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Nephrology consultations incorporated into HIV care – non-compliance is an important issue.

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Title: Nephrology consultations incorporated into HIV care – non-compliance is an important issue.
Authors: Matłosz, Bartłomiej (AUTHOR), Firląg-Burkacka, Ewa (AUTHOR), Horban, Andrzej (AUTHOR), Kowalska, Justyna D. (AUTHOR)
Source: AIDS Care. Feb2017, Vol. 29 Issue 2, p226-230. 5p. 1 Diagram, 1 Graph.
Subjects: Chronic kidney failure, Creatinine, Drugs, Gay men, HIV infections, Integrated health care delivery, Nephrology, Patient compliance, Research funding, Statistics, Comorbidity, Logistic regression analysis, Highly active antiretroviral therapy
Geographic Terms: Poland
Abstract: Although infrequent, kidney disease is a potentially serious co-morbidity among human immunodeficiency virus (HIV)-infected patients. The spectrum of renal impairment is very wide from clinically insignificant to end stage renal disease and often requires nephrologist’s consultation. Therefore, we established combined renal and HIV care in the HIV Out-Patient Clinic in Warsaw. Medical records of patients consulted by nephrologist from March 2014 to March 2015 were included in analyses. Patients changing medication without consulting the physician or persistently not coming for follow-up visits were defined as non-compliant. In statistical analyses, non-parametric tests and logistic regression models were used as appropriate. In total, 100 patients were consulted by a nephrologist during the study period. All patients were white Europeans, 88 (88%) male, 42 (42%) infected through men having sex with men and 16 (16%) through intravenous drug users. Fifteen (15%) patients had hepatitis C virus (HCV) infections and 11 (11%) confirmed with positive HCV RNA. The most common reasons for referral were proteinuria and increased serum creatinine. In 6 out of 31 patients (19.3% of those referred for increased creatinine level) elevated serum creatinine was due to illegal substances or diet supplements use. Fifty-seven (57%) of patients were non-compliant. In univariate logistic regression models, all tested factors were non-significant. In most cases, patients were referred to nephrologist due to possible link between laboratory abnormalities and antiretroviral treatment. In one out of five cases, elevated creatinine level was linked with substance/dietary abuse. Poor compliance is an important problem in integrated nephrological care, however we were not able to identify any factors associated with non-compliance. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Nephrology consultations incorporated into HIV care – non-compliance is an important issue.
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  Label: Authors
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  Data: <searchLink fieldCode="AR" term="%22Matłosz%2C+Bartłomiej%22">Matłosz, Bartłomiej</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Firląg-Burkacka%2C+Ewa%22">Firląg-Burkacka, Ewa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Horban%2C+Andrzej%22">Horban, Andrzej</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kowalska%2C+Justyna+D%2E%22">Kowalska, Justyna D.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Feb2017, Vol. 29 Issue 2, p226-230. 5p. 1 Diagram, 1 Graph.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Chronic+kidney+failure%22">Chronic kidney failure</searchLink><br /><searchLink fieldCode="DE" term="%22Creatinine%22">Creatinine</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Gay+men%22">Gay men</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Integrated+health+care+delivery%22">Integrated health care delivery</searchLink><br /><searchLink fieldCode="DE" term="%22Nephrology%22">Nephrology</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Highly+active+antiretroviral+therapy%22">Highly active antiretroviral therapy</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Poland%22">Poland</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Although infrequent, kidney disease is a potentially serious co-morbidity among human immunodeficiency virus (HIV)-infected patients. The spectrum of renal impairment is very wide from clinically insignificant to end stage renal disease and often requires nephrologist’s consultation. Therefore, we established combined renal and HIV care in the HIV Out-Patient Clinic in Warsaw. Medical records of patients consulted by nephrologist from March 2014 to March 2015 were included in analyses. Patients changing medication without consulting the physician or persistently not coming for follow-up visits were defined as non-compliant. In statistical analyses, non-parametric tests and logistic regression models were used as appropriate. In total, 100 patients were consulted by a nephrologist during the study period. All patients were white Europeans, 88 (88%) male, 42 (42%) infected through men having sex with men and 16 (16%) through intravenous drug users. Fifteen (15%) patients had hepatitis C virus (HCV) infections and 11 (11%) confirmed with positive HCV RNA. The most common reasons for referral were proteinuria and increased serum creatinine. In 6 out of 31 patients (19.3% of those referred for increased creatinine level) elevated serum creatinine was due to illegal substances or diet supplements use. Fifty-seven (57%) of patients were non-compliant. In univariate logistic regression models, all tested factors were non-significant. In most cases, patients were referred to nephrologist due to possible link between laboratory abnormalities and antiretroviral treatment. In one out of five cases, elevated creatinine level was linked with substance/dietary abuse. Poor compliance is an important problem in integrated nephrological care, however we were not able to identify any factors associated with non-compliance. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=119997489
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2016.1211241
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 5
        StartPage: 226
    Subjects:
      – SubjectFull: Chronic kidney failure
        Type: general
      – SubjectFull: Creatinine
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Gay men
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Integrated health care delivery
        Type: general
      – SubjectFull: Nephrology
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Statistics
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Highly active antiretroviral therapy
        Type: general
      – SubjectFull: Poland
        Type: general
    Titles:
      – TitleFull: Nephrology consultations incorporated into HIV care – non-compliance is an important issue.
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            NameFull: Matłosz, Bartłomiej
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            NameFull: Firląg-Burkacka, Ewa
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            NameFull: Horban, Andrzej
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            NameFull: Kowalska, Justyna D.
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              M: 02
              Text: Feb2017
              Type: published
              Y: 2017
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