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Chronic Kidney Disease Risk in African and Caribbean Populations With HIV

by Palfreeman, Adrian , Phillips, Andrew , Gompels, Mark , Tariq, Anjum , Ustianowski, Andy , Phillips, Andrew N , Delpech, Valerie , Burns, Fiona , Anderson, Jane , Leen, Clifford , Babiker, Abdel , Schwenk, Achim , Hill, Teresa , Williams, Debbie , Chadwick, David , Jose, Sophie , Pillay, Deenan , Winston, Alan , Hamzah, Lisa , Kegg, Stephen , Sabin, Caroline , Sabin, Caroline A , Dunn, David , Allan, Sris , Walsh, John , Orkin, Chloe , Jones, Rachael , Churchill, Duncan , Hay, Phillip , Martin, Fabiola , Gazzard, Brian , Gilson, Richard , Mital, Dushyant , Post, Frank , Ainsworth, Jonathan , Trevelion, Roy , Johnson, Margaret , Post, Frank A , Pritchard, Jillian , Nelson, Mark

in Adult / Africa, Southern / Africa, Western / Black People - statistics & numerical data / Caribbean Region / Female / HIV Infections - complications / HIV Infections - epidemiology / Humans / Major and Brief Reports / Male / Middle Aged / Renal Insufficiency, Chronic - complications / Renal Insufficiency, Chronic - epidemiology / United Kingdom

2018

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2018

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2018

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Journal Article

Chronic Kidney Disease Risk in African and Caribbean Populations With HIV

Palfreeman, Adrian,

Phillips, Andrew,

Gompels, Mark,

Tariq, Anjum,

Ustianowski, Andy,

Phillips, Andrew N,

Delpech, Valerie,

Burns, Fiona,

Anderson, Jane,

Leen, Clifford,

Babiker, Abdel,

Schwenk, Achim,

Hill, Teresa,

Williams, Debbie,

Chadwick, David,

Jose, Sophie,

Pillay, Deenan,

Winston, Alan,

Hamzah, Lisa,

Kegg, Stephen,

Sabin, Caroline,

Sabin, Caroline A,

Dunn, David,

Allan, Sris,

Walsh, John,

Orkin, Chloe,

Jones, Rachael,

Churchill, Duncan,

Hay, Phillip,

Martin, Fabiola,

Gazzard, Brian,

Gilson, Richard,

Mital, Dushyant,

Post, Frank,

Ainsworth, Jonathan,

Trevelion, Roy,

Johnson, Margaret,

Post, Frank A,

Pritchard, Jillian,

Nelson, Mark

2018

Overview

We conducted an observational cohort study of end-stage kidney disease (ESKD) in >7000 African and Caribbean people with HIV in the UK. Using Poisson regression and East Africans as the reference group, the adjusted incidence rate ratio (95% confidence interval) of ESKD was 3.14 (1.26-7.84) in Southern Africans, 6.35 (2.53-15.96) in West Africans, and 5.26 (1.91-14.43) in Caribbeans. Higher CD4 cell count and suppressed HIV replication were associated with reduced risk of ESKD. The risk of ESKD varied among HIV-positive people of African heritage, with the highest rates observed in those of West African descent.

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Publisher

Oxford University Press

Subject

Adult

/ Africa, Southern

/ Africa, Western

/ Black People - statistics & numerical data

/ Caribbean Region

/ Female

/ HIV Infections - complications