Chronic Kidney Disease and Nephrology Care in People Living with HIV in Central/Eastern Europe and Neighbouring Countries—Cross-Sectional Analysis from the Ecee Network

Bibliographic Data

ID15510622
AuthorsBartłomiej Matłosz (0000-0002-9885-9600, Medical University of Warsaw, corresponding author), Agata Skrzat‐Klapaczyńska (0000-0002-6367-5633, Medical University of Warsaw), Agata Skrzat-Klapaczyńska (Medical University of Warsaw), Sergii Antoniak (0000-0003-3332-2762, L.V. Gromashevsky Institute of Epidemiology and Infectious Diseases of the National Academy of Medical Sciences of Ukraine), Tatevik Balayan (0000-0003-4478-4129, National Statistical Service of the Republic of Armenia), Josip Begovac (0000-0003-2641-4327, University of Zagreb), Gordana Dragović (0000-0002-0438-0309, University of Belgrade), Д А Гусев (0000-0001-9202-3231, First Pavlov State Medical University of St. Petersburg), Denis Gusev (Botkin’s Infectious Disease Hospital, First Saint-Petersburg State Medical University Named after I.P. Pavlov, 197022 Saint-Petersburg, Russia), Djordje Jevtović (0000-0003-1127-6072, University of Belgrade), David Jilich (0000-0002-6141-4640, Charles University), Kerstin Kase (0000-0002-8695-108X, West Tallinn Central Hospital, 10111 Tallinn, Estonia), Kerstin Aimla (East Tallinn Central Hospital), Botond Lakatos (0000-0001-7276-7639, National Institute of Hematology and Infectious Diseases, South-Pest Central Hospital, National Center of HIV, 1007 Budapest, Hungary), Raimonda Matulionytė (0000-0003-4791-3133, Vilnius University), Aleksandr Panteleev (City TB Dispensary, 101000 Moscow, Russia), Antonios Papadopoulos (0000-0003-4735-2620, National and Kapodistrian University of Athens), Nino Rukhadze (0000-0003-4055-086X, AIDS and Clinical Immunology Research Center), Dalibor Sedláček (0000-0003-4711-6679, Charles University), Milena Stevanovic (0000-0003-4286-7334, PHI University Psychiatric Clinic - Skopje), Anna Vassilenko (0000-0003-1907-2322, RSPC MT), Antonija Verhaz (0000-0002-5558-976X, University of Banja Luka), Nina Yancheva (0000-0002-0095-263X, National Specialized Hospital for Active Treatment of Hematologic Diseases), Oleg Yurin (0000-0003-1930-7486, Central Research Institute of Epidemiology), Andrzej Horban (0000-0003-3274-4162, Medical University of Warsaw), Justyna Kowalska (0000-0003-1166-4462, Medical University of Warsaw), Justyna D Kowalska (Medical University of Warsaw)
Year2022
Volume19
Issue19
Pages12554-12554
Publication date2022-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph191912554
PMID36231850
OpenAlexW4303696545
LanguageEN
References cited20

Chronic kidney disease (CKD) is a significant cause of morbidity and mortality among patients infected with human immunodeficiency virus (HIV). The Central and East Europe (CEE) region consists of countries with highly diversified HIV epidemics, health care systems and socioeconomic status. The aim of the present study was to describe variations in CKD burden and care between countries. The Euroguidelines in the CEE Network Group includes 19 countries and was initiated to improve the standard of care for HIV infection in the region. Information on kidney care in HIV-positive patients was collected through online surveys sent to all members of the Network Group. Almost all centres use regular screening for CKD in all HIV (+) patients. Basic diagnostic tests for kidney function are available in the majority of centres. The most commonly used method for eGFR calculation is the Cockcroft-Gault equation. Nephrology consultation is available in all centres. The median frequency of CKD was 5% and the main cause was comorbidity. Haemodialysis was the only modality of treatment for kidney failure available in all ECEE countries. Only 39% of centres declared that all treatment options are available for HIV+ patients. The most commonly indicated barrier in kidney care was patients' noncompliance. In the CEE region, people living with HIV have full access to screening for kidney disease but there are important limitations in treatment. The choice of dialysis modality and access to kidney transplantation are limited. The main burden of kidney disease is unrelated to HIV infection. Patient care can be significantly improved by addressing noncompliance

Central asia · Cross-sectional study · Disease · Environmental health · Family medicine · Geography · Human immunodeficiency virus (HIV · Kidney disease · Pathology · HIV-related health complications and treatments · HIV/AIDS Research and Interventions · Medicine · Pregnancy and Medication Impact · Gerontology · Internal Medicine · Nephrology