Another team of researchers at the Veteran's Administration (VA) in the U.S. conducted an analysis of its dataset, focusing on 23,155 HIV-positive people whose health information had been collected between October 1997 and October 2004. This second VA analysis was interested in finding associations between hepatitis C virus (HCV) infection, HIV and health outcomes such as the presence of kidney disease and survival.
The study team found the following:
Taking many factors into account, and compared to co-infected people with normal kidney function, having an eGFR less than 60 -- an indicator of declining kidney health -- was highly linked to an increased risk of death, as follows:
The VA analysis should stimulate initiatives to improve medical care for co-infected people, specifically ensuring that they receive HAART as well as therapy for HCV infection and complications such as depression, heart and kidney disease.
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