are limited. We evaluated the safety of TAF-containing regimens among PWH in Japan, including combinations with emtricitabine (F/TAF), elvitegravir/cobicistat/emtricitabine (E/C/F/TAF), and bictegravir/emtricitabine (B/F/TAF). METHODS: Data were collected from medical records for three separate single-arm studies from the HIV-Related Drugs multicenter observational j…
Assessing the impact of pharmacist-led antiretroviral stewardship In community hospitals on antiretroviral-related medication errors.
American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2026 · PMID 41689280
PURPOSE: Antiretroviral stewardship programs have been recommended by several organizations, including the Infectious Diseases Society of America, to minimize medication errors that may adversely affect people living with human immunodeficiency virus (HIV). To date, the role of antiretroviral stewardship has largely been studied in tertiary or quaternary care medical centers with dedicated infectious diseases pharmacists, complex patient populations, and robust clinical laboratory services. Thus, limited data are a…
De Novo Cancer in Liver Transplant Patients With HIV Infection: A Multicenter Nationwide Cohort Study.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41989878
BACKGROUND: Patients with human immunodeficiency virus (HIV) infection have been gradually accepted as solid organ transplant recipients, although there is still concern that the burden of immunosuppression and HIV infection could increase the risk of post-transplant cancer. METHODS: The risk of de novo cancer was evaluated in a prospective cohort of 272 HIV-positive and 816 matched HIV-negative liver transplant recipients in Spain (2002-2012). All tumors, except hepatocellular carcinoma recurrence and non-melanoma…
Treatments That Failed Clinical Trials61 records
Adenovirus type 5 vector-based COVID-19 vaccine does not increase the likelihood of HIV infection.
Vaccine · 2026 · PMID 41785679
BACKGROUND: There is a concern about the potential increased risk of acquiring HIV infection after vaccination with adenovirus type 5 (Ad5) vector-based vaccines. We aimed to investigate whether Ad5-nCoV increases the risk of HIV infection. METHODS: Between September 2020 and March 2021, a Phase 3 clinical trial was executed to evaluate the efficacy of Ad5-nCoV. This trial, employing a double-blind, randomized, and placebo-controlled design, enrolled 44,247 participants from 66 clinical sites spanning Argentina, Ch…
A Randomized Trial to Compare Dolutegravir Plus Boosted Darunavir Versus Recommended Standard of Care Antiretroviral Regimens in People With HIV-1, Whose First-line Non-nucleoside Reverse Transcriptase Inhibitor Therapy Has Failed: Final 96-week Results of the D2EFT Study.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 40577173
BACKGROUND: Longer-term outcome data following second-line antiretroviral therapy initiation in resource-limited settings is limited, especially in regions where genotypic resistance is inaccessible. This analysis evaluated extended efficacy and tolerability data from the D2EFT study. METHODS: D2EFT is a completed, multicenter, phase IIIB/IV, randomized, open-label trial in 14 low- and middle-income countries. People with human immunodeficiency virus (HIV) who had failed first-line non-nucleoside reverse transcript…
Comparison of the Hearing Benefits and User Satisfaction With Hearing Aids and Personal Sound Amplification Products: A Multicenter Prospective Randomized Crossover Trial.
Journal of Korean medical science · 2026 · PMID 42011002
BACKGROUND: While hearing aids (HAs) remain the primary intervention for hearing loss, their high cost creates barriers to access. Personal sound amplification products (PSAPs) are a more affordable alternative, but few studies have compared their efficacy to those of HAs. This multicenter, prospective, randomized, crossover trial was conducted to compare audiologic performance and user satisfaction between HAs and PSAPs to evaluate PSAP potential as alternatives for hearing rehabilitation. METHODS: A total of 73 p…
Fluconazole plus flucytosine versus fluconazole alone for adults with HIV-associated cryptococcal antigenaemia identified through screening: a multi-centre phase III randomised-controlled trial.
Trials · 2026 · PMID 41877274
BACKGROUND: Despite the expansion of antiretroviral treatment programmes, the incidence and mortality of HIV-associated cryptococcal meningitis remain high in Africa. Cryptococcal antigen (CrAg) in the blood precedes meningitis. CrAg screening of individuals with advanced HIV disease, combined with pre-emptive fluconazole treatment, reduces the risk of cryptococcal meningitis and associated mortality. However, mortality among individuals with antigenaemia treated with fluconazole is higher than that of CD4-matched …
LC16m8 for Pre-exposure Prophylaxis Against Mpox in a High-Risk Population: An Open-Label Randomized Trial.
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 39982831
BACKGROUND: This randomized controlled trial provided LC16m8 pre-exposure prophylaxis to high-risk individuals to assess its efficacy for mpox prevention, safety, and immunogenicity. METHODS: This multicenter, randomized, open-label trial enrolled men and women aged ≥18 years at high risk of mpox. Participants were randomly assigned 1:1 to early- or late-vaccination groups. The primary endpoint was vaccine efficacy (VE) against mpox. Secondary endpoints included VE against severe mpox, symptoms, "take" incidence, a…
Comparable Inflammatory and Metabolic Outcomes After Switching to Bictegravir/Emtricitabine/Tenofovir Alafenamide Versus Continuing Dolutegravir/Lamivudine in Virologically Suppressed Adults With HIV (INSTINCT/GESIDA10918 Study).
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026 · PMID 41070447
BACKGROUND: Dual antiretroviral therapy (ART) with dolutegravir/lamivudine (DTG/3TC) is widely used in virologically suppressed individuals. However, data remain limited on potential differential effects of ART regimens on mid-term systemic inflammation and metabolic health. We evaluated whether switching from DTG/3TC to bictegravir/emtricitabine/tenofovir alafenamide (BIC/FTC/TAF) modifies systemic inflammation or metabolic parameters. METHODS: INSTINCT was a phase IV, multicenter, open-label, randomized trial enr…
Efficacy and safety of the Chinese herbal medicine Yiaikang capsule in treating AIDS: a randomized, double-blind, controlled trial.
Journal of ethnopharmacology · 2026 · PMID 41967778
ETHNOPHARMACOLOGICAL RELEVANCE: The Shuyu pill is a traditional Chinese medicine (TCM) formula, used to treat Xu Lao for over 1800 years. Studies have reported the effectiveness of Yiaikang capsules (YAK), a modified form of Shuyu pills, in AIDS treatment. However, clinical evidence for the management of AIDS using YAK is lacking. We aimed to evaluate the efficacy and safety of YAK combined with antiretroviral therapy (ART) among people living with HIV infection. MATERIALS AND METHODS: We conducted a randomized, do…
Promoting shared decision-making in colorectal cancer screening in primary care: A cluster randomized controlled trial.
PloS one · 2026 · PMID 42263092
INTRODUCTION: In Switzerland, primary care physicians (PCP) prescribe colonoscopy for colorectal cancer (CRC) screening rather than offering a choice between colonoscopy and faecal occult blood test (FOBT). This study evaluated a training program promoting shared decision-making for CRC screening. METHODS: PCP from a research network were randomized 1:1 into intervention or control. The intervention group received study materials, patient decision aids, evidence summary, FOBT sample kit, and personalized feedback o…
HIV Care Retention and Cost Analysis in Multi-Month ART Dispensing: A Randomized Controlled Trial in China.
Journal of the International AIDS Society · 2026 · PMID 42339560
INTRODUCTION: Multi-month dispensing (MMD), as a differentiated service delivery model, can reduce the frequency of clinic visits, waiting time and travel costs for clinically stable people living with HIV. This study aimed to evaluate the impact of 6-month MMD of antiretroviral therapy (ART) on retention and conduct a cost analysis in China. METHODS: We conducted a randomized, non-blind, non-inferiority study from December 2022 to March 2023 at The First Hospital of China Medical University. Eligible participants …
Baseline determinants of adherence for drug-sensitive TB treatment in a South African prospective cohort: a focus on HIV infection and anti-retroviral therapy, clinical care access, and TB stigma.
BMC infectious diseases · 2026 · PMID 41501688
BACKGROUND: Inadequate adherence to tuberculosis (TB) treatment increases the risk of treatment failure and recurrence. Identifying factors contributing to poor adherence could refine targeting strategies and optimize resource distribution. We examined specific individual-level factors for TB treatment adherence among adults with drug-sensitive TB, including HIV status, antiretroviral therapy, time to access clinical care, and perceived stigma. METHODS: Data are from the “TB Mate” cluster-randomized trial, which ev…
Weight gain, body composition, and metabolic parameters of dolutegravir-based antiretroviral therapy versus standard of care in children and adolescents: an ancillary analysis of the ODYSSEY trial.
The Lancet. Child & adolescent health · 2026 · PMID 41579881
BACKGROUND: ODYSSEY trial showed superior efficacy of dolutegravir-based antiretroviral therapy (ART) versus then-current, non-dolutegravir standard of care over 96 weeks in children and adolescents living with HIV. The aim of this ancillary analysis was to compare anthropometric and body composition outcomes, including weight, height, BMI-for-age Z score, weight-for-age and height-for-age Z scores (<14 kg), mid-upper-arm circumference (MUAC), waist circumference, hip circumference, and body fat percentage, as well…
Effectiveness of behavioural tobacco cessation interventions with and without pharmacotherapy among people living with HIV in Viet Nam: a three-arm pragmatic randomised controlled trial.
The Lancet. Global health · 2026 · PMID 41713442
BACKGROUND: People living with HIV are two to three times more likely to smoke than the general population, resulting in higher risk for tobacco-related morbidity and mortality. Despite this growing burden of disease, there is little evidence for the long-term effectiveness of tobacco cessation interventions among people living with HIV, particularly in low-income and middle-income countries. We aimed to compare the effectiveness of three tobacco cessation interventions among people living with HIV. METHODS: We con…
Genotype distribution of human papillomavirus (HPV) types in oral gargle specimens among men living with HIV in Mexico, Brazil, and Puerto Rico: A cross-sectional study.
The Journal of infection · 2026 · PMID 42070588
OBJECTIVES: Assess the distribution of oral HPV genotypes and examine their associations with age and HIV-related factors among men living with HIV. METHODS: This cross-sectional study analyzed baseline data from a randomized, double-blinded, placebo-controlled Phase III trial ('ULACNet-201'; NCT04255849) assessing the 9vHPV vaccine's efficacy in PLWH. Participants included men aged 20-50 years from Brazil, Mexico, and Puerto Rico, on antiretroviral therapy for ≥6 months. Oral HPV genotypes were assessed using the …
Oral preexposure prophylaxis use and the risk of bacterial sexually transmitted infections and HIV among African women: A prospective observational cohort study.
PLoS medicine · 2026 · PMID 41802176
BACKGROUND: Oral preexposure prophylaxis (PrEP) effectively reduces HIV incidence when used with sufficient adherence, but does not protect against bacterial sexually transmitted infections (STIs). Several studies have documented high rates of bacterial STIs among individuals initiating and using PrEP. We evaluated the association between PrEP use and the risk of STI among African women accessing family planning clinics. METHODS AND FINDINGS: We conducted a prospective cohort study nested within a large pragmatic s…
A Community Located Insurance Navigation Intervention to Link Sexual and Gender Minorities in Status Neutral Care: Results From the Navigating Insurance Coverage Expansion Randomized Controlled Trial.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41181883
BACKGROUND: Black and Hispanic/Latino sexual gender minorities are disproportionately affected by HIV. Structural determinants of health, such as health insurance coverage, drive care engagement and improve HIV care outcomes. METHODS: Black and Hispanic/Latino sexual gender minorities and transgender persons ≥18 years of age, living in Chicago, IL, were enrolled and randomized to receive health insurance navigation (intervention) or standard of care. Primary and secondary outcomes were analyzed using 2-way continge…
Men's willingness to receive text messages and speak with an HIV counselor via the National HIV Hotline following HIV self-testing in Tanzania; a baseline cross- sectional analysis from a cluster -randomized controlled trial.
BMC public health · 2026 · PMID 41998582
BACKGROUND: Tanzania faces a significant burden of HIV, with challenges in reaching men and ensuring timely linkage to care. To address these issues, HIV self-testing (HIVST) has been implemented to increase HIV testing, and the National HIV Hotlines are being considered as a strategy to facilitate linkage to care. This study aimed to assess the willingness of Tanzanian men to receive support from use the National HIV Hotline via mobile phones for HIVST and linkage to care. This is the baseline cross-sectional anal…
Individualized online exercise therapy aids recovery in pediatric long-COVID-findings from an exploratory randomized controlled trial.
European journal of pediatrics · 2026 · PMID 41493630
UNLABELLED: The purpose of this study is to evaluate the feasibility, safety, and effectiveness of an individualized online exercise therapy (IOET) designed to improve physical capacity and quality of life in children and adolescents with long-COVID. In a prospective, randomized, single-center exploratory trial, 14 patients aged 9-17 years with long-COVID (median symptom duration: 21 months) received either 6 or 12 weeks of IOET. Sessions were held twice weekly via telemedicine and individually adapted to physical …
Bidirectional Automated Texting for Cardiovascular Health Among People Living With HIV: Observational Cohort Analysis of a Stepped-Wedge Cluster Randomized Controlled Trial.
JMIR cardio · 2026 · PMID 42447296
BACKGROUND: Feasible and potentially scalable strategies are needed to address the growing cardiovascular disease (CVD) risk among people living with HIV. Bidirectional automated texting (BAT) programs that remind and encourage adherence to evidence-based CVD-reducing interventions represent a potentially scalable strategy, but data on their feasibility are lacking. OBJECTIVE: The goal of the study was to determine whether participant sociodemographic factors and technological constraints influenced engagement with…
Effects of an agricultural intervention on psychosocial health among pregnant and nonpregnant women with HIV in Kenya.
AIDS (London, England) · 2026 · PMID 41467698
OBJECTIVES: We examined whether effects of an agricultural livelihood intervention on food insecurity and psychosocial outcomes remained robust in pregnant compared to nonpregnant women living with HIV, and whether potentially negative associations between pregnancy and these outcomes were alleviated by the intervention. DESIGN: Secondary analysis of the Shamba Maisha cluster-randomized controlled trial ( N = 396 women; NCT02815579). The intervention included agribusiness training and supplies. METHODS: Food insecu…
Frailty phenotype transitions and functional improvements during a supervised exercise trial in older people with HIV: results from the HEALTH Trial.
Age and ageing · 2026 · PMID 42407092
BACKGROUND: Frailty and sarcopenia contribute to functional decline in older people with HIV (PWH), yet intervention data remain limited. We evaluated changes in frailty phenotype status, sarcopenia-related outcomes and functional performance during a supervised exercise trial and assessed associations between baseline frailty, study withdrawal and intervention response. METHODS: The High-Intensity Exercise to Attenuate Limitations and Train Habits in Older Adults with HIV (HEALTH) study randomised sedentary PWH ag…
The Factorial Structure, Reliability, and Validity of a Coping Measure Among Women with HIV and Sexual Trauma in Cape Town, South Africa.
AIDS and behavior · 2026 · PMID 40983787
The dual epidemics of HIV and sexual violence against women complicate HIV care engagement in South Africa. In settings with limited mental health treatment, robust measures to enhance screening and intervention for mental health specific to people with HIV are needed. The current study developed a 42-item assessment for coping with HIV and trauma in isiXhosa. In a randomized controlled trial, 350 participants completed measures of coping, anxiety, traumatic stress, and depression at their baseline assessments. Par…
Mediation Effects of Biobehavioral Factors in a Trial of Pharmacotherapy and Intensive Cessation Counseling for People with HIV Who Smoke Cigarettes in Nairobi, Kenya.
AIDS and behavior · 2026 · PMID 41369963
There is growing recognition of the important health risks of tobacco use in people with HIV (PWH). Multiple randomized controlled trials have tested cessation treatments in this population, but little is known about factors that mediate successful quitting. We conducted a randomized, placebo-controlled 2 × 2 factorial design trial of a behavioral intervention (Positively Smoke Free [PSF] one-on-one counseling) vs. brief advice to quit ± bupropion vs. placebo in PWH who smoked cigarettes in Nairobi, Kenya. Abstinen…
The Effect of an Educational Intervention Based on the Theory of Planned Behavior on Preventing Drug Relapse Among Men with Substance Use Disorder.
Substance use & misuse · 2026 · PMID 41020737
BACKGROUND: Drug abuse has severe physical and psychological consequences, contributing to family and social instability. Given the challenges of substance use disorders, prevention is crucial. This study aimed to evaluate the effect of an educational intervention based on the Theory of Planned Behavior (TPB) on preventing drug relapse among those with substance use disorder in treatment centers in Shiraz. METHODS: This experimental study included 200 drug-dependent individuals undergoing methadone and buprenorphin…
An integrated HIV and chronic disease intervention to reduce HIV infection risk among older men who have sex with men in China: a randomized controlled trial.
BMC public health · 2026 · PMID 42021278
INTRODUCTION: Population ageing has altered the health profile of men who have sex with men (MSM) in China, with older MSM experiencing overlapping challenges related to sexual health risks, chronic diseases, and stigma-related barriers to care. Conventional HIV interventions often fail to address these age-specific health priorities. This study evaluated an integrated HIV and chronic disease intervention, informed by the Health Belief Model (HBM), to examine its impact on HIV infection risk among older MSM. METHOD…
Adapted Motivational Interviewing Reduces Substance Use and Sexual Risk Taking Among Partnered Sexual Minority Men Aged 18-35 Years: Results of the PARTNER Study.
Journal of acquired immune deficiency syndromes (1999) · 2026 · PMID 41343494
BACKGROUND: The development of interventions addressing drug use and sexual HIV infection risk for emerging adult sexual minority men in primary relationships is a public health priority. This study evaluated the efficacy of PARTNER, a 4-session motivational interviewing intervention, to reduce cannabis and illicit drug use, increase preexposure prophylaxis (PrEP) uptake, and reduce HIV infection risk. SETTING: Staff at Hunter College in New York City, NY, administered study procedures between January 2018 and Febr…
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