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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
B. Matłosz, A. Skrzat-Klapaczyńska, S. Antoniak, T. Balayan, J. Begovac, G. Dragovic, D. Gusev, D. Jevtovic, D. Jilich, K. Aimla, B. Lakatos, R. Matulionyte, A. Panteleev, A. Papadopoulos, N. Rukhadze, D. Sedláček, M. Stevanovic, A. Vassilenko,...
Jazyk angličtina Země Švýcarsko
Typ dokumentu časopisecké články
NLK
Free Medical Journals
od 2004
PubMed Central
od 2005
Europe PubMed Central
od 2005
ProQuest Central
od 2009-01-01
Open Access Digital Library
od 2004-01-01
Open Access Digital Library
od 2005-01-01
Medline Complete (EBSCOhost)
od 2008-12-01
Health & Medicine (ProQuest)
od 2009-01-01
Public Health Database (ProQuest)
od 2009-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2004
PubMed
36231850
DOI
10.3390/ijerph191912554
Knihovny.cz E-zdroje
- MeSH
- chronická renální insuficience * epidemiologie terapie MeSH
- HIV infekce * prevence a kontrola terapie MeSH
- lidé MeSH
- nefrologie * MeSH
- průřezové studie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
- východní Evropa MeSH
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 Research Institute of Epidemiology Federal AIDS Centre 101000 Moscow Russia
City TB Dispensary 101000 Moscow Russia
Faculty of Medicine in Plzeň University Hospital Plzeň Charles University 30599 Plzen Czech Republic
Infectious Disease Hospital Belgrade University School of Medicine 11000 Belgrade Serbia
Infectious Diseases AIDS and Clinical Immunology Center 112482 Tblisi Georgia
National Center for Disease Control and Prevention Yerevan 0002 Armenia
University Clinic for Infectious Diseases and Febrile Conditions 1000 Skopje North Macedonia
Citace poskytuje Crossref.org
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- $a 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.
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