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

Bartłomiej Matłosz (), Agata Skrzat-Klapaczyńska, Sergii Antoniak, Tatevik Balayan, Josip Begovac, Gordana Dragovic, Denis Gusev, Djordje Jevtovic, David Jilich, Kerstin Aimla, Botond Lakatos, Raimonda Matulionyte, Aleksandr Panteleev, Antonios Papadopoulos, Nino Rukhadze, Dalibor Sedláček, Milena Stevanovic, Anna Vassilenko, Antonija Verhaz, Nina Yancheva, Oleg Yurin, Andrzej Horban and Justyna D. Kowalska
Additional contact information
Bartłomiej Matłosz: HIV Outpatient Clinic, Hospital for Infectious Diseases, Medical University of Warsaw, 02-091 Warszawa, Poland
Agata Skrzat-Klapaczyńska: Department of Adults’ Infectious Diseases, Hospital for Infectious Diseases, Medical University of Warsaw, 02-091 Warszawa, Poland
Sergii Antoniak: Viral Hepatitis and AIDS Department, Gromashevsky Institute of Epidemiology and Infectious Diseases, 01001 Kyiv, Ukraine
Tatevik Balayan: National Center for Disease Control and Prevention, Yerevan 0002, Armenia
Josip Begovac: School of Medicine, University Hospital for Infectious Diseases, University of Zagreb, 10000 Zagreb, Croatia
Gordana Dragovic: Department of Pharmacology, Clinical Pharmacology and Toxicology, School of Medicine, University of Belgrade, 11000 Belgrade, Serbia
Denis Gusev: Botkin’s Infectious Disease Hospital, First Saint-Petersburg State Medical University Named after I.P. Pavlov, 197022 Saint-Petersburg, Russia
Djordje Jevtovic: Infectious Disease Hospital, Belgrade University School of Medicine, 11000 Belgrade, Serbia
David Jilich: Department of Infectious Diseases, 1st Faculty of Medicine, Charles University in Prague and Faculty Hospital Bulovka Hospital, 18000 Prague, Czech Republic
Kerstin Aimla: West Tallinn Central Hospital, 10111 Tallinn, Estonia
Botond Lakatos: National Institute of Hematology and Infectious Diseases, South-Pest Central Hospital, National Center of HIV, 1007 Budapest, Hungary
Raimonda Matulionyte: Faculty of Medicine, Vilnius University, Vilnius University Hospital Santaros Klinikos, 08410 Vilnius, Lithuania
Aleksandr Panteleev: City TB Dispensary, 101000 Moscow, Russia
Antonios Papadopoulos: University General Hospital Attikon, Medical School, National and Kapodistrian University of Athens, 15772 Athens, Greece
Nino Rukhadze: Infectious Diseases, AIDS and Clinical Immunology Center, 112482 Tblisi, Georgia
Dalibor Sedláček: Faculty of Medicine in Plzeň, University Hospital Plzeň, Charles University, 30599 Plzen, Czech Republic
Milena Stevanovic: University Clinic for Infectious Diseases and Febrile Conditions, 1000 Skopje, North Macedonia
Anna Vassilenko: Global Fund Grant Management Department, Republican Scientific and Practical Center for Medical Technologies, 220004 Minsk, Belarus
Antonija Verhaz: Department for Infectious Diseases, Faculty of Medicine, University of Banja Luka, 78 000 Banja Luka, Republika Srpska, Bosnia and Herzegovina
Nina Yancheva: Department for AIDS, Specialized Hospital for Active Treatment of Infectious and Parasitic Disease, 1000 Sofia, Bulgaria
Oleg Yurin: Central Research Institute of Epidemiology, Federal AIDS Centre, 101000 Moscow, Russia
Andrzej Horban: Department of Adults’ Infectious Diseases, Hospital for Infectious Diseases, Medical University of Warsaw, 02-091 Warszawa, Poland
Justyna D. Kowalska: Department of Adults’ Infectious Diseases, Hospital for Infectious Diseases, Medical University of Warsaw, 02-091 Warszawa, Poland

IJERPH, 2022, vol. 19, issue 19, 1-12

Abstract: 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.

Keywords: HIV; chronic kidney disease; Central and Eastern Europe (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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