Source:http://linkedlifedata.com/resource/pubmed/id/11468425
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rdf:type | |
lifeskim:mentions |
umls-concept:C0004927,
umls-concept:C0030705,
umls-concept:C0033607,
umls-concept:C0205210,
umls-concept:C0205460,
umls-concept:C0205466,
umls-concept:C0205470,
umls-concept:C0871261,
umls-concept:C1555903,
umls-concept:C1704632,
umls-concept:C1706817,
umls-concept:C1998548,
umls-concept:C2698872,
umls-concept:C2911692
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pubmed:issue |
4
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pubmed:dateCreated |
2001-7-24
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pubmed:abstractText |
Predictors of virologic (plasma HIV RNA viral load [VL] < 500 copies/ml) and immunologic (rise in CD4+ cell count > 50 cells/mm3) response after 4 months of therapy (M4) were studied in 750 HIV-1-infected patients prospectively enrolled at the initiation of a protease inhibitor (PI)-containing regimen. A virologic response was observed in 80% of patients, and an immunologic response was observed in 64%. Sixty-two percent of patients self-reported full adherence to therapy at 1 month of therapy (M1) and M4. In multivariate analysis, a virologic response was more frequent in fully adherent patients (odds ratio [OR] = 2.0; p =.001). An immunologic response was associated with age < 36 years (OR =1.4; p =.03), baseline VL (OR = 1.5 per 1 log10 copies/ml higher; p <.01), decrease in VL at M1 (OR = 1.5 per 1 log10 copies/ml decrease; p <.01), baseline total lymphocyte count (OR = 1.7 per 50% lower; p <.001), and baseline CD4+ cell percentage > or = 20% (OR =1.9; p <.001) but not with adherence to therapy. Full adherence seems to be a major predictor of a virologic response to PI-containing triple therapy. An immunologic response may be possible despite incomplete adherence, at least early in therapy.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
1525-4135
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
372-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:11468425-Adult,
pubmed-meshheading:11468425-Antiretroviral Therapy, Highly Active,
pubmed-meshheading:11468425-CD4 Lymphocyte Count,
pubmed-meshheading:11468425-Cohort Studies,
pubmed-meshheading:11468425-France,
pubmed-meshheading:11468425-HIV Infections,
pubmed-meshheading:11468425-HIV Protease Inhibitors,
pubmed-meshheading:11468425-HIV-1,
pubmed-meshheading:11468425-Humans,
pubmed-meshheading:11468425-Multivariate Analysis,
pubmed-meshheading:11468425-Patient Compliance,
pubmed-meshheading:11468425-Prospective Studies,
pubmed-meshheading:11468425-RNA, Viral
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pubmed:year |
2001
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pubmed:articleTitle |
Clinical, biologic, and behavioral predictors of early immunologic and virologic response in HIV-infected patients initiating protease inhibitors.
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pubmed:affiliation |
Hôpital Bichat-Claude Bernard, Paris; INSERM U 330, Bordeaux; INSERM U 379, Marseille, France.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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