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10.1371/journal.pone.0195443 http://scihub22266oqcxt.onion/10.1371/journal.pone.0195443 C5901989!5901989!29659605     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=29659605&cmd=llinks): Failed to open stream: HTTP request failed! 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Chronic kidney disease in the global adult HIV-infected population: A systematic review and meta-analysis |pdf=|usr=}}{{29659605}} gab.com Text Chronic kidney disease in the global adult HIV-infected population: A systematic review and meta-analysis JO: PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=29659605 #FOAvip Introduction: The widespread use of antiretroviral therapies (ART) has increased life expectancy in HIV patients, predisposing them to chronic non-communicable diseases including Chronic Kidney Disease (CKD). We performed a systematic review and meta-analysis (PROSPERO registration number CRD42016036246) to determine the global and regional prevalence of CKD in HIV patients. Methods: We searched PubMed, Web of Science, EBSCO and AJOL for articles published between January 1982 and May 2016. CKD was defined as estimated glomerular filtration rate (eGFR) <60ml/min using the MDRD, Cockcroft-Gault or CKD-EPI equations. Random effects model was used to combine prevalence estimates from across studies after variance stabilization via Freeman?Tukey transformation. Result: Sixty-one eligible articles (n = 209,078 HIV patients) in 60 countries were selected. The overall CKD prevalence was 6.4% (95%CI 5.2?7.7%) with MDRD, 4.8% (95%CI 2.9?7.1%) with CKD-EPI and 12.3% (95%CI 8.4?16.7%) with Cockcroft?Gault; p = 0.003 for difference across estimators. Sub-group analysis identified differences in prevalence by WHO region with Africa having the highest MDRD-based prevalence at 7.9% (95%CI 5.2?11.1%). Within Africa, the pooled MDRD-based prevalence was highest in West Africa [14.6% (95%CI 9.9?20.0%)] and lowest in Southern Africa (3.2%, 95%CI 3.0?3.4%). The heterogeneity observed could be explained by WHO region, comorbid hypertension and diabetes mellitus, but not by gender, hepatitis B or C coinfection, CD4 count or antiretroviral status. Conclusion: CKD is common in HIV-infected people, particularly in Africa. HIV treatment programs need to intensify screening for CKD with added need to introduce global guidelines for CKD identification and treatment in HIV positive patients. Twit Text FOAVip Chronic kidney disease in the global adult HIV-infected population: A systematic review and meta-analysis ????PLoS One http://www.kidney.de/pget.php?&tw=1&pmid=29659605 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29659605 #FOAvip English Wikipedia <ref>{{Cite pmid|29659605}}</ref> Chronic kidney disease in the global adult HIV-infected population: A systematic review and meta-analysis #MMPMID29659605 Ekrikpo UE; Kengne AP; Bello AK; Effa EE; Noubiap JJ; Salako BL; Rayner BL; Remuzzi G; Okpechi IG PLoS One 2018[]; 13 (4): � PMID29659605show ga Introduction: The widespread use of antiretroviral therapies (ART) has increased life expectancy in HIV patients, predisposing them to chronic non-communicable diseases including Chronic Kidney Disease (CKD). We performed a systematic review and meta-analysis (PROSPERO registration number CRD42016036246) to determine the global and regional prevalence of CKD in HIV patients. Methods: We searched PubMed, Web of Science, EBSCO and AJOL for articles published between January 1982 and May 2016. CKD was defined as estimated glomerular filtration rate (eGFR) <60ml/min using the MDRD, Cockcroft-Gault or CKD-EPI equations. Random effects model was used to combine prevalence estimates from across studies after variance stabilization via Freeman?Tukey transformation. Result: Sixty-one eligible articles (n = 209,078 HIV patients) in 60 countries were selected. The overall CKD prevalence was 6.4% (95%CI 5.2?7.7%) with MDRD, 4.8% (95%CI 2.9?7.1%) with CKD-EPI and 12.3% (95%CI 8.4?16.7%) with Cockcroft?Gault; p = 0.003 for difference across estimators. Sub-group analysis identified differences in prevalence by WHO region with Africa having the highest MDRD-based prevalence at 7.9% (95%CI 5.2?11.1%). Within Africa, the pooled MDRD-based prevalence was highest in West Africa [14.6% (95%CI 9.9?20.0%)] and lowest in Southern Africa (3.2%, 95%CI 3.0?3.4%). The heterogeneity observed could be explained by WHO region, comorbid hypertension and diabetes mellitus, but not by gender, hepatitis B or C coinfection, CD4 count or antiretroviral status. Conclusion: CKD is common in HIV-infected people, particularly in Africa. HIV treatment programs need to intensify screening for CKD with added need to introduce global guidelines for CKD identification and treatment in HIV positive patients. �Chronic kidney disease in the global adult HIV-infected population: A (epmc).pdf DeepDyve Pubget Overpricing