Survival of people living with HIV who defaulted from tuberculosis treatment in a cohort, Recife, Brazil
Identifieur interne : 000189 ( Main/Exploration ); précédent : 000188; suivant : 000190Survival of people living with HIV who defaulted from tuberculosis treatment in a cohort, Recife, Brazil
Auteurs : R. Cunha ; M. Maruza ; Ur Montarroyos ; I. Coimbra ; D. De B Miranda-Filho ; M De F. Albuquerque ; Hr Lacerda ; Raa XimenesSource :
- BMC Infectious Diseases [ 1471-2334 ] ; 2017.
Abstract
Tuberculosis is a serious public health problem worldwide. It is the leading cause of death amongst people living with HIV, and default from tuberculosis (TB) treatment in people living with HIV increases the probability of death. The aim of this study was to estimate the survival probability of people living with HIV who default treatment for TB compared to those who complete the treatment.
This was a longitudinal cohort study of people living with HIV, from June 2007 to December 2013 with two components: a retrospective (for those who started tuberculosis treatment before 2013 for whom failure (death) or censoring occurred before 2013), and prospective (those who started tuberculosis treatment at any time between 2007 and June 2013 and for whom death or censoring occurred after the beginning of 2013), at two referral hospitals for people living with HIV (Correia Picanço Hospital - HCP and at Hospital Universitário Oswaldo Cruz – HUOC), in Recife/PE. A total of 317 patients who initiated TB treatment were studied. Default from TB treatment was defined as any patient who failed to attend their pre-booked return appointment at the health center for more than 30 consecutive days, in accordance with Brazilian Ministry of Health recommendations.
From a cohort of 2372 people living with HIV we analyzed 317 patients who had initiated TB treatment. The incidence of death was 5.6 deaths per 100 persons per year (CI 95% 4.5 to 7.08). Independent factors associated with death: default from TB treatment 3.65 HR (95% CI 2.28 to 5.83); CD4 < 200 cells/mm3 2.39 HR (95% CI 1.44 to 3.96); extrapulmonary tuberculosis 1.56 HR (95% CI 0.93 to 2.63); smoking 2.28 HR (95% CI 1.33 to 3.89); alcohol light 0.13 HR (95% CI 0.03 to 0.56).
The probability of death in people living with HIV who default TB treatment is approximately four times greater when compared to those who do not default from treatment.
Url:
DOI: 10.1186/s12879-016-2127-5
PubMed: 28187753
PubMed Central: 5303219
Affiliations:
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Coimbra</name><affiliation><nlm:aff id="Aff3">Hospital Universitário Oswaldo Cruz- HUOC- UPE, Rua Arnóbio Marques, 310 –Santo Amaro, Recife, PE CEP: 50100-130 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50100-130 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="De B Miranda Filho, D" sort="De B Miranda Filho, D" uniqKey="De B Miranda Filho D" first="D" last="De B Miranda-Filho">D. 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Prof. Moraes Rego - s/n. - Cidade Universitária, Recife, PE CEP: 50670-901 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50670-901 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Ximenes, Raa" sort="Ximenes, Raa" uniqKey="Ximenes R" first="Raa" last="Ximenes">Raa Ximenes</name><affiliation><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0670 7996</institution-id><institution-id institution-id-type="GRID">grid.411227.3</institution-id><institution></institution><institution>Post-Graduation Program in Tropical Medicine – Universidade Federal de Pernambuco,</institution></institution-wrap>Hospital das Clínicas - Bl. A - Térreo do HC/UFPE, Av. Prof. Moraes Rego - s/n. - Cidade Universitária, Recife, PE CEP: 50670-901 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50670-901 Pernambuco Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9011 5442</institution-id><institution-id institution-id-type="GRID">grid.26141.30</institution-id><institution>Department of Clinical Medicine,</institution><institution>Universidade de Pernambuco,</institution></institution-wrap>Rua Arnóbio Marques, 310 –Santo Amaro, Recife, PE CEP: 50100-130 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50100-130 Pernambuco Brazil</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28187753</idno><idno type="pmc">5303219</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5303219</idno><idno type="RBID">PMC:5303219</idno><idno type="doi">10.1186/s12879-016-2127-5</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000626</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000626</idno><idno type="wicri:Area/Pmc/Curation">000625</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000625</idno><idno type="wicri:Area/Pmc/Checkpoint">000052</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000052</idno><idno type="wicri:Area/Ncbi/Merge">003E03</idno><idno type="wicri:Area/Ncbi/Curation">003E03</idno><idno type="wicri:Area/Ncbi/Checkpoint">003E03</idno><idno type="wicri:Area/Main/Merge">000189</idno><idno type="wicri:Area/Main/Curation">000189</idno><idno type="wicri:Area/Main/Exploration">000189</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Survival of people living with HIV who defaulted from tuberculosis treatment in a cohort, Recife, Brazil</title><author><name sortKey="Cunha, R" sort="Cunha, R" uniqKey="Cunha R" first="R" last="Cunha">R. Cunha</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9011 5442</institution-id><institution-id institution-id-type="GRID">grid.26141.30</institution-id><institution>Department of Clinical Medicine,</institution><institution>Universidade de Pernambuco,</institution></institution-wrap>Rua Arnóbio Marques, 310 –Santo Amaro, Recife, PE CEP: 50100-130 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50100-130 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Maruza, M" sort="Maruza, M" uniqKey="Maruza M" first="M" last="Maruza">M. Maruza</name><affiliation><nlm:aff id="Aff2">Hospital Correia Picanço – HCP - Health State Department, Rua Padre Roma, 149, Tamarineira, Recife, PE CEP: 52050-150 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 52050-150 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Montarroyos, Ur" sort="Montarroyos, Ur" uniqKey="Montarroyos U" first="Ur" last="Montarroyos">Ur Montarroyos</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9011 5442</institution-id><institution-id institution-id-type="GRID">grid.26141.30</institution-id><institution>Department of Clinical Medicine,</institution><institution>Universidade de Pernambuco,</institution></institution-wrap>Rua Arnóbio Marques, 310 –Santo Amaro, Recife, PE CEP: 50100-130 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50100-130 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Coimbra, I" sort="Coimbra, I" uniqKey="Coimbra I" first="I" last="Coimbra">I. Coimbra</name><affiliation><nlm:aff id="Aff3">Hospital Universitário Oswaldo Cruz- HUOC- UPE, Rua Arnóbio Marques, 310 –Santo Amaro, Recife, PE CEP: 50100-130 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50100-130 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="De B Miranda Filho, D" sort="De B Miranda Filho, D" uniqKey="De B Miranda Filho D" first="D" last="De B Miranda-Filho">D. De B Miranda-Filho</name><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9011 5442</institution-id><institution-id institution-id-type="GRID">grid.26141.30</institution-id><institution>Department of Clinical Medicine,</institution><institution>Universidade de Pernambuco,</institution></institution-wrap>Rua Arnóbio Marques, 310 –Santo Amaro, Recife, PE CEP: 50100-130 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50100-130 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Albuquerque, M De F" sort="Albuquerque, M De F" uniqKey="Albuquerque M" first="M De F" last="Albuquerque">M De F. Albuquerque</name><affiliation><nlm:aff id="Aff4">Aggeu Magalhães Research Center/Fiocruz, Av Moraes Rego, s/n – Campos da UFPE - Cidade Universitária, Recife, PE CEP: 50670420 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50670420 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Lacerda, Hr" sort="Lacerda, Hr" uniqKey="Lacerda H" first="Hr" last="Lacerda">Hr Lacerda</name><affiliation><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0670 7996</institution-id><institution-id institution-id-type="GRID">grid.411227.3</institution-id><institution></institution><institution>Post-Graduation Program in Tropical Medicine – Universidade Federal de Pernambuco,</institution></institution-wrap>Hospital das Clínicas - Bl. A - Térreo do HC/UFPE, Av. Prof. Moraes Rego - s/n. - Cidade Universitária, Recife, PE CEP: 50670-901 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50670-901 Pernambuco Brazil</wicri:noCountry></affiliation></author><author><name sortKey="Ximenes, Raa" sort="Ximenes, Raa" uniqKey="Ximenes R" first="Raa" last="Ximenes">Raa Ximenes</name><affiliation><nlm:aff id="Aff5"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 0670 7996</institution-id><institution-id institution-id-type="GRID">grid.411227.3</institution-id><institution></institution><institution>Post-Graduation Program in Tropical Medicine – Universidade Federal de Pernambuco,</institution></institution-wrap>Hospital das Clínicas - Bl. A - Térreo do HC/UFPE, Av. Prof. Moraes Rego - s/n. - Cidade Universitária, Recife, PE CEP: 50670-901 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50670-901 Pernambuco Brazil</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1"><institution-wrap><institution-id institution-id-type="ISNI">0000 0000 9011 5442</institution-id><institution-id institution-id-type="GRID">grid.26141.30</institution-id><institution>Department of Clinical Medicine,</institution><institution>Universidade de Pernambuco,</institution></institution-wrap>Rua Arnóbio Marques, 310 –Santo Amaro, Recife, PE CEP: 50100-130 Pernambuco Brazil</nlm:aff><wicri:noCountry code="subfield">PE CEP: 50100-130 Pernambuco Brazil</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Infectious Diseases</title><idno type="eISSN">1471-2334</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Tuberculosis is a serious public health problem worldwide. It is the leading cause of death amongst people living with HIV, and default from tuberculosis (TB) treatment in people living with HIV increases the probability of death. The aim of this study was to estimate the survival probability of people living with HIV who default treatment for TB compared to those who complete the treatment.</p></sec><sec><title>Methods</title><p>This was a longitudinal cohort study of people living with HIV, from June 2007 to December 2013 with two components: a retrospective (for those who started tuberculosis treatment before 2013 for whom failure (death) or censoring occurred before 2013), and prospective (those who started tuberculosis treatment at any time between 2007 and June 2013 and for whom death or censoring occurred after the beginning of 2013), at two referral hospitals for people living with HIV (Correia Picanço Hospital - HCP and at Hospital Universitário Oswaldo Cruz – HUOC), in Recife/PE. A total of 317 patients who initiated TB treatment were studied. Default from TB treatment was defined as any patient who failed to attend their pre-booked return appointment at the health center for more than 30 consecutive days, in accordance with Brazilian Ministry of Health recommendations.</p></sec><sec><title>Results</title><p>From a cohort of 2372 people living with HIV we analyzed 317 patients who had initiated TB treatment. The incidence of death was 5.6 deaths per 100 persons per year (CI 95% 4.5 to 7.08). Independent factors associated with death: default from TB treatment 3.65 HR (95% CI 2.28 to 5.83); CD4 < 200 cells/mm<sup>3</sup> 2.39 HR (95% CI 1.44 to 3.96); extrapulmonary tuberculosis 1.56 HR (95% CI 0.93 to 2.63); smoking 2.28 HR (95% CI 1.33 to 3.89); alcohol light 0.13 HR (95% CI 0.03 to 0.56).</p></sec><sec><title>Conclusion</title><p>The probability of death in people living with HIV who default TB treatment is approximately four times greater when compared to those who do not default from treatment.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Schmaltz, Cas" uniqKey="Schmaltz C">CAS Schmaltz</name></author><author><name sortKey="Santoro Lopes, G" uniqKey="Santoro Lopes G">G Santoro-Lopes</name></author><author><name sortKey="Lourenco, Mc" uniqKey="Lourenco M">MC Lourenço</name></author><author><name sortKey="Morgado, Mg" 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uniqKey="Jo J">J Jo</name></author><author><name sortKey="Park, I" uniqKey="Park I">I Park</name></author><author><name sortKey="Ohrr, H" uniqKey="Ohrr H">H Ohrr</name></author><author><name sortKey="Samet, J" uniqKey="Samet J">J Samet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Volkmann, T" uniqKey="Volkmann T">T Volkmann</name></author><author><name sortKey="Moonan, Pk" uniqKey="Moonan P">PK Moonan</name></author><author><name sortKey="Miramontes, R" uniqKey="Miramontes R">R Miramontes</name></author><author><name sortKey="Oeltmann, Je" uniqKey="Oeltmann J">JE Oeltmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maruza, M" uniqKey="Maruza M">M Maruza</name></author><author><name sortKey="Albuquerque, Mfpm" uniqKey="Albuquerque M">MFPM Albuquerque</name></author><author><name sortKey="Braga, Mc" uniqKey="Braga M">MC Braga</name></author><author><name sortKey="Barbosa, Mts" uniqKey="Barbosa M">MTS Barbosa</name></author><author><name sortKey="Byington, R" uniqKey="Byington R">R Byington</name></author><author><name sortKey="Coimbra, I" uniqKey="Coimbra I">I Coimbra</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Albuquerque, M De F" sort="Albuquerque, M De F" uniqKey="Albuquerque M" first="M De F" last="Albuquerque">M De F. Albuquerque</name><name sortKey="Coimbra, I" sort="Coimbra, I" uniqKey="Coimbra I" first="I" last="Coimbra">I. Coimbra</name><name sortKey="Cunha, R" sort="Cunha, R" uniqKey="Cunha R" first="R" last="Cunha">R. Cunha</name><name sortKey="De B Miranda Filho, D" sort="De B Miranda Filho, D" uniqKey="De B Miranda Filho D" first="D" last="De B Miranda-Filho">D. De B Miranda-Filho</name><name sortKey="Lacerda, Hr" sort="Lacerda, Hr" uniqKey="Lacerda H" first="Hr" last="Lacerda">Hr Lacerda</name><name sortKey="Maruza, M" sort="Maruza, M" uniqKey="Maruza M" first="M" last="Maruza">M. Maruza</name><name sortKey="Montarroyos, Ur" sort="Montarroyos, Ur" uniqKey="Montarroyos U" first="Ur" last="Montarroyos">Ur Montarroyos</name><name sortKey="Ximenes, Raa" sort="Ximenes, Raa" uniqKey="Ximenes R" first="Raa" last="Ximenes">Raa Ximenes</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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