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Trends in Mortality in People With HIV From 1999 through 2020: A Multicohort Collaboration

Title:	Trends in Mortality in People With HIV From 1999 through 2020: A Multicohort Collaboration
Authors:	Tusch, Erich; Ryom, Lene; Pelchen-Matthews, Annegret; Mocroft, Amanda; Elbirt, Daniel; Oprea, Cristiana; Günthard, Huldrych F; Staehelin, Cornelia; Zangerle, Robert; Suarez, Isabelle; Vehreschild, Jörg Janne; Wit, Ferdinand; Menozzi, Marianna; d'Arminio Monforte, Antonella; Spagnuolo, Vincenzo; Pradier, Christian; Carlander, Christina; Suanzes, Paula; Wasmuth, Jan-Christian; Carr, Andrew; Petoumenos, Kathy; Borgans, Frauke; Bonnet, Fabrice; De Wit, Stephane; El-Sadr, Wafaa; Neesgaard, Bastian; Jaschinski, Nadine; Greenberg, Lauren; Hosein, Sean R; Gallant, Joel; Vannappagari, Vani; Young, Lital; Sabin, Caroline; Lundgren, Jens; Peters, Lars; Reekie, Joanne; null, null; El-Sadr, W; Calvo, G; Bonnet, F; Dabis, F; Kirk, O; Mocroft, A; Law, M; d'Arminio Monforte, A; Morfeldt, L; Pradier, C; Reiss, P; Weber, R; De Wit, S; Lind-Thomsen, A; Brandt, R Salbøl; Hillebreght, M; Zaheri, S; Wit, F W N M; Scherrer, A; Schöni-Affolter, F; Rickenbach, M; Tavelli, A; Fanti, I; Leleux, O; Mourali, J; Marec, F Le; Boerg, E; Thulin, E; Sundström, A; Bartsch, G; Thompsen, G; Necsoi, C; Delforge, M; Fontas, E; Caissotti, C; Dollet, K; Mateu, S; Torres, F; Petoumenos, K; Blance, A; Huang, R; Puhr, R; Laut, K Grønborg; Kristensen, D; Sabin, C A; Phillips, A N; Kamara, D A; Smith, C J; Hatleberg, C I; Brandt, R S; Raben, D; Matthews, C; Bojesen, A; Grevsen, A L; Lundgren, J D; Ryom, L; Powderly, B; Shortman, N; Moecklinghoff, C; Reilly, G; Franquet, X; Smit, C; Ross, M; Fux, C A; Morlat, P; Friis-Møller, N; Kowalska, J; Bohlius, J; Bower, M; Fätkenheuer, G; Grulich, A; Sjøl, A; Meidahl, P; Iversen, J S; Reiss, Central P; Hillebregt, M; Prins, J M; Kuijpers, T W; Scherpbier, H J; van der Meer, J T M; Godfried, M H; van der Poll, T; Nellen, F J B; Geerlings, S E; van Vugt, M; Pajkrt, D; Bos, J C; Wiersinga, W J; van der Valk, M; Goorhuis, A; Hovius, J W; van Eden, J; Henderiks, A; van Hes, A M H; Mutschelknauss, M; Nobel, H E; Pijnappel, F J J; Jurriaans, S; Back, N K T; Zaaijer, H L; Berkhout, B; Cornelissen, M T E; Schinkel, C J; Thomas, X V; De Ruyter Ziekenhuis, Admiraal; van den Berge, M; Stegeman, A; Baas, S; de Looff, L Hage; Versteeg, D; Ziekenhuis, Catharina; Pronk, M J H; Ammerlaan, H S M; De Munnik, E S; Jansz, A R; Tjhie, J; Wegdam, M C A; Deiman, B; Scharnhorst, V; van der Plas, A; Weijsenfeld, A M; van der Ende, M E; De Vries-Sluijs, T E M S; van Gorp, E C M; Schurink, C A M; Nouwen, J L; Verbon, A; Rijnders, B J A; Bax, H I; van der Feltz, M; Bassant, N; van Beek, J E A; Vriesde, M; van Zonneveld, L M; de Oude-Lubbers, A; van den Berg-Cameron, H J; Bruinsma-Broekman, F B; de Groot, J; de Man, M de Zeeuw-; Boucher, C A B; Koopmans, M P G; van Kampen, J J A; Pas, S D; MC–Sophia, Erasmus; Driessen, G J A; van Rossum, A M C; van der Knaap, L C; Visser, E; Branger, J; Rijkeboer-Mes, A; de Ven, C J H M Duijf-van; Ziekenhuis, Haga; Schippers, E F; van Nieuwkoop, C; van IJperen, J M; Geilings, J; van der Hut, G; Franck, P F H; van Eeden, A; Brokking, W; Groot, M; Elsenburg, L J M; Damen, M; Kwa, I S; Groeneveld, P H P; Bouwhuis, J W; van den Berg, J F; van Hulzen, A G W; van der Bliek, G L; Bor, P C J; Bloembergen, P; Wolfhagen, M J H M; Ruijs, G J H M; Kroon, F P; de Boer, M G J; Bauer, M P; Jolink, H; Vollaard, A M; Dorama, W; van Holten, N; Claas, E C J; Wessels, E; den Hollander, J G; Pogany, K; Roukens, A; Kastelijns, M; Smit, J V; Smit, E; Struik-Kalkman, D; Tearno, C; Bezemer, M; van Niekerk, T; Pontesilli, O; Lowe, S H; Lashof, A M L Oude; Posthouwer, D; Ackens, R P; Schippers, J; Vergoossen, R; Weijenberg-Maes, B; van Loo, I H M; Havenith, T R A; Leyten, E M S; Gelinck, L B S; van Hartingsveld, A; Meerkerk, C; Wildenbeest, G S; Mutsaers, J A E M; Jansen, C L; Mulder, J W; Vrouenraets, S M E; Lauw, F N; van Broekhuizen, M C; Paap, H; Vlasblom, D J; Smits, P H M; Zuiderzee, M C; Weijer, S; El Moussaoui, R; Bosma, A S; van Vonderen, M G A; van Houte, D P F; Kampschreur, L M; Dijkstra, K; Faber, S; Weel, J; Kootstra, G J; Delsing, C E; van der Burg-van de Plas, M; 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Contributors:	Tusch, E.; Ryom, L.; Pelchen-Matthews, A.; Mocroft, A.; Elbirt, D.; Oprea, C.; Günthard, H.F.; Staehelin, C.; Zangerle, R.; Suarez, I.; Vehreschild, J.J.; Wit, F.; Menozzi, M.; D'Arminio Monforte, A.; Spagnuolo, V.; Pradier, C.; Carlander, C.; Suanzes, P.; Wasmuth, J.; Carr, A.; Petoumenos, K.; Borgans, F.; Bonnet, F.; De Wit, S.; El-Sadr, W.; Neesgaard, B.; Jaschinski, N.; Greenberg, L.; Hosein, S.R.; Gallant, J.; Vannappagari, V.; Young, L.; Sabin, C.; Lundgren, J.; Peters, L.; Reekie, J.; Null, N.; Calvo, G.; Dabis, F.; Kirk, O.; Law, M.; Morfeldt, L.; Reiss, P.; Weber, R.; Lind-Thomsen, A.; Brandt, R.S.; Hillebreght, M.; Zaheri, S.; Wit, F.W.N.M.; Scherrer, A.; Schöni-Affolter, F.; Rickenbach, M.; Tavelli, A.; Fanti, I.; Leleux, O.; Mourali, J.; Marec, F.L.; Boerg, E.; Thulin, E.; Sundström, A.; Bartsch, G.; Thompsen, G.; Necsoi, C.; Delforge, M.; Fontas, E.; Caissotti, C.; Dollet, K.; Mateu, S.; Torres, F.; Blance, A.; Huang, R.; Puhr, R.; Laut, K.G.; Kristensen, D.; Sabin, C.A.; Phillips, A.N.; Kamara, D.A.; Smith, C.J.; Hatleberg, C.I.; Raben, D.; Matthews, C.; Bojesen, A.; Grevsen, A.L.; Lundgren, J.D.; Powderly, B.; Shortman, N.; Moecklinghoff, C.; Reilly, G.; Franquet, X.
Publisher Information:	Oxford University Press
Publication Year:	2024
Collection:	IRIS Università degli Studi di Palermo
Subject Terms:	HIV; cohort collaboration; mortality; observational cohort; people with HIV
Description:	Background: Mortality among people with human immunodeficiency virus (HIV) declined with the introduction of combination antiretroviral therapy. We investigated trends in mortality in people with HIV from 1999 through 2020. Methods: Data were collected from the Data Collection on Adverse events of Anti-HIV Drugs (D:A:D) cohort between January 1999 through January 2015 and the International Cohort Consortium of Infectious Disease (RESPOND) from October 2017 through December 2020. Age-standardized all-cause and cause-specific mortality rates, classified using Coding Causes of Death in HIV, were calculated. Poisson models were used to assess mortality over time. Results: Among 55 716 participants followed for median 6 years (interquartile range, 3-11), 5263 died (mortality rate [MR], 13.7/1000 person-years of follow-up [PYFU]; 95% confidence interval [CI], 13.4-14.1). Changing mortality was observed: AIDS mortality was most common between 1999-2009 (n = 952; MR, 4.2/1000 PYFU; 95% CI, 4.0-4.5) and non-AIDS-defining malignancy (NADM) between 2010-2020 (n = 444; MR, 2.8/1000 PYFU; 95% CI, 2.5-3.1). In multivariable analysis, all-cause mortality declined (adjusted mortality rate ratio [aMRR], 0.97 per year; 95% CI,. 96-.98), mostly 1999-2010 (aMRR, 0.96 per year; 95% CI,. 95-.97) but was stable 2011-2020 (aMRR, 1.00 per year; 95% CI,. 96-1.05). Mortality due to all known causes except NADM also declined. Conclusions: Mortality among people with HIV in the D:A:D and/or RESPOND cohorts declined between 1999-2009 and was stable over the period 2010-2020. This decline in mortality was not fully explained by improvements in immunologic-virologic status or other risk factors.
Document Type:	article in journal/newspaper
Language:	English
Relation:	info:eu-repo/semantics/altIdentifier/pmid/38663013; info:eu-repo/semantics/altIdentifier/wos/WOS:001236076000001; volume:79; issue:5; firstpage:1242; lastpage:1257; numberofpages:16; journal:CLINICAL INFECTIOUS DISEASES; https://hdl.handle.net/10447/696463
DOI:	10.1093/cid/ciae228
Availability:	https://hdl.handle.net/10447/696463; https://doi.org/10.1093/cid/ciae228
Rights:	info:eu-repo/semantics/closedAccess
Accession Number:	edsbas.EA204A9A
Database:	BASE