Dialysis and renal transplantation in HIV-infected patients: A European survey

  • Joan Carles Trullas
  • , A. Mocroft
  • , Federico Cofan
  • , Jérome Tourret
  • , Asunción Moreno
  • , Corinne Isnard Bagnis
  • , Christoph Andreas Fux
  • , Christine Katlama
  • , P. Reiss
  • , Jens Lundgren
  • , J. M. Gatell
  • , Ole Kirk
  • , J. M. Miró (Corresponding Author)
  • , EuroSIDA Investigators
  • , Baiba Rozentāle (Member of the Working Group)
  • , Indra Zeltiņa (Member of the Working Group)

Research output: Contribution to journalArticlepeer-review

50 Citations (Scopus)

Abstract

Objectives: To determine prevalence and characteristics of endstage renal diseases (ESRD) [dialysis and renal transplantation (RT)] among European HIV-infected patients. Methods: Cross-sectional multicenter survey of EuroSIDA clinics during 2008. Results: Prevalence of ESRD was 0.5%. Of 122 patients with ESRD 96 were on dialysis and 26 had received a RT.Median age was 47 years, 73%were males and 43% were black.Median duration of HIVinfection was 11 years. Thirty-three percent had prior AIDS; 91% were receiving antiretrovirals; and 88%had undetectable viral load. Median CD4+T-cell count was 341 cells per cubic millimetre; 20.5% had hepatitis C coinfection. Most frequent causes of ESRD were HIV-associated nephropathy (46%) and other glomerulonephritis (28%). Hemodialysis (93%) was the most common dialysis modality; 34% of patients were on the RT waiting list. A poor HIV control was the reason for exclusion from RT waiting list in 22.4% of cases. All the RT recipients were all alive at the time of the survey. Acute rejection was reported in 8 patients (30%). Functioning graft was present in 21 (80%). Conclusions: This is the first multinational cross-sectional study of ESRD among European HIV population. Low prevalence of ESRD was found. Two-thirds of patients were excluded from RT for non- HIV/AIDS-related pathologies. Most patients had a functioning graft despite a high acute rejection rate.

Original languageEnglish
Pages (from-to)582-589
JournalJournal of Acquired Immune Deficiency Syndromes
Volume55
Issue number5
DOIs
Publication statusPublished - 15 Dec 2010
Externally publishedYes

Keywords*

  • chronic kidney failure
  • dialysis
  • HIV infection
  • kidney transplantation

Field of Science*

  • 3.2 Clinical medicine
  • 3.3 Health sciences

Publication Type*

  • 1.1. Scientific article indexed in Web of Science and/or Scopus database

Fingerprint

Dive into the research topics of 'Dialysis and renal transplantation in HIV-infected patients: A European survey'. Together they form a unique fingerprint.

Cite this