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FältnamnIndikatorerMetadata
00007400naa a2201909 4500
001oai:prod.swepub.kib.ki.se:141346156
003SwePub
008240811s2019 | |||||||||||000 ||eng|
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1413461562 URI
024a https://doi.org/10.1093/ofid/ofz1982 DOI
040 a (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Underwood, J4 aut
2451 0a Validation of a Novel Multivariate Method of Defining HIV-Associated Cognitive Impairment
264 c 2019-05-03
264 1b Oxford University Press (OUP),c 2019
520 a BackgroundThe optimum method of defining cognitive impairment in virally suppressed people living with HIV is unknown. We evaluated the relationships between cognitive impairment, including using a novel multivariate method (NMM), patient– reported outcome measures (PROMs), and neuroimaging markers of brain structure across 3 cohorts.MethodsDifferences in the prevalence of cognitive impairment, PROMs, and neuroimaging data from the COBRA, CHARTER, and POPPY cohorts (total n = 908) were determined between HIV-positive participants with and without cognitive impairment defined using the HIV-associated neurocognitive disorders (HAND), global deficit score (GDS), and NMM criteria.ResultsThe prevalence of cognitive impairment varied by up to 27% between methods used to define impairment (eg, 48% for HAND vs 21% for NMM in the CHARTER study). Associations between objective cognitive impairment and subjective cognitive complaints generally were weak. Physical and mental health summary scores (SF-36) were lowest for NMM-defined impairment (P < .05).There were no differences in brain volumes or cortical thickness between participants with and without cognitive impairment defined using the HAND and GDS measures. In contrast, those identified with cognitive impairment by the NMM had reduced mean cortical thickness in both hemispheres (P < .05), as well as smaller brain volumes (P < .01). The associations with measures of white matter microstructure and brain-predicted age generally were weaker.ConclusionDifferent methods of defining cognitive impairment identify different people with varying symptomatology and measures of brain injury. Overall, NMM-defined impairment was associated with most neuroimaging abnormalities and poorer self-reported health status. This may be due to the statistical advantage of using a multivariate approach.
700a de Francesco, D4 aut
700a Cole, JH4 aut
700a Caan, MWA4 aut
700a van Zoest, RA4 aut
700a Schmand, B4 aut
700a Sharp, DJ4 aut
700a Sabin, CA4 aut
700a Reiss, P4 aut
700a Winston, A4 aut
700a Reiss, P4 aut
700a Wit, FWNM4 aut
700a Schouten, J4 aut
700a Kooij, KW4 aut
700a van Zoest, RA4 aut
700a Elsenga, BC4 aut
700a Janssen, FR4 aut
700a Heidenrijk, M4 aut
700a Zikkenheiner, W4 aut
700a van der Valk, M4 aut
700a Kootstra, NA4 aut
700a Harskamp-Holwerda, AM4 aut
700a Maurer, I4 aut
700a Ruiz, MMM4 aut
700a Girigorie, AF4 aut
700a Villaudy, J4 aut
700a Frankin, E4 aut
700a Pasternak, A4 aut
700a Berkhout, B4 aut
700a van der Kuyl, T4 aut
700a Portegies, P4 aut
700a Schmand, BA4 aut
700a Geurtsen, GJ4 aut
700a ter Stege, JA4 aut
700a Twennaar, MK4 aut
700a Majoie, CBLM4 aut
700a Caan, MWA4 aut
700a Su, T4 aut
700a Weijer, K4 aut
700a Bisschop, PHLT4 aut
700a Kalsbeek, A4 aut
700a Wezel, M4 aut
700a Visser, I4 aut
700a Ruhe, HG4 aut
700a Franceschi, C4 aut
700a Garagnani, Pu Karolinska Institutet4 aut
700a Pirazzini, C4 aut
700a Capri, M4 aut
700a Dall'Olio, F4 aut
700a Chiricolo, M4 aut
700a Salvioli, S4 aut
700a Hoeijmakers, J4 aut
700a Pothof, J4 aut
700a Prins, M4 aut
700a Martens, M4 aut
700a Moll, S4 aut
700a Berkel, J4 aut
700a Totte, M4 aut
700a Kovalev, S4 aut
700a Gisslen, M4 aut
700a Fuchs, D4 aut
700a Zetterberg, H4 aut
700a Winston, A4 aut
700a Underwood, J4 aut
700a McDonald, L4 aut
700a Stott, M4 aut
700a Legg, K4 aut
700a Lovell, A4 aut
700a Erlwein, O4 aut
700a Doyle, N4 aut
700a Kingsley, C4 aut
700a Sharp, DJ4 aut
700a Leech, R4 aut
700a Cole, JH4 aut
700a Zaheri, S4 aut
700a Hillebregt, MMJ4 aut
700a Ruijs, YMC4 aut
700a Benschop, DP4 aut
700a Burger, D4 aut
700a de Graaff-Teulen, M4 aut
700a Guaraldi, G4 aut
700a Burkle, A4 aut
700a Sindlinger, T4 aut
700a Moreno-Villanueva, M4 aut
700a Keller, A4 aut
700a Sabin, C4 aut
700a de Francesco, D4 aut
700a Libert, C4 aut
700a Dewaele, S4 aut
700a Boffito, M4 aut
700a Mallon, P4 aut
700a Post, F4 aut
700a Sabin, C4 aut
700a Sachikonye, M4 aut
700a Anderson, J4 aut
700a Asboe, D4 aut
700a Garvey, L4 aut
700a Pozniak, A4 aut
700a Vera, J4 aut
700a Williams, I4 aut
700a Campbell, L4 aut
700a Yurdakul, S4 aut
700a Okumu, S4 aut
700a Pollard, L4 aut
700a Otiko, D4 aut
700a Phillips, L4 aut
700a Laverick, R4 aut
700a Fisher, M4 aut
700a Clarke, A4 aut
700a Bexley, A4 aut
700a Richardson, C4 aut
700a Macken, A4 aut
700a Ghavani-Kia, B4 aut
700a Maher, J4 aut
700a Byrne, M4 aut
700a Flaherty, A4 aut
700a Mguni, S4 aut
700a Clark, R4 aut
700a Nevin-Dolan, R4 aut
700a Pelluri, S4 aut
700a Johnson, M4 aut
700a Ngwu, N4 aut
700a Hemat, N4 aut
700a Jones, M4 aut
700a Carroll, A4 aut
700a Whitehouse, A4 aut
700a Burgess, L4 aut
700a Babalis, D4 aut
700a Stott, M4 aut
700a McDonald, L4 aut
700a Higgs, C4 aut
700a Seah, E4 aut
700a Fletcher, S4 aut
700a Anthonipillai, M4 aut
700a Moyes, A4 aut
700a Deats, K4 aut
700a Syed, I4 aut
700a Matthews, C4 aut
710a Karolinska Institutet4 org
773t Open forum infectious diseasesd : Oxford University Press (OUP)g 6:6, s. ofz198-q 6:6<ofz198-x 2328-8957
856u https://academic.oup.com/ofid/article-pdf/6/6/ofz198/28859443/ofz198.pdf
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:141346156
8564 8u https://doi.org/10.1093/ofid/ofz198

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Av författaren/redakt...
Underwood, J
de Francesco, D
Cole, JH
Caan, MWA
van Zoest, RA
Schmand, B
visa fler...
Sharp, DJ
Sabin, CA
Reiss, P
Winston, A
Wit, FWNM
Schouten, J
Kooij, KW
Elsenga, BC
Janssen, FR
Heidenrijk, M
Zikkenheiner, W
van der Valk, M
Kootstra, NA
Harskamp-Holwerd ...
Maurer, I
Ruiz, MMM
Girigorie, AF
Villaudy, J
Frankin, E
Pasternak, A
Berkhout, B
van der Kuyl, T
Portegies, P
Schmand, BA
Geurtsen, GJ
ter Stege, JA
Twennaar, MK
Majoie, CBLM
Su, T
Weijer, K
Bisschop, PHLT
Kalsbeek, A
Wezel, M
Visser, I
Ruhe, HG
Franceschi, C
Garagnani, P
Pirazzini, C
Capri, M
Dall'Olio, F
Chiricolo, M
Salvioli, S
Hoeijmakers, J
Pothof, J
Prins, M
Martens, M
Moll, S
Berkel, J
Totte, M
Kovalev, S
Gisslen, M
Fuchs, D
Zetterberg, H
McDonald, L
Stott, M
Legg, K
Lovell, A
Erlwein, O
Doyle, N
Kingsley, C
Leech, R
Zaheri, S
Hillebregt, MMJ
Ruijs, YMC
Benschop, DP
Burger, D
de Graaff-Teulen ...
Guaraldi, G
Burkle, A
Sindlinger, T
Moreno-Villanuev ...
Keller, A
Sabin, C
Libert, C
Dewaele, S
Boffito, M
Mallon, P
Post, F
Sachikonye, M
Anderson, J
Asboe, D
Garvey, L
Pozniak, A
Vera, J
Williams, I
Campbell, L
Yurdakul, S
Okumu, S
Pollard, L
Otiko, D
Phillips, L
Laverick, R
Fisher, M
Clarke, A
Bexley, A
Richardson, C
Macken, A
Ghavani-Kia, B
Maher, J
Byrne, M
Flaherty, A
Mguni, S
Clark, R
Nevin-Dolan, R
Pelluri, S
Johnson, M
Ngwu, N
Hemat, N
Jones, M
Carroll, A
Whitehouse, A
Burgess, L
Babalis, D
Higgs, C
Seah, E
Fletcher, S
Anthonipillai, M
Moyes, A
Deats, K
Syed, I
Matthews, C
visa färre...
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Karolinska Institutet

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