Evidence mapPaperPMID 41388558Full record

Observational studyAIDS research and therapy2025

Kidney dysfunction in adults living with HIV and HBV: a 10-year retrospective cohort study across seven Asia-Pacific countries.

Thinh Toan Vu, Dhanushi Rupasinghe, Dung Thi Hoai Nguyen, Jun Yong Choi, Sasisopin Kiertiburanakul, Nagalingeswaran Kumarasamy, Suwimon Khusuwan, Vohith Khol, I Ketut Agus Somia, Man Po Lee and 6 more

Abstract readObservational Study
In one paragraph

Observational study in AIDS research and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

16 authors.

Thinh Toan VuDepartment of Community Health and Social Sciences, CUNY Graduate School of Public Health and Health Policy, New York City, NY, USA. vutoanthinhph@gmail.com.ORCID 0000-0002-1304-4059
Dhanushi RupasingheThe Kirby Institute, UNSW Sydney, Sydney, Australia.
Dung Thi Hoai NguyenNational Hospital for Tropical Diseases, Hanoi, Vietnam.
Jun Yong ChoiDivision of Infectious Diseases, Yonsei University College of Medicine, Seoul, South Korea.
Sasisopin KiertiburanakulFaculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Nagalingeswaran KumarasamyVHS-Infectious Diseases Medical Centre, Chennai Antiviral Research and Treatment Clinical Research Site (CART CRS), Voluntary Health Services, Chennai, India.
Suwimon KhusuwanChiangrai Prachanukroh Hospital, Chiang Rai, Thailand.
Vohith KholNational Centre for HIV/AIDS, Dermatology and STDs (NCHADS), Phnom Penh, Cambodia.
I Ketut Agus SomiaFaculty of Medicine Udayana University-Ngoerah Hospital, Bali, Indonesia.
Man Po LeeQueen Elizabeth Hospital, Kowloon, Hong Kong SAR, China.
Sanjay PujariInstitute of Infectious Diseases, Pune, India.
Anchalee AvihingsanonHIV-NAT, Thai Red Cross AIDS and Infectious Diseases Research Centre, Bangkok, Thailand.
Cuong Duy DoBach Mai Hospital, Hanoi, Vietnam.
Jeremy RossTREAT Asia, amfAR-The Foundation for AIDS Research, Bangkok, Thailand.
Awachana JiamsakulThe Kirby Institute, UNSW Sydney, Sydney, Australia.
IeDEA Asia-Pacific

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated kidney dysfunction among people with HIV (PWH), comparing those with and without hepatitis B virus (HBV) co-infection. We further identified predictors of kidney dysfunction in PWH with HBV.

methodsAdult PWH in the TREAT Asia Observational Database-Low Intensity TransfEr cohort, who were on antiretroviral therapy, with follow-up after 2010 were included. HBV co-infection was defined by positive hepatitis B surface antigen. Kidney dysfunction was determined as a single estimated glomerular filtration rate < 60mL/min/1.73m

resultsAmong 23,415 participants (median age = 37 years; interquartile range [IQR]: 31-43), most were male (62.2%), from lower-middle income countries (67.1%), and reported heterosexual HIV transmission (79.3%). The median follow-up time was 5.41 years (IQR: 2.05-8.67). The majority were prescribed NRTI + NNRTI (83.6%), and 4.9% had HBV co-infection. Overall, 8.0% had kidney dysfunction, with a higher proportion among PWH with HBV than those without HBV (14.8% vs. 7.6%, p < 0.001). Most cases of kidney dysfunction were stage III (84.2%). Factors associated with kidney dysfunction in PWH with HBV included older age (≥ 50 years: Hazard ratio [HR] = 6.45, 95%CI: 2.31, 18.04) compared to 18-29 years, higher income country (upper-middle income: HR = 1.78, 95%CI: 1.16, 2.74) compared to lower-middle income, low platelet counts (< 150 × 10

conclusionsA high prevalence of kidney dysfunction was observed among PWH with HBV co-infection in the Asia-Pacific. Renal screening and monitoring should prioritize PWH with HBV with older age, low platelets and CD4 counts in low-resource settings.

Indexed as

CoinfectionHepatitis BHIV InfectionsKidney DiseasesAdultAsiaFemaleGlomerular Filtration RateHumansIncidenceMaleMiddle AgedProportional Hazards ModelsRetrospective StudiesRisk FactorsAntiretroviral therapyAsia-PacificHepatitis BHIV infectionRenal insufficiencyTAFTDF

Identifiers

PMID41388558
PMCPMC12859978

What Socratic holds

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LicenceCC BY-NC-ND
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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.