The Impact of Immunosuppression on Chronic Kidney Disease in People Living With Human Immunodeficiency Virus: The D:A:D Study
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
The Impact of Immunosuppression on Chronic Kidney Disease in People Living With Human Immunodeficiency Virus : The D:A:D Study. / Ryom, Lene; Lundgren, Jens D; Reiss, Peter; Ross, Mike; Kirk, Ole; Fux, Christophe A; Morlat, Phillipe; Fontas, Eric; Smith, Colette; De Wit, Stephane; D’arminio Monforte, Antonella; El Sadr, Wafaa; Hatleberg, Camilla; Phillips, Andrew; Sabin, Caroline; Law, Matthew; Mocroft, Amanda.
I: The Journal of Infectious Diseases, Bind 223, Nr. 4, 24.02.2021, s. 632-637.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - The Impact of Immunosuppression on Chronic Kidney Disease in People Living With Human Immunodeficiency Virus
T2 - The D:A:D Study
AU - Ryom, Lene
AU - Lundgren, Jens D
AU - Reiss, Peter
AU - Ross, Mike
AU - Kirk, Ole
AU - Fux, Christophe A
AU - Morlat, Phillipe
AU - Fontas, Eric
AU - Smith, Colette
AU - De Wit, Stephane
AU - D’arminio Monforte, Antonella
AU - El Sadr, Wafaa
AU - Hatleberg, Camilla
AU - Phillips, Andrew
AU - Sabin, Caroline
AU - Law, Matthew
AU - Mocroft, Amanda
PY - 2021/2/24
Y1 - 2021/2/24
N2 - BackgroundRelations between different measures of human immunodeficiency virus–related immunosuppression and chronic kidney disease (CKD) remain unknown.MethodsImmunosuppression measures included baseline, current, time-lagged and nadir CD4, years and percentage of follow-up (%FU) with CD4 ≤200 cells/μL, and CD4 recovery. CKD was defined as confirmed estimated glomerular filtration rate <60 mL/minute/1.73 m2.ResultsOf 33 791 persons, 2226 developed CKD. Univariably, all immunosuppression measures predicted CKD. Multivariably, the strongest predictor was %FU CD4 ≤200 cells/μL (0 vs >25%; incidence rate ratio [IRR], 0.77 [95% confidence interval [CI], .68–.88]), with highest effect in those at low D:A:D CKD risk (IRR, 0.45 [95% CI, .24–.80]) vs 0.80 [95% CI, .70–.93]).ConclusionsLonger immunosuppression duration most strongly predicts CKD and affects persons at low CKD risk more.
AB - BackgroundRelations between different measures of human immunodeficiency virus–related immunosuppression and chronic kidney disease (CKD) remain unknown.MethodsImmunosuppression measures included baseline, current, time-lagged and nadir CD4, years and percentage of follow-up (%FU) with CD4 ≤200 cells/μL, and CD4 recovery. CKD was defined as confirmed estimated glomerular filtration rate <60 mL/minute/1.73 m2.ResultsOf 33 791 persons, 2226 developed CKD. Univariably, all immunosuppression measures predicted CKD. Multivariably, the strongest predictor was %FU CD4 ≤200 cells/μL (0 vs >25%; incidence rate ratio [IRR], 0.77 [95% confidence interval [CI], .68–.88]), with highest effect in those at low D:A:D CKD risk (IRR, 0.45 [95% CI, .24–.80]) vs 0.80 [95% CI, .70–.93]).ConclusionsLonger immunosuppression duration most strongly predicts CKD and affects persons at low CKD risk more.
U2 - 10.1093/infdis/jiaa396
DO - 10.1093/infdis/jiaa396
M3 - Journal article
C2 - 32640015
VL - 223
SP - 632
EP - 637
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
SN - 0022-1899
IS - 4
ER -
ID: 279828252