Prevalence and incidence of pulmonary hypertension among HIV-infected people in Africa: a systematic review and meta-analysis
Identifieur interne : 001904 ( Main/Exploration ); précédent : 001903; suivant : 001905Prevalence and incidence of pulmonary hypertension among HIV-infected people in Africa: a systematic review and meta-analysis
Auteurs : Jean Joel R. Bigna [Cameroun, France] ; Jobert Richie N. Nansseu [Cameroun] ; Lewis N. Um [Cameroun] ; Steve Raoul N. Noumegni [Cameroun] ; Paule Sandra D. Simé [Cameroun] ; Leopold Ndemngue Aminde [Australie, Cameroun] ; Sinata Koulla-Shiro [Cameroun] ; Jean Jacques N. Noubiap [Afrique du Sud, Cameroun]Source :
- BMJ Open [ 2044-6055 ] ; 2016.
Abstract
Patients infected with HIV have a direly increased risk of developing pulmonary hypertension (PH), and of dying from the condition. While Africa carries the greatest burden of HIV infection worldwide, there is unclear data summarising the epidemiology of PH among HIV-infected people in this region. Our objective was to determine the prevalence and incidence of PH among HIV-infected people living across Africa.
A systematic review and meta-analysis.
HIV-infected African people residing in Africa.
Prevalence and incidence of PH diagnosed through echocardiography or right heart catheterisation.
Articles published in PubMed/MEDLINE, EMBASE, African Journals Online and African Index Medicus between 1 January 1980 and 30 June 2016, without any language restriction.
Overall, 121 studies were screened; 3 were included in this review: 1 from Southern Africa (South Africa), 1 from Eastern Africa (Tanzania) and 1 from Central Africa (Cameroon). These studies included HIV-infected adult patients selected based on presentation with cardiovascular symptoms. No study reported PH incidence or PH incidence/prevalence among children and adolescents. The quality assessment yielded moderate risk of bias. Ages of participants ranged between 18 and 78 years, and the proportion of females varied between 52.3% and 68.8%. The prevalence of PH in the pooled sample of 664 patients was 14% (95% CI 6%–23%).
Only 3 studies were found eligible from 3 regions of the African continent.
The prevalence of PH among HIV-infected people in Africa seems very high. Further studies are urgently warranted to determine the incidence of HIV-induced PH, which must include all subregions of Africa.
Review registration number PROSPERO CRD42016033863.
Url:
DOI: 10.1136/bmjopen-2016-011921
PubMed: 27554104
PubMed Central: 5013504
Affiliations:
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Le document en format XML
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<author><name sortKey="Koulla Shiro, Sinata" sort="Koulla Shiro, Sinata" uniqKey="Koulla Shiro S" first="Sinata" last="Koulla-Shiro">Sinata Koulla-Shiro</name>
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<author><name sortKey="Noubiap, Jean Jacques N" sort="Noubiap, Jean Jacques N" uniqKey="Noubiap J" first="Jean Jacques N" last="Noubiap">Jean Jacques N. Noubiap</name>
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<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>Patients infected with HIV have a direly increased risk of developing pulmonary hypertension (PH), and of dying from the condition. While Africa carries the greatest burden of HIV infection worldwide, there is unclear data summarising the epidemiology of PH among HIV-infected people in this region. Our objective was to determine the prevalence and incidence of PH among HIV-infected people living across Africa.</p>
</sec>
<sec><title>Design</title>
<p>A systematic review and meta-analysis.</p>
</sec>
<sec><title>Participants</title>
<p>HIV-infected African people residing in Africa.</p>
</sec>
<sec><title>Outcome</title>
<p>Prevalence and incidence of PH diagnosed through echocardiography or right heart catheterisation.</p>
</sec>
<sec><title>Data sources</title>
<p>Articles published in PubMed/MEDLINE, EMBASE, African Journals Online and African Index Medicus between 1 January 1980 and 30 June 2016, without any language restriction.</p>
</sec>
<sec><title>Results</title>
<p>Overall, 121 studies were screened; 3 were included in this review: 1 from Southern Africa (South Africa), 1 from Eastern Africa (Tanzania) and 1 from Central Africa (Cameroon). These studies included HIV-infected adult patients selected based on presentation with cardiovascular symptoms. No study reported PH incidence or PH incidence/prevalence among children and adolescents. The quality assessment yielded moderate risk of bias. Ages of participants ranged between 18 and 78 years, and the proportion of females varied between 52.3% and 68.8%. The prevalence of PH in the pooled sample of 664 patients was 14% (95% CI 6%–23%).</p>
</sec>
<sec><title>Limitations</title>
<p>Only 3 studies were found eligible from 3 regions of the African continent.</p>
</sec>
<sec><title>Conclusions</title>
<p>The prevalence of PH among HIV-infected people in Africa seems very high. Further studies are urgently warranted to determine the incidence of HIV-induced PH, which must include all subregions of Africa.</p>
</sec>
<sec><title>Trial registration number</title>
<p>Review registration number PROSPERO CRD42016033863.</p>
</sec>
</div>
</front>
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<affiliations><list><country><li>Afrique du Sud</li>
<li>Australie</li>
<li>Cameroun</li>
<li>France</li>
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<name sortKey="Aminde, Leopold Ndemngue" sort="Aminde, Leopold Ndemngue" uniqKey="Aminde L" first="Leopold Ndemngue" last="Aminde">Leopold Ndemngue Aminde</name>
<name sortKey="Koulla Shiro, Sinata" sort="Koulla Shiro, Sinata" uniqKey="Koulla Shiro S" first="Sinata" last="Koulla-Shiro">Sinata Koulla-Shiro</name>
<name sortKey="Koulla Shiro, Sinata" sort="Koulla Shiro, Sinata" uniqKey="Koulla Shiro S" first="Sinata" last="Koulla-Shiro">Sinata Koulla-Shiro</name>
<name sortKey="Nansseu, Jobert Richie N" sort="Nansseu, Jobert Richie N" uniqKey="Nansseu J" first="Jobert Richie N" last="Nansseu">Jobert Richie N. Nansseu</name>
<name sortKey="Nansseu, Jobert Richie N" sort="Nansseu, Jobert Richie N" uniqKey="Nansseu J" first="Jobert Richie N" last="Nansseu">Jobert Richie N. Nansseu</name>
<name sortKey="Noubiap, Jean Jacques N" sort="Noubiap, Jean Jacques N" uniqKey="Noubiap J" first="Jean Jacques N" last="Noubiap">Jean Jacques N. Noubiap</name>
<name sortKey="Noumegni, Steve Raoul N" sort="Noumegni, Steve Raoul N" uniqKey="Noumegni S" first="Steve Raoul N" last="Noumegni">Steve Raoul N. Noumegni</name>
<name sortKey="Sime, Paule Sandra D" sort="Sime, Paule Sandra D" uniqKey="Sime P" first="Paule Sandra D" last="Simé">Paule Sandra D. Simé</name>
<name sortKey="Um, Lewis N" sort="Um, Lewis N" uniqKey="Um L" first="Lewis N" last="Um">Lewis N. Um</name>
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<country name="France"><noRegion><name sortKey="Bigna, Jean Joel R" sort="Bigna, Jean Joel R" uniqKey="Bigna J" first="Jean Joel R" last="Bigna">Jean Joel R. Bigna</name>
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<country name="Australie"><noRegion><name sortKey="Aminde, Leopold Ndemngue" sort="Aminde, Leopold Ndemngue" uniqKey="Aminde L" first="Leopold Ndemngue" last="Aminde">Leopold Ndemngue Aminde</name>
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