Evidence map›Paper›PMID 29668591›Full record

ArticleMedicine2018

Prevalence and correlates of chronic kidney disease (CKD) among ART-naive HIV patients in the Niger-Delta region of Nigeria.

Udeme E Ekrikpo, Andre P Kengne, Effiong E Akpan, Emmanuel E Effa, Aminu K Bello, John U Ekott, Cindy George, Babatunde L Salako, Ikechi G Okpechi

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 13% of its field
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

11 citing papers in PubMed, 21 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Kidney disease and APOL1.Human molecular genetics · 2021
    Review
  10. Article
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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 at 6 institutions in 3 countries.

Udeme E EkrikpoDivision of Nephrology and Hypertension, Department of Medicine, University of Cape Town, Cape Town, South Africa Department of Medicine, University of Uyo, Uyo, Nigeria Non-Communicable Diseases Research Unit, South African Medical Research Council, Cape Town, Cape Town, South Africa Department of Medicine, University of Calabar, Calabar, Nigeria Division of Nephrology and Immunology, Department of Medicine, University of Alberta, Edmonton, Canada Department of Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria Kidney and Hypertension Research Unit, University of Cape Town, Cape Town, South Africa.
Andre P Kengne
Effiong E Akpan
Emmanuel E Effa
Aminu K Bello
John U Ekott
Cindy George
Babatunde L Salako
Ikechi G Okpechi
South African Medical Research Council · ZAUniversity of Cape Town · ZAUniversity of Uyo · NGUniversity of Alberta · CAUniversity of Calabar · NGUniversity of Ibadan · NG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Widespread use of antiretroviral therapy (ART) in human immunodeficiency virus (HIV) patients has led to improved longevity with the attendant increase in noncommunicable disease prevalence including chronic kidney disease (CKD). This study documents the prevalence of CKD in a large HIV population in Southern Nigeria.This is a single center, 15-year analysis in ART-naïve patients. CKD was defined as the occurrence of estimated glomerular filtration rate (eGFR) <60 mL/min/1.73 m on 2 consecutive occasions 3 to 12 months apart using the chronic kidney disease epidemiology collaboration (CKD-EPI) equation. The Cochran-Armitage and Cuzick tests were employed to assess for trend across the years for CKD prevalence and CD4 count, respectively. Multivariable logistic regression models were used to identify independent associations with CKD.In all, 1317 patients (62.2% females) with mean age of 34.5 years and median CD4 count of 194 cells/μL were included. CKD prevalence was 13.4% (95%CI 11.6%-15.4%) using the CKD-EPI equation (without the race factor). Multivariable analysis identified increasing age and CD4 count <200 cells/μL as being independently associated with CKD occurrence.This study reports a high prevalence of CKD in ART-naïve HIV-infected patients. Measures to improve diagnosis of kidney disease and ensure early initiation of treatment should be integrated in HIV treatment programmes in this setting.

Indexed as

HIV InfectionsRenal Insufficiency, ChronicAdultAnti-Retroviral AgentsCD4 Lymphocyte CountComorbidityEarly Medical InterventionFemaleGlomerular Filtration RateHumansKidney Function TestsMaleNeeds AssessmentNigeriaPrevalenceRetrospective StudiesAnti-Retroviral Agents

Identifiers

PMID29668591
PMCPMC5916672
OpenAlexW2802589557

What OpenQuestion holds

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LicenceCC BY-SA
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.