Evidence map›Paper›PMID 32762646›Full record

ArticleBMC infectious diseases2020

Renal function in Ethiopian HIV-positive adults on antiretroviral treatment with and without tenofovir.

Daniel Yilma, Alemseged Abdissa, Pernille Kæstel, Markos Tesfaye, Mette F Olsen, Tsinuel Girma, Christian Ritz, Henrik Friis, Åse B Andersen, Ole Kirk

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
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

10 authors at 3 institutions in 2 countries.

Daniel YilmaDepartment of Internal Medicine, Jimma University, Jimma, Ethiopia. danielyilmab@gmail.com.ORCID http://orcid.org/0000-0001-6058-2696
Alemseged AbdissaJimma University Clinical and Nutrition Research Centre, Jimma University, Jimma, Ethiopia.
Pernille KæstelDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Markos TesfayeJimma University Clinical and Nutrition Research Centre, Jimma University, Jimma, Ethiopia.
Mette F OlsenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Tsinuel GirmaJimma University Clinical and Nutrition Research Centre, Jimma University, Jimma, Ethiopia.
Christian RitzDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Henrik FriisDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Åse B AndersenDepartment of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark.
Ole KirkDepartment of Infectious Diseases, Rigshospitalet, Copenhagen, Denmark.
University of Copenhagen · DKJimma University · ETUniversity of Southern Denmark · DK

Funding

US Dairy Export Council and Ministry of Foreign Affairs of Denmark (DANIDA) No
6 · The paper itself

Abstract

backgroundLimited data are available on the effect of antiretroviral treatment (ART) or Tenofovir disoproxil fumarate (TDF) on renal function in Ethiopians. We aimed to assess factors associated with renal function changes during the first year of ART with special focus on TDF.

methodsHIV positive persons who were ≥ 18 years of age and eligible for ART initiation were recruited. Creatinine measurement to estimate glomerular filtration rate (eGFR) and spot urine analyses were performed at baseline and after 3, 6 and 12 months of ART. Univariate and multivariate linear regression and univariate logistic regression were used to determine factors associated with eGFR as continuous and categorical variable respectively. A linear mixed model was used to assess 12 month eGFR difference in TDF and non-TDF based regimen.

resultOf 340 ART-naïve HIV patients with baseline renal function tests, 82.3% (279/339) were initiated on a TDF based ART regimen. All patients were on non-nucleoside reverse transcriptase inhibitors (NNRTI) based ART regimen. The median (IQR) change in eGFR with 12 months of ART was 0.8 (- 11.1; 10.0) ml/min/1.73m

conclusionRenal function remained stable with no difference between HIV patients treated with TDF or non-TDF NNRTI based ART regimen over 12 months. However, older HIV patients and those with unsuppressed viral load deserve special focus on renal monitoring. Data on long-term safety of TDF (> 1 year) is still warranted in this population.

Indexed as

AdolescentAdultAnti-HIV AgentsCreatinineEthiopiaFemaleFollow-Up StudiesGlomerular Filtration RateHIV InfectionsHumansKidneyMaleMiddle AgedProteinuriaRisk FactorsTenofovirAnti-HIV AgentsCreatinineTenofovirAntiretroviral treatmentHIVRenal functionTenofovir

Identifiers

PMID32762646
PMCPMC7409649
OpenAlexW3047563051

What OpenQuestion holds

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LicenceCC BY
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.