Cochrane · systematic review · CD009153

Antiretroviral therapy for prevention of HIV transmission in HIV‐discordant couples

Anglemyer, A, Rutherford, GW, Horvath, T, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

HIV/AIDS3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 18.2%Low 5 · 45.5%Moderate 2 · 18.2%High 2 · 18.2%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 3 versions

Antiretroviral Therapy for HIV Prevention in Serodiscordant Couples (Part A)

Population: Serodiscordant couples
7 questions
OutcomeEffectEvidenceStatus / GRADE
Virologically linked HIV incidence (RCT)
Rate Ratio 0.04 [0, 0.27]1 study · 1750 participantsHigh
HIV incidence (observational studies)
Rate Ratio 0.58 [0.35, 0.96]9 studies · 46204 participantsModerate
HIV incidence (observational studies‐‐sensitivity analysis)
Rate Ratio 0.36 [0.17, 0.75]7 studies · 46560 participantsModerate
HIV incidence: CD4 subgroups (<200 cells/µL) (observational studies)
RR 0.12 [0.02, 0.81]5 studies · 26594 participantsLow
Downgraded: imprecision
HIV incidence: CD4 subgroups (200‐350 CD4 cells/µL) (observational studies)
RR 0.66 [0.47, 0.92]4 studies · 9595 participantsVery low
Downgraded: imprecision
HIV incidence: CD4 subgroups (350 or more CD4 cells/µL) (observational studies)
RR 0.123 studies · 13426 participantsLow
Downgraded: imprecision
Virologically linked HIV incidence: CD4 subgroups (350 or more CD4 cells/µL) (RCT)
RR 0.04 [0, 0.27]1 study · 1750 participantsHigh

Antiretroviral Therapy for HIV Prevention in Serodiscordant Couples (Part B)

Population: Serodiscordant couples
4 questions
OutcomeEffectEvidenceStatus / GRADE
HIV incidence: gender subgroup (female cases)
RR 0.39 [0.13, 1.18]3 studies · 15608 participantsLow
Downgraded: imprecision
HIV incidence: gender subgroup (male Cases)
RR 0.11 [0.01, 1.62]3 studies · 25073 participantsLow
Downgraded: imprecision
HIV incidence: low‐/middle‐income countries
RR 0.53 [0.29, 0.97]7 studies · 45029 participantsLow
Downgraded: imprecision
HIV incidence: high income countries
RR 0.77 [0.33, 1.83]2 studies · 1061 participantsVery low
Downgraded: imprecision