Influence of Hepatitis C Coinfection and Treatment on Risk of Diabetes Mellitus in HIV-Positive Persons Article Swipe

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Amanda Mocroft , Jens Lundgren , Juergen Rockstroh , Inka Aho , Gilles Wandeler , Lars N. Nielsen , Simon Edwards , Jean‐Paul Viard , Karine Lacombe , Gerd Fätkenheuer , Giovanni Guaraldi , Montserrat Laguno , Josep Llibre , Hila Elinav , Leo Flamholc , Martin Gisinger , Dzmitry Paduta , Irina Khromova , David Jilich , Błażej Rozpłochowski , Cristiana Oprea , Lars Peters , Arjan Harxhi , Marcelo Losso , M Kundro , Brigitte Schmied , Robert Zangerle , Igor Karpov , A Vassilenko , D. Paduto , Nathan Clumeck , Christoph Stephan , M Delforge , Éric Florence , Linos Vandekerckhove , Vesna Hadžiosmanović , J Begovac , Ladislav Machala , David Jilich , D Sedlacek , G Kronborg , Thomas Benfield , Jan Gerstoft , Terese L. Katzenstein , Christian Pedersen , Işık Somuncu Johansen , Lars Østergaard , Lothar Wiese , N F Møller , Kai Zilmer , Inka Aho , J-P Viard , PM Girard , Christian Pradier , E Fontas , Claudine Duvivier , Jürgen K. Rockstroh , Georg M. N. Behrens , Olaf Degen , Hans‐Jürgen Stellbrink , Johannes R. Bogner , Gerd Fätkenheuer , Nikoloz Chkhartishvili , H Sambatakou , Georgios Adamis , N. Paissios , János Szlávik , Magnús Gottfreðsson , Ciaran Kelly , Luba Tau , Dianna Turner , Michael Burke , Eduardo Shahar , Gamal Hassoun , Hila Elinav , M Haouzi , Daniel Elbirt , Antonella d’Arminio Monforte , Roberto Esposito , I. Mazeu , C Mussini , Francesco Mazzotta , Andrea Gabbuti , Adriano Lazzarin , Antonella Castagna , Nicola Gianotti , Mara Gallí , Anna Lisa Ridolfo , Vilma Uždavinienė , R Matulionyte , T Staub , R Hemmer , S Dragas , Mirjana Stevanović , Peter Reiss , J. Trajanovska , Dag Henrik Reikvam , A Mæland , Johan N. Bruun , Brygida Knysz ·

YOU? · · 2020 · Open Access · · DOI: https://doi.org/10.1093/ofid/ofaa470

Background The role of hepatitis C virus (HCV) coinfection and HCV-RNA in the development of diabetes mellitus (DM) in HIV-positive persons remains unclear. Methods Poisson regression was used to compare incidence rates of DM (blood glucose >11.1 mmol/L, HbA1C >6.5% or >48 mmol/mol, starting antidiabetic medicine or physician reported date of DM onset) between current HIV/HCV groups (anti-HCV-negative, spontaneously cleared HCV, chronic untreated HCV, successfully treated HCV, HCV-RNA-positive after HCV treatment). Results A total of 16 099 persons were included; at baseline 10 091 (62.7%) were HCV-Ab-negative, 722 (4.5%) were spontaneous clearers, 3614 (22.4%) were chronically infected, 912 (5.7%) had been successfully treated, and 760 (4.7%) were HCV-RNA-positive after treatment. During 136 084 person-years of follow-up (PYFU; median [interquartile range], 6.9 [3.6–13.2]), 1108 (6.9%) developed DM (crude incidence rate, 8.1/1000 PYFU; 95% CI, 7.7–8.6). After adjustment, there was no difference between the 5 HCV strata in incidence of DM (global P = .33). Hypertension (22.2%; 95% CI, 17.5%–26.2%) and body mass index >25 (22.0%; 95% CI, 10.4%–29.7%) had the largest population-attributable fractions for DM. Conclusions HCV coinfection and HCV cure were not associated with DM in this large study. The biggest modifiable risk factors were hypertension and obesity, and continued efforts to manage such comorbidities should be prioritized.

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Medicine Coinfection Diabetes mellitus Hepatitis C Human immunodeficiency virus (HIV) Internal medicine Virology Endocrinology

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Type: article
Language: en
Landing Page: https://doi.org/10.1093/ofid/ofaa470
PDF: https://academic.oup.com/ofid/article-pdf/7/12/ofaa470/35285094/ofaa470.pdf
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Cited By: 2
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DOI: https://doi.org/10.1093/ofid/ofaa470

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Title: Influence of Hepatitis C Coinfection and Treatment on Risk of Diabetes Mellitus in HIV-Positive Persons

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Language: en

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Publication year: 2020

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Publication date: 2020-10-07

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Authors: Amanda Mocroft, Jens Lundgren, Juergen Rockstroh, Inka Aho, Gilles Wandeler, Lars N. Nielsen, Simon Edwards, Jean‐Paul Viard, Karine Lacombe, Gerd Fätkenheuer, Giovanni Guaraldi, Montserrat Laguno, Josep Llibre, Hila Elinav, Leo Flamholc, Martin Gisinger, Dzmitry Paduta, Irina Khromova, David Jilich, Błażej Rozpłochowski, Cristiana Oprea, Lars Peters, Arjan Harxhi, Marcelo Losso, M Kundro, Brigitte Schmied, Robert Zangerle, Igor Karpov, A Vassilenko, D. Paduto, Nathan Clumeck, Christoph Stephan, M Delforge, Éric Florence, Linos Vandekerckhove, Vesna Hadžiosmanović, J Begovac, Ladislav Machala, David Jilich, D Sedlacek, G Kronborg, Thomas Benfield, Jan Gerstoft, Terese L. Katzenstein, Christian Pedersen, Işık Somuncu Johansen, Lars Østergaard, Lothar Wiese, N F Møller, Kai Zilmer, Inka Aho, J-P Viard, PM Girard, Christian Pradier, E Fontas, Claudine Duvivier, Jürgen K. Rockstroh, Georg M. N. Behrens, Olaf Degen, Hans‐Jürgen Stellbrink, Johannes R. Bogner, Gerd Fätkenheuer, Nikoloz Chkhartishvili, H Sambatakou, Georgios Adamis, N. Paissios, János Szlávik, Magnús Gottfreðsson, Ciaran Kelly, Luba Tau, Dianna Turner, Michael Burke, Eduardo Shahar, Gamal Hassoun, Hila Elinav, M Haouzi, Daniel Elbirt, Antonella d’Arminio Monforte, Roberto Esposito, I. Mazeu, C Mussini, Francesco Mazzotta, Andrea Gabbuti, Adriano Lazzarin, Antonella Castagna, Nicola Gianotti, Mara Gallí, Anna Lisa Ridolfo, Vilma Uždavinienė, R Matulionyte, T Staub, R Hemmer, S Dragas, Mirjana Stevanović, Peter Reiss, J. Trajanovska, Dag Henrik Reikvam, A Mæland, Johan N. Bruun, Brygida Knysz

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Landing page: https://doi.org/10.1093/ofid/ofaa470

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Concepts: Medicine, Coinfection, Diabetes mellitus, Hepatitis C, Human immunodeficiency virus (HIV), Internal medicine, Virology, Endocrinology

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Cited by: 2

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