Renal function trajectories in hepatitis C infection: differences between renal healthy and chronic kidney disease individuals
Journal
Scientific reports
Journal Volume
11
Journal Issue
1
Date Issued
2021
Author(s)
Hsu, Cheng-Kai
Chen, Yih-Ting
Tseng, Yi-Ju
Lee, Chin-Chan
Chen, Chun-Yu
Hsu, Heng-Jung
Pan, Heng-Chih
Chen, Li-Wei
Chien, Cheng-Hung
Lin, Chih-Lang
Chien, Rong-Nan
Wu, I-Wen
Abstract
Associations between hepatitis C virus (HCV) and chronic kidney disease (CKD) have been reported; however, differences of renal progression between general and CKD population remain to be elucidated in prospective studies. A total of 1179 participants, who have tested for anti-HCV antibody, were enrolled and prospectively followed for 3 years. The risks associated with HCV infection, in terms of incidence of CKD, annual estimated glomerular filtration rate (eGFR) changes and 50% decline of eGFR at 3-year from baseline, were compared between normal renal function subjects and CKD patients. Overall, 111 of 233 (47.6%) CKD patients and 167 of 946 (17.7%) non-CKD subjects had HCV infection. The crude incidence rates of CKD were 226.9 per 1000 person-years and 14.8 per 1000 person-years in in HCV and non-HCV infected patients, respectively. The adjusted hazard ratio of HCV infection for incident CKD was 7.9 (95% CI 5-12.7). The HCV-infected normal renal function subjects were independently associated with increased risks of eGFR decline in the 1-year, 2-year and 3-year, respectively. The risk associations remained significant in 50% decline of eGFR at 3 years models and in different subgroup analyses. The increases of risks of eGFR decline were also notorious among overall HCV-infected CKD patients. However, the risk associations were less prominent in subgroup analyses (elderly, women and diabetic patients). The findings highlighted the importance of viral diagnosis with not only prognostic but also public health implications for preserving kidney function.
SDGs
Other Subjects
aged; chronic kidney failure; clinical trial; complication; female; glomerulus filtration rate; hepatitis C; human; incidence; kidney; male; middle aged; pathophysiology; Aged; Female; Glomerular Filtration Rate; Hepatitis C; Humans; Incidence; Kidney; Male; Middle Aged; Renal Insufficiency, Chronic
Type
journal article