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Table 3 Multivariable analysis of prognostic factors for rate of laboratory measurement according to zero-inflated negative binomial models

From: Factors associated with the frequency of monitoring of liver enzymes, renal function and lipid laboratory markers among individuals initiating combination antiretroviral therapy: a cohort study

 

Liver (AST/ALT)

Renal (Creatinine)

Metabolic (Lipids)

(N = 3934)

(N = 3530)

(N = 3530)

Rate ratio

95 % CI

p-value

Rate ratio

95 % CI

p-value

Rate ratio

95 % CI

p-value

Negative binomial

Province

  British Columbia

Ref

  

Ref

  

Ref

  

  Ontario

0.98

(0.94,1.03)

0.48

1.35

(1.29,1.42)

<0.0001

1.13

(1.05,1.21)

<0.001

  Quebec

1.20

(1.13,1.27)

<0.0001

1.70

(1.60,1.80)

<0.0001

1.45

(1.34,1.57)

<0.0001

Age (per 10 years)

1.02

(1.00,1.04)

0.03

1.03

(1.01,1.05)

<0.01

1.05

(1.02,1.08)

0.0001

Male

1.02

(0.98,1.07)

0.37

1.01

(0.96,1.06)

0.72

1.14

(1.07,1.22)

0.0001

Race

  Caucasian

Ref

  

Ref

  

Ref

  

  Black

1.03

(0.97,1.10)

0.37

0.93

(0.86,1.00)

0.04

0.80

(0.72,0.89)

<0.0001

  Aboriginal

0.87

(0.79,0.96)

<0.01

0.87

(0.79,0.97)

<0.01

0.84

(0.72,0.97)

0.02

  Other

1.11

(1.04,1.18)

<0.01

1.09

(1.02,1.16)

<0.01

1.06

(0.97,1.16)

0.19

  Unknown

0.89

(0.85,0.93)

<0.0001

0.92

(0.88,0.96)

<0.001

0.76

(0.71,0.81)

<0.0001

HCV and IDU status

  HCV-non-IDU

Ref

  

Ref

  

Ref

  

  HCV+ non-IDU

1.05

(0.97,1.14)

0.21

1.07

(0.99,1.15)

0.09

1.00

(0.89,1.12)

0.99

  HCV-IDU

0.98

(0.89,1.07)

0.62

0.95

(0.87,1.05)

0.31

0.95

(0.83,1.08)

0.43

  HCV+ IDU

0.79

(0.74,0.83)

<0.0001

0.80

(0.75,0.85)

<0.0001

0.65

(0.59,0.71)

<0.0001

  Unknown

0.97

(0.93,1.02)

0.21

1.00

(0.96,1.04)

0.96

1.28

(1.20,1.36)

<0.0001

CD4 measurements:

  <3 per year

Ref

  

Ref

  

Ref

  

  3-5 per year

1.87

(1.79,1.95)

<0.0001

1.76

(1.68,1.84)

<0.0001

1.84

(1.73,1.97)

<0.0001

  ≥6 per year

2.67

(2.52,2.83)

<0.0001

2.56

(2.41,2.71)

<0.0001

2.79

(2.56,3.03)

<0.0001

First cART regimen

  Other

Ref

  

Ref

  

Ref

  

  NNRTI based

0.95

(0.86,1.05)

0.32

0.97

(0.88,1.06)

0.47

0.78

(0.68,0.90)

<0.001

  Boosted PI based

0.96

(0.87,1.07)

0.48

1.01

(0.91,1.11)

0.89

0.88

(0.77,1.02)

0.08

  PI based

0.95

(0.85,1.05)

0.32

0.95

(0.86,1.05)

0.35

0.78

(0.67,0.90)

<0.001

  Abacavir use

--

--

--

--

--

 

1.13

(1.08,1.18)

<0.0001

  Tenofovir use

--

--

--

0.99

(0.96,1.03)

0.68

--

--

--

Zero-inflated

  IDU

0.19

(0.11,0.32)

<0.0001

0.22

(0.15, 0.34)

<0.0001

0.17

(0.11,0.26)

<0.0001

  Unknown HIV risk factor

1.32

(0.50,3.48)

0.58

1.14

(0.59,2.19)

0.70

0.96

(0.43,2.14)

0.92

  1. IDU injection drug use as risk factor for HIV acquisition, HCV+, positive for Hepatitis C