Research output: Contribution to journal › Article › Academic › peer-review
Effect of HCV infection on cause-specific mortality after HIV seroconversion, before and after 1997. / van der Helm, Jannie; Geskus, Ronald; Sabin, Caroline et al.
In: Gastroenterology, Vol. 144, No. 4, 2013, p. 751-760.e2.Research output: Contribution to journal › Article › Academic › peer-review
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TY - JOUR
T1 - Effect of HCV infection on cause-specific mortality after HIV seroconversion, before and after 1997
AU - van der Helm, Jannie
AU - Geskus, Ronald
AU - Sabin, Caroline
AU - Meyer, Laurence
AU - del Amo, Julia
AU - Chene, Genevieve
AU - Dorrucci, Maria
AU - Muga, Roberto
AU - Porter, Kholoud
AU - Prins, Maria
AU - AUTHOR GROUP
AU - Bucher, Heiner C.
AU - Hamouda, Osamah
AU - Pillay, Deenan
AU - Rosinska, Magda
AU - Touloumi, Giota
AU - Olson, Ashley
AU - Coughlin, Kate
AU - Walker, Sarah
AU - Babiker, Abdel
AU - de Luca, Andrea
AU - Fisher, Martin
AU - Zangerle, Robert
AU - Kelleher, Tony
AU - Cooper, David
AU - Grey, Pat
AU - Finlayson, Robert
AU - Bloch, Mark
AU - Ramacciotti, Tim
AU - Gelgor, Linda
AU - Smith, Don
AU - Gill, John
AU - Lutsar, Irja
AU - Dabis, Francois
AU - Thiebaut, Rodolphe
AU - Masquelier, Bernard
AU - Costagliola, Dominique
AU - Guiguet, Marguerite
AU - Vanhems, Philippe
AU - Ghosn, Jade
AU - Boufassa, Faroudy
AU - Kuecherer, Claudia
AU - Bartmeyer, Barbara
AU - Paparizos, Vasilios
AU - Gargalianos-Kakolyris, Panagiotis
AU - Lazanas, Marios
AU - Pantazis, Nikos
AU - Katsarou, Olga
AU - D'Arminio Monforte, Antonella
AU - Schuitemaker, Hanneke
AU - Sannes, Mette
PY - 2013
Y1 - 2013
N2 - Individuals with human immunodeficiency virus (HIV) infection frequently also are infected with hepatitis C virus (HCV) (co-infection), but little is known about its effects on the progression of HIV-associated disease. We aimed to determine the effects of co-infection on mortality from HIV and/or acquired immune deficiency syndrome (AIDS), and hepatitis or liver disease, adjusting for the duration of HIV infection. We analyzed data from the 16 cohorts of the Concerted Action on Seroconversion to AIDS and Death in Europe (CASCADE) collaboration, which included information on HCV infection and cause of death. A competing-risks proportional subdistribution hazards model was used to evaluate the effect of HCV infection on the following causes of death: HIV- and/or AIDS-related, hepatitis- or liver-related, natural, and non-natural. Of 9164 individuals with HIV infection and a known date of seroconversion, 2015 (22.0%) also were infected with HCV. Of 718 deaths, 395 (55.0%) were caused by HIV infection and/or AIDS, and 39 (5.4%) were caused by hepatitis or liver-related disease. Among individuals infected with only HIV or with co-infection, the mortality from HIV infection and/or AIDS-related causes and hepatitis or liver disease decreased significantly after 1997, when combination antiretroviral therapy became widely available. However, after 1997, HIV and/or AIDS-related mortality was higher among co-infected individuals than those with only HIV infection in each risk group: injection drug use (adjusted hazard ratio [aHR], 2.43; 95% confidence interval [CI], 1.14-5.20), sex between men and women or hemophilia (aHR, 3.43; 95% CI, 1.70-6.93), and sex between men (aHR, 3.11; 95% CI, 1.49-6.48). Compared with individuals infected with only HIV, co-infected individuals had a higher risk of death from hepatitis or liver disease. Based on analysis of data from the CASCADE collaboration, since 1997, when combination antiretroviral therapy became widely available, individuals co-infected with HIV and HCV have had a higher risk of death from HIV and/or AIDS, and from hepatitis or liver disease, than patients infected with only HIV. It is necessary to evaluate the effects of HCV therapy on HIV progression
AB - Individuals with human immunodeficiency virus (HIV) infection frequently also are infected with hepatitis C virus (HCV) (co-infection), but little is known about its effects on the progression of HIV-associated disease. We aimed to determine the effects of co-infection on mortality from HIV and/or acquired immune deficiency syndrome (AIDS), and hepatitis or liver disease, adjusting for the duration of HIV infection. We analyzed data from the 16 cohorts of the Concerted Action on Seroconversion to AIDS and Death in Europe (CASCADE) collaboration, which included information on HCV infection and cause of death. A competing-risks proportional subdistribution hazards model was used to evaluate the effect of HCV infection on the following causes of death: HIV- and/or AIDS-related, hepatitis- or liver-related, natural, and non-natural. Of 9164 individuals with HIV infection and a known date of seroconversion, 2015 (22.0%) also were infected with HCV. Of 718 deaths, 395 (55.0%) were caused by HIV infection and/or AIDS, and 39 (5.4%) were caused by hepatitis or liver-related disease. Among individuals infected with only HIV or with co-infection, the mortality from HIV infection and/or AIDS-related causes and hepatitis or liver disease decreased significantly after 1997, when combination antiretroviral therapy became widely available. However, after 1997, HIV and/or AIDS-related mortality was higher among co-infected individuals than those with only HIV infection in each risk group: injection drug use (adjusted hazard ratio [aHR], 2.43; 95% confidence interval [CI], 1.14-5.20), sex between men and women or hemophilia (aHR, 3.43; 95% CI, 1.70-6.93), and sex between men (aHR, 3.11; 95% CI, 1.49-6.48). Compared with individuals infected with only HIV, co-infected individuals had a higher risk of death from hepatitis or liver disease. Based on analysis of data from the CASCADE collaboration, since 1997, when combination antiretroviral therapy became widely available, individuals co-infected with HIV and HCV have had a higher risk of death from HIV and/or AIDS, and from hepatitis or liver disease, than patients infected with only HIV. It is necessary to evaluate the effects of HCV therapy on HIV progression
U2 - 10.1053/j.gastro.2012.12.026
DO - 10.1053/j.gastro.2012.12.026
M3 - Article
C2 - 23266560
VL - 144
SP - 751-760.e2
JO - Gastroenterology
JF - Gastroenterology
SN - 0016-5085
IS - 4
ER -
ID: 1816785