Evidence map›Paper›PMID 41261274›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2026

Causes of death in people living with human immunodeficiency virus in Türkiye: a multicentre retrospective study.

Selda Sayın Kutlu, Ezgi Gülten, Adalet Altunsoy, Arzu Nazlı, Lütfiye Nilsun Altunal, Nuriye Taşdelen Fışgın, Dilek Yağcı Çağlayık, Halime Araz, Burcu Açıkalın Arıkan, Arda Kaya and 15 more

Abstract readMulticenter Study
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In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2026. 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

25 authors.

Selda Sayın KutluDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Pamukkale University, Denizli, Türkiye, Turkey. sayinkutlu@yahoo.com.
Ezgi GültenDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Ankara University, Ankara, Türkiye, Turkey.
Adalet AltunsoyDepartment of Infectious Diseases and Clinical Microbiology, Bilkent City Hospital, Ankara, Türkiye, Turkey.
Arzu NazlıDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Dokuzeylül University, İzmir, Türkiye, Turkey.
Lütfiye Nilsun AltunalDepartment of Infectious Diseases and Clinical Microbiology, Istanbul Umraniye Training and Research Hospital, İstanbul, Türkiye, Turkey.
Nuriye Taşdelen FışgınDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, İstinye University, İstanbul, Türkiye, Turkey.
Dilek Yağcı ÇağlayıkDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Marmara University, İstanbul, Türkiye, Turkey.
Halime ArazDepartment of Infectious Diseases and Clinical Microbiology, Bilkent City Hospital, Ankara, Türkiye, Turkey.
Burcu Açıkalın ArıkanDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, İzmir Katip Çelebi University, İzmir, Türkiye, Turkey.
Arda KayaDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Ege University, İzmir, Türkiye, Turkey.
Kamil MertDepartment of Infectious Diseases and Clinical Microbiology, Ministry of Health University, Tepecik Training and Research Hospital, İzmir, Türkiye, Turkey.
Şeyma ÖncülDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Uludağ University, Bursa, Türkiye, Turkey.
Ayşe BatırelDepartment of Infectious Diseases and Clinical Microbiology, Istanbul Kartal Dr. Lutfi Kirdar City Hospital, İstanbul, Turkey.
Arzu KantürkDepartment of Infectious Diseases and Clinical Microbiology, Istanbul Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, Turkey.
Aydın DeveciDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Ondokuz Mayıs University, Samsun, Türkiye, Turkey.
Melis DemirciDepartment of Infectious Diseases and Clinical Microbiology, Bozyaka Training and Research Hospital, İzmir, Türkiye, Turkey.
Asuman İnanDepartment of Infectious Diseases and Clinical Microbiology, Haydarpasa Numune Training and Research Hospital, İstanbul, Türkiye, Turkey.
Sinem Akkaya IşıkDepartment of Infectious Diseases and Clinical Microbiology, Sultan Abdulhamid Han Training and Research Hospital, İstanbul, Türkiye, Turkey.
Çiğdem Ataman HatipoğluDepartment of Infectious Diseases and Clinical Microbiology, Ankara Education and Research Hospital, Ankara, Türkiye, Turkey.
Figen Kaptan AydoğmuşDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, İzmir Katip Çelebi University, İzmir, Türkiye, Turkey.
Deniz GökenginDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Ege University, İzmir, Türkiye, Turkey.
Sabri AtalayDepartment of Infectious Diseases and Clinical Microbiology, Ministry of Health University, Tepecik Training and Research Hospital, İzmir, Türkiye, Turkey.
Halis AkalınDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Uludağ University, Bursa, Türkiye, Turkey.
Taner YıldırmakDepartment of Infectious Diseases and Clinical Microbiology, Istanbul Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, Turkey.
Volkan KortenDepartment of Infectious Diseases and Clinical Microbiology, School of Medicine, Marmara University, İstanbul, Türkiye, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEffective antiretroviral therapy has significantly reduced mortality rates among people living with HIV (PWH) and has altered the distribution of causes of death. We aimed to investigate trends in causes of death among PWH over time.

methodsWe investigated all reported deaths in the Turkish Clinical Microbiology and Infectious Diseases Society HIV Cohort. Causes of death were categorized and analyzed across four time periods: 1997-2006, 2007-2014, 2015-2019, and 2020-2023. Factors associated with HIV/AIDS-related causes of death were compared to other causes of death.

resultsA total of 9,334 PWH were followed, of which 414 deaths (4.4%) occurred, including 44 (11.6%) among individuals assigned female at birth. The most common causes of death were AIDS-related illnesses (57.7%), non-AIDS-related cancers (11.1%), and cardiovascular diseases (9.9%). Among causes of death, the rate of AIDS-related diseases has declined over the years (p<0.001). Rates of non-AIDS-related cancers (p=0.013) and non-AIDS-related infections (p=0.008) have increased, and deaths due to comorbid conditions such as cardiovascular diseases have remained stable (p=0.193). In multivariate analysis, AIDS-related deaths were significantly associated with an increased risk in individuals who had an AIDS-defining illness at baseline. The rate of AIDS-related deaths declined in later periods compared to 1997-2006. AIDS-related deaths decreased with older age at HIV diagnosis. The rate of AIDS-related deaths was less frequent among men who have sex with men, smokers, and ex-smokers, individuals on antiretroviral therapy, those with higher CD4 counts, and individuals with comorbid diseases.

conclusionsAmong all deaths, AIDS-related deaths have declined. In contrast, the proportion of deaths attributed to non-AIDS-related cancers has increased, and the mortality rate from cardiovascular disease has remained unchanged over the years. Therefore, it is crucial to implement interventions that address comorbid conditions, particularly by enhancing the management of cardiovascular disease and cancer.

Indexed as

HIV InfectionsAcquired Immunodeficiency SyndromeAdultAgedCardiovascular DiseasesCause of DeathFemaleHumansMaleMiddle AgedNeoplasmsRetrospective StudiesRisk FactorsTurkeyYoung AdultCancerCardiovascular diseaseCause of deathHIV/AIDSInfection

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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.