Coincidence of HCV and chronic kidney disease-a systematic review and meta-analysis

Abstract

Abstract Background There are reported studies of Hepatitis C and chronic kidney disease association. However, how this liver virus infection affects the general population’s susceptibility to the onset of the kidney disease is still unknown. Methods To determine if a positive anti-HCV serologic status is linked to a greater incidence of chronic kidney disease in the general adult population, a systematic evaluation of the published medical literature since 2015 was conducted. A summary estimate of the relative risk of chronic kidney disease with HCV was produced using a random-effects model. Moreover, stratified analysis and meta-regression were performed. Results Twelve studies (n = 605858 patients) were filtered and included. Meta-analyses were conducted according to the outcome. Pooling results of longitudinal studies (n = 06 studies, n = 347120 unique patients) demonstrated an association between positive anti-HCV serologic status and increased incidence of CKD. The summary estimate for adjusted hazard ratio was 1.21 with (95% confidence interval 1.13; 1.29, P = 0.001), and between studies heterogeneity was noted (P value by Q test < 0.001). In the subset of Asian surveys, the risk of the occurrence of chronic kidney disease linked to HCV was 1.70 (95% confidence interval 1.40; 2.00) without heterogeneity (P value by Q test = 0.6). Conclusions We found a strong correlation between HCV infection and a higher risk of chronic renal disease in general global population.

Keywords

• HCV
• Chronic kidney disease
• End stage renal disease
• Incidence rate ratio
• Newcastle ottawa Scale