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Chronic kidney disease among people living with HIV on TDF based regimen: A systematic review and meta-analysis

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  • Taklo Simeneh Yazie
  • Wondimeneh Shibabaw Shiferaw
  • Asaye Alamneh Gebeyehu
  • Assefa Agegnehu Teshome
  • Zenaw Debasu Addisu
  • Abebe Muche Belete

Abstract

Introduction: Chronic kidney disease is a major public health concern among people living with human immunodeficiency virus (PLWHIV) who are taking tenofovir disoproxil fumarate-based regimen. Despite the available evidence showing a high prevalence of CKD in this population, comprehensive pooled estimate of CKD among PLWHIV receiving TDF based regimen across the globe is lacking. Hence, the present systematic review aimed to provide a global pooled prevalence estimate of CKD. Method: We conducted a systematic review of literatures published between January 2000 and May 2024. Articles and grey literature were searched from the following databases and search engine: PubMed, EMBASE, Scopus, Web of science, The Cumulative Index to Nursing and Allied Health Literature (CINHAL), and Google Scholar. We included eligible studies that report magnitude of CKD in TDF based regimen. We executed the pooled CKD, subgroup analysis, and funnel plot using random effect model. All statistical analysis including sensitivity analysis were made using Stata 17 software. Results: Sixty-nine studies with 88299 participants included in this meta-analysis. The pooled prevalence of CKD was 7% (95% CI:6–8). CD4 count less than 200 copies per milliliter, and being female were associated with CKD. Conclusion: We concluded that the magnitude of CKD across the globe is high in people living with HIV who have received TDF based regimen. Early identification of CKD by considering regular renal function monitoring, and risk factors especially low CD4 count, and female gender at birth are essential. Trial registration: The protocol has been prospectively registered with PROSPERO ((CRD42020136813).

Suggested Citation

  • Taklo Simeneh Yazie & Wondimeneh Shibabaw Shiferaw & Asaye Alamneh Gebeyehu & Assefa Agegnehu Teshome & Zenaw Debasu Addisu & Abebe Muche Belete, 2025. "Chronic kidney disease among people living with HIV on TDF based regimen: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 20(2), pages 1-23, February.
    • Handle: RePEc:plo:pone00:0318068
    DOI: 10.1371/journal.pone.0318068
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    2. Takeshi Nishijima & Hirokazu Komatsu & Hiroyuki Gatanaga & Takahiro Aoki & Koji Watanabe & Ei Kinai & Haruhito Honda & Junko Tanuma & Hirohisa Yazaki & Kunihisa Tsukada & Miwako Honda & Katsuji Teruya, 2011. "Impact of Small Body Weight on Tenofovir-Associated Renal Dysfunction in HIV-Infected Patients: A Retrospective Cohort Study of Japanese Patients," PLOS ONE, Public Library of Science, vol. 6(7), pages 1-8, July.
    3. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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