Evidence map›Paper›PMID 30246898›Full record

Observational studyPharmacoepidemiology and drug safety2018

Changes in renal function with long-term exposure to antiretroviral therapy in HIV-infected adults in Asia.

Kedar Joshi, David Boettiger, Stephen Kerr, Takeshi Nishijima, Kinh Van Nguyen, Penh Sun Ly, Man Po Lee, Nagalingeswaran Kumarasamy, Wingwai Wong, Pacharee Kantipong and 13 more

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Pharmacoepidemiology and drug safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
0.6field-weighted citation impact, top 33% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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

23 authors at 20 institutions in 14 countries.

Kedar JoshiInstitute of Infectious Diseases, Pune, India.ORCID 0000-0002-3037-0403
David BoettigerThe Kirby Institute, UNSW, Sydney, NSW, Australia.
Stephen KerrHIV-NAT/Thai Red Cross AIDS Research Centre, Bangkok, Thailand.
Takeshi NishijimaNational Center for Global Health and Medicine, Tokyo, Japan.
Kinh Van NguyenNational Hospital for Tropical Diseases, Hanoi, Vietnam.
Penh Sun LyNational Center for HIV/AIDS, Dermatology and STDs, Phnom Penh, Cambodia.
Man Po LeeQueen Elizabeth Hospital, Hong Kong.
Nagalingeswaran KumarasamyChennai Antiviral Research and Treatment Clinical Research Site (CART CRS), YRGCARE Medical Centre, VHS, Chennai, India.
Wingwai WongTaipei Veterans General Hospital, Taipei, Taiwan.
Pacharee KantipongChiangrai Prachanukroh Hospital, Chiang Rai, Thailand.
Do Duy CuongBach Mai Hospital, Hanoi, Vietnam.
Adeeba KamarulzamanUniversity Malaya Medical Centre, Kuala Lumpur, Malaysia.
Jun Yong ChoiDivision of Infectious Diseases, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea.
Fujie ZhangBeijing Ditan Hospital, Capital Medical University, Beijing, China.
Romanee ChaiwarithResearch Institute for Health Sciences, Chiang Mai, Thailand.
Oon Tek NgTan Tock Seng Hospital, Singapore.
Sasisopin KiertiburanakulFaculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Benedict Lim Heng SimHospital Sungai Buloh, Sungai Buloh, Malaysia.
Tuti Parwati MeratiFaculty of Medicine, Udayana University and Sanglah Hospital, Denpasar, Indonesia.
Evy YunihastutiFaculty of Medicine, Universitas Indonesia-Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia.
Rossana DitangcoResearch Institute for Tropical Medicine, Muntinlupa City, Philippines.
Jeremy RossTREAT Asia, amfAR-The Foundation for AIDS Research, Bangkok, Thailand.
Sanjay PujariInstitute of Infectious Diseases, Pune, India.
Serum Institute of India (India) · INAsia Foundation · USBạch Mai Hospital · VNCapital Medical University · CNChiang Mai University · THChiangRai Prachanukroh Hospital · THHIV Netherlands Australia Thailand Research Collaboration · THHospital for Tropical Diseases · VNHospital Sungai Buloh · MYMahidol University · THNational Center for Global Health and Medicine · JPNational Center for HIV/AIDS, Dermatology and STD · KHQueen Elizabeth Hospital · CNResearch Institute for Tropical Medicine · PHTaipei Veterans General Hospital · TWTan Tock Seng Hospital · SGUdayana University · IDUniversity Malaya Medical Centre · MYUniversity of Indonesia · IDUNSW Sydney · AU

Funding

The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
NIAID NIH HHS U01 AI069907
6 · The paper itself

Abstract

purposeRenal disease is common among people living with human immunodeficiency virus (HIV). However, there is limited information on the incidence and risk factors associated with renal dysfunction among this population in Asia.

methodsWe used data from the TREAT Asia HIV Observational Database. Patients were included if they started antiretroviral therapy during or after 2003, had a serum creatinine measurement at antiretroviral therapy initiation (baseline), and had at least 2 follow-up creatinine measurements taken ≥3 months apart. Patients with a baseline estimated glomerular filtration rate (eGFR) ≤60 mL/min/1.73 m

resultsOf 2547 patients eligible for this analysis, tenofovir was being used by 703 (27.6%) at baseline. Tenofovir use, high baseline eGFR, advanced HIV disease stage, and low nadir CD4 were associated with a decrease in eGFR during follow-up. Chronic kidney disease occurred at a rate of 3.4 per 1000 patient/years. Factors associated with CKD were tenofovir use, old age, low baseline eGFR, low nadir CD4, and protease inhibitor use.

conclusionsThere is an urgent need to enhance renal monitoring and management capacity among at-risk groups in Asia and improve access to less nephrotoxic antiretrovirals.

Indexed as

AdultAge FactorsAnti-HIV AgentsAsiaCreatinineFemaleFollow-Up StudiesGlomerular Filtration RateHIV InfectionsHumansIncidenceKidneyMaleRenal Insufficiency, ChronicRisk FactorsTenofovirAnti-HIV AgentsCreatinineTenofovirantiretroviral therapyAsiaeGFRHIV AIDSpharmacoepidemiologyrenal functiontenofovir (TDF)

Identifiers

PMID30246898
PMCPMC6218305
OpenAlexW2893325214

What OpenQuestion holds

Textmetadata
LicenceTDM
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.