Evidence map›Paper›PMID 33247876›Full record

ArticleHIV medicine2021

Risk of chronic kidney disease in people living with HIV by tenofovir disoproxil fumarate (TDF) use and baseline D:A:D chronic kidney disease risk score.

R Hsu, L Brunet, J Fusco, A Beyer, G Prajapati, C Wyatt, M Wohlfeiler, G Fusco

Open access · hybridAbstract read
In one paragraph

Article in HIV medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 34% 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, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 4 institutions in 1 country.

R HsuNYU Langone Health Center, New York, NY, USA.
L BrunetEpividian Inc., Durham, NC, USA.ORCID 0000-0001-8467-4835
J FuscoEpividian Inc., Durham, NC, USA.ORCID 0000-0003-1556-811X
A BeyerMerck & Co., Inc., Kenilworth, NJ, USA.
G PrajapatiMerck & Co., Inc., Kenilworth, NJ, USA.
C WyattDuke University, Durham, NC, USA.
M WohlfeilerAIDS Healthcare Foundation, Miami, FL, USA.
G FuscoEpividian Inc., Durham, NC, USA.
Eboo Pharmaceuticals (United States) · USAIDS Healthcare Foundation · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USDuke University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the risk of chronic kidney disease (CKD) associated with tenofovir disoproxil fumarate (TDF) use by baseline D:A:D CKD risk score.

methodsAdult antiretroviral therapy (ART)-naïve people living with HIV (PLWH) initiating treatment, with estimated glomerular filtration rate (eGFR) ≥ 60 mL/min/1.73 m

resultsOf 9802 PLWH included, 6222 initiated TDF and 3580 did not (76% and 79% low D:A:D CKD risk, respectively). Overall, 125 CKD events occurred over 24 382 person-years of follow-up. Within strata of D:A:D CKD risk score, IRs were similar across TDF exposure, with high baseline CKD risk associated with highest incidence. Compared with the low-risk group without TDF, there was no statistical difference in odds of incident CKD in the low-risk group with TDF (adjusted odds ratio = 0.55, 95% confidence interval: 0.19-1.54). Odds of incident CKD did not differ statistically significantly by pharmacoenhancer exposure, with or without TDF.

conclusionsIn this large cohort of ART-naïve PLWH, incident CKD following ART initiation was infrequent and strongly associated with baseline CKD risk. TDF-containing regimens did not increase the odds of CKD in those with a low baseline D:A:D CKD risk, the largest group of ART-naïve PLWH, and may remain a viable treatment option in appropriate settings.

Indexed as

Anti-HIV AgentsHIV InfectionsRenal Insufficiency, ChronicAdultGlomerular Filtration RateHumansRisk FactorsTenofovirAnti-HIV AgentsTenofovirantiretroviral therapychronic kidney diseaseD:A:D CKD risk scoreHIVTDF

Identifiers

PMID33247876
PMCPMC8246783
OpenAlexW3108455822

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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 OpenQuestion graph.