Hepatitis C Viremia and the Risk of Chronic Kidney Disease in HIV-Infected Individuals

Hepatitis C Viremia and the Risk of Chronic Kidney Disease in HIV-Infected Individuals
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DOI:
10.1093/infdis/jit373
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发表时间:
2013-10-15
影响因子:
6.4
通讯作者:
Butt, Adeel A.
Butt, Adeel A.
中科院分区:
医学2区
文献类型:
--
作者:
Lucas, Gregory M.;Jing, Yuezhou;Butt, Adeel A.

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背景活动性丙型肝炎病毒(HCV)复制在慢性肾脏病(CKD)风险中的作用尚未阐明。我们比较了一个大型队列中HCV血清阴性、HCV病毒血症(可检测到HCV RNA)或HCV病毒血症(HCV血清阳性,不可检测到HCV RNA)的HIV感染受试者的CKD发病率。根据标准标准定义3期和5期CKD。进展性CKD定义为肾小球滤过率(GFR)从基线持续降低25%至GFR
Background. The role of active hepatitis C virus (HCV) replication in chronic kidney disease (CKD) risk has not been clarified.Methods. We compared CKD incidence in a large cohort of HIV-infected subjects who were HCV seronegative, HCV viremic (detectable HCV RNA), or HCV aviremic (HCV seropositive, undetectable HCV RNA). Stages 3 and 5 CKD were defined according to standard criteria. Progressive CKD was defined as a sustained 25% glomerular filtration rate (GFR) decrease from baseline to a GFR