J Chin Med Assoc. 2021 Jun 1. doi: 10.1097/JCMA.0000000000000561. Online ahead of print.
ABSTRACT
BACKGROUND: It is controversial that the association of hepatitis C virus (HCV) infection and chronic kidney disease (CKD). We wanted to investigate whether HCV really affect to renal function, also to analyze the association between clinical effects of CHC and decreased kidney function assessed by estimated glomerular filtration rate (eGFR) level.
METHODS: The 3360 patients with hepatitis C virus infection and 3360 age and sex matched community based control individuals without HCV were enrolled (1:1, case and control ratio) in this study between 2004 and 2016. We used the Modification of Diet in Renal Diseases (MRDR) for calculate eGFR. Demographic and laboratory parameters were assessed and appropriate statistical methods were performed for the analysis.
RESULTS: Multivariate logistic regression analysis revealed that serum alanine aminotransferase (ALT) (OR-0.998; 95% CI – 0.997-0.999; p=0.001) level, platelet (OR-0.997; 95% CI – 0.995-0.999; p=0.002) count and hypertension (OR-1.31; 95% CI – 1.03-1.66; p=0.027) were significantly associated with HCV infection and serum triglycerides (OR-1.001; 95% CI -1.00-1.002; p=0.005) level, platelet (OR-0.996; 95% CI – 0.995-0.997; p<0.001) count, BMI>25 (OR-1.43; 95% CI- 1.23-1.67; p<0.001), hypertension (OR-1.69; 95% CI – 1.42-1.99; p<0.001), hyperlipidemia (OR- 1.32; 95% CI – 1.02-1.71; p=0.035) and diabetes (OR-1.33; 95% CI-1.03-1.71; p=0.032) were significantly associated with low eGFR (<90ml/min/m3) in control subjects. The BMI >25kg/m2, hypertension, and diabetes were associated with low eGFR interaction with the HCV infection by multivariate analysis.
CONCLUSION: Our study indicated that the patients with HCV infection are associated with low eGFR compared with non HCV infected patients. This association is consistent in obese, diabetic and hypertensive patients.
PMID:34074934 | DOI:10.1097/JCMA.0000000000000561
