SynthesisBMC infectious diseases2025
Microalbuminuria among HIV/AIDS patients in Africa: a systematic review and meta-analysis.
Synthesis in BMC infectious diseases, 2025. 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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12 authors.
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Abstract
backgroundOver the past decade, the incidence of chronic kidney disease among HIV-seropositive people has increased at an alarming rate. Microalbuminuria is believed to be a precursor of HIV-related renal disease; early detection with intervention may prevent end-stage renal disease. Therefore, the current study was aimed at determining the pooled prevalence of microalbuminuria among HIV patients in Africa.
methodsWe accessed Google Scholar, PubMed, the Cochrane Library, EMBASE, the Web of Science, ScienceDirect, and ResearchGate to get the original research articles. We employed the I² and Cochran's Q test to assess the presence of heterogeneity between studies. Publication bias was checked by using a funnel plot and Egger's regression test. The pooled prevalence was estimated using the random-effects model. We ran the sensitivity analysis to see if there were outlier results in the included studies. Moreover, subgroup analysis was also done.
resultsThe current meta-analysis includes 16 studies with 3588 individuals. In Africa, the overall pooled prevalence of microalbuminuria in both adults and children was 22.25% (95% CI 17.38-27.13; I
conclusionThe present review study found that over one-fourth of HIV-infected patients had microalbuminuria, indicating a considerable burden of subclinical kidney disease. Therefore, HIV patients need to be screened early for microalbuminuria to prevent further renal complications. PROTOCOL REGISTRATION: It has been registered in the PROSPERO database with a registration number of CRD42023446664. CLINICAL TRIAL NUMBER: Not applicable.
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