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Table 3 Predictors of changes in estimated glomerular filtration rate

From: Chronic kidney disease and HIV in the era of antiretroviral treatment: findings from a 10-year cohort study in a west African setting

 

eGFRa (ml/min/1.73m2/year)

CI95%

p-value

eGFRa (ml/min/1.73m2/year)

CI95%

p-value

 

During first year

After first year

Baseline eGFR ≥ 90 ml/min/1.73m2, N = 2528

Baseline age, years

Ref (< 40)

40–49

1.7

[− 0.1;3.5]

0.060

0.2

[− 0.2;0.6]

0.242

≥ 50

−0.7

[− 3.2;1.8]

0.590

0.6

[−0.2;1.0]

0.197

Baseline BMI ≥ 25 Kg/m2

0.3

[− 1.9;2.5]

0.787

0.5

[0.0;1.0]

0.050

Baseline High Blood Pressure

0.3

[−2.5;3.1]

0.829

0.1

[−0.5;0.7]

0.738

WHO stage ≥3

0.4

[−1.1;2.0]

0.591

−0.2

[−0.5;0.1]

0.236

Baseline CD4 count < 100 cells/μl

−2.7

[−4.4;-1.0]

0.002

− 0.5

[− 0.8;-0.1]

0.015

cART exposure

Ref(AZT without PI)

AZT + PI

−4.7

[−7.7;-1.6]

0.002

0.1

[−0.5;0.6]

0.856

TDF without PI

−3.2

[−5.0;-1.4]

< 0.001

−0.2

[− 0.6;0.2]

0.326

TDF + PI

−13.1

[− 17.4;-8.7]

< 0.001

− 0.1

[−0.7;0.6]

0.838

d4T without PI

−5.0

[−7.6;-2.4]

< 0.001

2.7

[1.0;4.4]

0.002

d4T + PI

−8.5

[− 14.6;-2.4]

0.006

3.4

[−1.4;8.2]

0.171

ABC/ddI

0.2

[−12.8;13.1]

0.981

0.1

[−1.0;1.2]

0.884

Baseline eGFR between 60 and 89 ml/min/1.73m2, N = 517

Baseline age, years

Ref (< 40)

40–49

−8.3

[−11.7;-5.0]

< 0.001

0.9

[0.1;1.6]

0.028

≥ 50

−6.2

[−10.7;-1.8]

0.006

0.7

[−0.4;1.9]

0.193

Baseline BMI ≥ 25 Kg/m2

−2.2

[−6.1;1.7]

0.273

0.8

[−0.1;1.7]

0.076

Baseline High Blood Pressure

−2.7

[−7.4;2.0]

0.258

0.5

[−0.6;1.6]

0.362

WHO stage ≥3

2.5

[− 0.7;5.7]

0.121

−0.2

[−0.9;0.6]

0.652

Baseline CD4 count < 100 cells/μl

1.1

[−2.5;4.6]

0.549

−1.1

[−2.0;-0.3]

0.009

cART exposure

Ref(AZT without PI)

AZT + PI

0.2

[−5.4;5.8]

0.947

− 0.7

[−1.9;0.5]

0.239

TDF without PI

1.0

[−2.7;4.7]

0.590

−0.2

[−1.0;0.6]

0.631

TDF + PI

−7.2

[−15.8;1.6]

0.111

−1.1

[− 2.6;0.5]

0.167

d4T without PI

6.3

[0.5;12.1]

0.034

−1.3

[−6.6;3.6]

0.601

d4T + PI

−0.3

[−16.7;16.1]

0.974

−20.7

[− 31.8;-9.5]

< 0.001

ABC/ddI

−6.6

[−19.5;6.2]

0.313

2.4

[0.4;4.5]

0.018

Baseline eGFR < 60 ml/min/1.73m2, N = 93

Baseline age, years

Ref (< 40)

40–49

5.4

[−7.2;18.0]

0.398

2.5

[− 3.7;8.6]

0.435

≥ 50

−5.6

[−22.1;10.9]

0.506

−2.4

[−10.3;5.6]

0.564

Baseline BMI ≥ 25 Kg/m2

−14.8

[−41.2;11.6]

0.272

3.3

[−8.5;15.1]

0.581

Baseline High Blood Pressure

−28.4

[−46.9;-9.9]

0.003

−0.7

[−9.4;8.1]

0.879

WHO stage ≥3

6.4

[−6.7;19.5]

0.336

3.6

[−2.2;9.5]

0.223

Baseline CD4 count < 100 cells/μl

7.9

[−3.6;19.3]

0.179

4.8

[−0.8;10.4]

0.095

cART exposureb

Ref(AZT without PI)

AZT + PI

9.3

[−20.3;38.9]

0.537

10.0

[− 0.3;20.3]

0.058

TDF without PI

−18.9

[−33.9;-3.8]

0.014

1.4

[−2.8;5.6]

0.520

d4T without PI

−22.2

[−41.5;-2.9]

0.024

−26.1

[−51.6;-0.5]

0.045

ABC/ddI

−19.6

[−36.2;-3.0]

0.020

2.5

[−3.6;8.5]

0.425

  1. eGFR estimated Glomerular Filtration Rate, CI confidence interval, BMI body mass index, WHO World Health Organization, cART combination Antiretroviral Therapy, AZT Zidovudine, PI protease inhibitor, TDF Tenofovir Disoproxil Fumarate, d4T Stavudine, ABC abacavir, ddI didanosine
  2. aThe coefficient gives the difference of eGFR change in each period between the modality of the variable presented in the table and the reference category. A positive coefficient indicates a more favorable evolution whereas a negative coefficient indicates a less favorable evolution
  3. b2 patients only were exposed to TDF + IP containing therapy