Ignoring the obvious missing piece of chronic kidney disease in HIV: cigarette smoking.

Ignoring the obvious missing piece of chronic kidney disease in HIV: cigarette smoking.
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DOI:
10.1016/j.jana.2009.07.005
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发表时间:
2010-01
期刊:
The Journal of the Association of Nurses in AIDS Care : JANAC
影响因子:
--
通讯作者:
Duncan R
Duncan R
中科院分区:
其他
文献类型:
--
作者:
Míguez-Burbano MJ;Wyatt C;Lewis JE;Rodríguez A;Duncan R

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The impact of tobacco use on the development of chronic kidney disease (CKD) in people living with HIV (PLWH) has been overlooked, despite remarkably higher rates of smoking in these individuals. We examined the association between smoking and the risk of CKD in a case-controlled study that included 75 PLWH with CKD and 461 PLWH consecutively admitted to the hospital for other causes. Significant differences in gender, race/ethnicity, hypertension, hepatitis B, CD4 cell counts, and smoking between cases and controls were found, suggesting that these variables may be risk factors for CKD. In logistic regression analyses, smoking (OR = 1.97, p = 0.003), hypertension (OR = 2), and African ancestry, particularly for Black Caribbeans (OR = 2.6), were independent factors associated with CKD. Moreover, the results pointed to a dose-response relationship between packs smoked per day and CKD. Smoking was found to contribute a significant risk for CKD in our subjects.
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