Evidence map›Paper›PMID 40633949›Full record

ArticleBMJ open2025

Incidence, progression and predictors of chronic kidney disease among adult HIV/AIDS patients on antiretroviral treatment in comprehensive specialised hospitals in the Amhara Region, Ethiopia, 2022: a multi-centre retrospective follow-up study.

Melsew Dagne Abate, Mulat Awoke Kassa, Gizachew Yilak, Tesfaye Engdaw Habtie, Dessie Temesgen, Berihun Mulu, Sefineh Fenta Feleke, Amsalu Baylie, Molla Azmeraw Bizuayehu

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Melsew Dagne AbateDepartment of Adult Health Nursing, Injibara University, Injibara, Ethiopia melsewdagne@gmail.com.ORCID http://orcid.org/0000-0001-5372-3550
Mulat Awoke KassaDepartment of Nursing, Woldia University, Woldia, Ethiopia.
Gizachew YilakDepartment of Nursing, Woldia University, Woldia, Ethiopia.
Tesfaye Engdaw HabtieDepartment of Adult Health Nursing, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0009-0006-7943-3280
Dessie TemesgenDepartment of Nursing, Woldia University, Woldia, Ethiopia.
Berihun MuluDepartment of Public Health, Woldia University, Woldia, Ethiopia.
Sefineh Fenta FelekeDepartment of Public Health, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0000-0002-3051-1296
Amsalu BaylieDepartment of Nursing, Woldia University, Woldia, Ethiopia.
Molla Azmeraw BizuayehuDepartment of Nursing, Woldia University, Woldia, Ethiopia.ORCID http://orcid.org/0000-0001-9902-7921

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the incidence, progression and predictors of chronic kidney disease among adult patients living with HIV/AIDS who are receiving antiretroviral therapy.

designAn institution-based, multicentre retrospective follow-up study was conducted among a randomly selected sample of 535 adult patients. Data were entered into Epi Data version 4.6.0 and analysed using STATA version 14.0. A Cox proportional hazards regression model was fitted to identify independent predictors of chronic kidney disease incidence. Variables with p<0.05 in the multivariable model were considered statistically significant. SETTING AND

participantsThe study was conducted at comprehensive specialised hospitals in the Amhara Region of Ethiopia. Adult patients with HIV/AIDS receiving follow-up antiretroviral therapy between 1 April 2012 and 31 September 2022 were the cohort participants.

resultsOf the 528 adult patients included in the final analysis, 15 (2.84%) developed chronic kidney disease during the follow-up period, resulting in an overall incidence rate of 4.1 per 1000 person-years of observation. Significant predictors of chronic kidney disease included baseline age (adjusted HR (AHR)=1.053; 95% CI, 1.001 to 1.108), serum creatinine (AHR=1.698; 95% CI, 1.302 to 2.215), blood urea nitrogen (AHR=1.031; 95% CI, 1.001 to 1.061) and baseline viral load ≥1000 copies/mL (AHR=3.464; 95% CI, 1.104 to 10.871).

conclusionThe incidence of chronic kidney disease among adult patients with HIV was clinically significant. Older age, baseline viral load ≥1000 and high blood urea nitrogen and creatinine levels were significant predictors of higher risk. Proactive measures, such as closer kidney monitoring, targeted care for older patients and ensuring optimal viral suppression with effective antiretroviral therapy, can delay or prevent the development of chronic kidney disease.

Indexed as

Acquired Immunodeficiency SyndromeAnti-HIV AgentsAnti-Retroviral AgentsHIV InfectionsRenal Insufficiency, ChronicAdultCreatinineDisease ProgressionEthiopiaFemaleFollow-Up StudiesHospitals, SpecialHumansIncidenceMaleMiddle AgedAnti-HIV AgentsAnti-Retroviral AgentsCreatinineChronic renal failureEnd stage renal failureEthiopiaHIV & AIDSRenal transplantationRetrospective Studies

Identifiers

PMID40633949
PMCPMC12278170

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.