Time Trends in Causes of Death in People with HIV: Insights from the Swiss HIV Cohort Study.
Details
Serval ID
serval:BIB_5CD744C2EE1B
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Time Trends in Causes of Death in People with HIV: Insights from the Swiss HIV Cohort Study.
Journal
Clinical infectious diseases
Working group(s)
Swiss HIV Cohort Study
Contributor(s)
Abela I., Aebi-Popp K., Anagnostopoulos A., Battegay M., Bernasconi E., Braun D.L., Bucher H.C., Calmy A., Cavassini M., Ciuffi A., Dollenmaier G., Egger M., Elzi L., Fehr J., Fellay J., Furrer H., Fux C.A., Günthard H.F., Hachfeld A., Haerry D., Hasse B., Hirsch H.H., Hoffmann M., Hösli I., Huber M., Jackson-Perry D., Kahlert C.R., Keiser O., Klimkait T., Kouyos R.D., Kovari H., Kusejko K., Labhardt N., Leuzinger K., Martinez D., Tejada B., Marzolini C., Metzner K.J., Müller N., Nemeth J., Nicca D., Notter J., Paioni P., Pantaleo G., Perreau M., Rauch A., Salazar-Vizcaya L., Schmid P., Speck R., Stöckle M., Tarr P., Trkola A., Wandeler G., Weisser M., Yerly S.
ISSN
1537-6591 (Electronic)
ISSN-L
1058-4838
Publication state
In Press
Peer-reviewed
Oui
Editor
Abela I Aebi-Popp K. Anagnostopoulos A. Battegay M. Bernasconi E. Braun D. L. Bucher H. C. Calmy A. Cavassini M. Ciuffi A. Dollenmaier G. Egger M. Elzi L. Fehr J. Fellay J. Furrer H. Fux C. A. Gunthard H. F. Hachfeld A. Haerry D. Hasse B. Hirsch H. H. Hoffmann M. Hosli I. Huber M. Jackson-Perry D. Kahlert C. R. Keiser O. Klimkait T. Kouyos R. D. Kovari H. Kusejko K. Labhardt N. Leuzinger K. Martinez Tejada B. Marzolini C. Metzner K. J. Muller N. Nemeth J. Nicca D. Notter J. Paioni P. Pantaleo G. Perreau M. Rauch A. Salazar-Vizcaya L. Schmid P. Speck R. Stockle M. Tarr P. Trkola A. Wandeler G. Weisser M. Yerly S., Swiss H. I. V. Cohort Study
Language
english
Notes
Publication types: Journal Article
Publication Status: aheadofprint
Publication Status: aheadofprint
Abstract
Advancements in access to antiretroviral therapy (ART) and human immunodeficiency virus (HIV) care have led to a decline in acquired immunodeficiency syndrome (AIDS)-related deaths among people with HIV (PWH) in Switzerland. However, data on the ongoing changes in causes of death among PWH over the past 15 years is scarce.
We investigated all reported deaths in the Swiss HIV Cohort Study between 2005-2022. Causes of death were categorized using the Coding Causes of Death in HIV protocol. The statistical analysis included demographic stratification to identify time trends and logistic regression models to determine associated factors for the underlying cause of death.
In total, 1630 deaths were reported, with 23.7% of individuals assigned female at birth. Out of these deaths, 147 (9.0%) were HIV/AIDS-related, 373 (22.9%) due to non-AIDS, non-hepatic (NANH) cancers, 166 (10.2%) liver-related, and 158 (9.7%) cardiovascular-related. The median age at death increased from 45.0 [40.0,53.0] years in 2005-2007 to 61.0 [56.0,69.5] years in 2020-2022. HIV/AIDS and liver-related causes of death decreased, whereas deaths from NANH cancers increased, and cardiovascular-related deaths remained relatively stable.
The proportionally decreasing HIV/AIDS and liver-related deaths showcase the effectiveness of ART, comprehensive HIV patient care, and interventions targeting hepatitis C virus co-infection. Future research should focus on managing cancer and cardiovascular-related conditions as the new leading causes of death among PWH. Comprehensive healthcare strategies focusing on non-AIDS-related comorbidities, cancer management, and sustaining liver and cardiovascular health are needed to bridge the ongoing health disparities between PWH and the general population.
We investigated all reported deaths in the Swiss HIV Cohort Study between 2005-2022. Causes of death were categorized using the Coding Causes of Death in HIV protocol. The statistical analysis included demographic stratification to identify time trends and logistic regression models to determine associated factors for the underlying cause of death.
In total, 1630 deaths were reported, with 23.7% of individuals assigned female at birth. Out of these deaths, 147 (9.0%) were HIV/AIDS-related, 373 (22.9%) due to non-AIDS, non-hepatic (NANH) cancers, 166 (10.2%) liver-related, and 158 (9.7%) cardiovascular-related. The median age at death increased from 45.0 [40.0,53.0] years in 2005-2007 to 61.0 [56.0,69.5] years in 2020-2022. HIV/AIDS and liver-related causes of death decreased, whereas deaths from NANH cancers increased, and cardiovascular-related deaths remained relatively stable.
The proportionally decreasing HIV/AIDS and liver-related deaths showcase the effectiveness of ART, comprehensive HIV patient care, and interventions targeting hepatitis C virus co-infection. Future research should focus on managing cancer and cardiovascular-related conditions as the new leading causes of death among PWH. Comprehensive healthcare strategies focusing on non-AIDS-related comorbidities, cancer management, and sustaining liver and cardiovascular health are needed to bridge the ongoing health disparities between PWH and the general population.
Keywords
Cause of death, HIV/AIDS, cancer, cardiovascular risk, hepatitis
Pubmed
Web of science
Open Access
Yes
Create date
16/01/2024 17:45
Last modification date
12/03/2024 8:08
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