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Table 2 Predictors of switching from TDF to TAF

From: Rates and predictors of switching to tenofovir alafenamide-containing ART in a nationwide cohort

 

Multivariable Analysis

Variable

N (%)

Switched (%)

Adjusted odds ratio

(95% CI)

P

Male sex

3′645 (72.7)

2′102 (57.7)

1.27 (1.07–1.50)

0.01

Age > 50 years

2′235 (44.6)

1′413 (63.2)

1.43 (1.23–1.66)

< 0.001

African origin

789 (15.7)

377 (47.8)

0.83 (0.67–1.01)

0.07

High level education

1′652 (33.0)

923 (55.9)

1.16 (1.00–1.35)

0.05

CD4 < 500/μL at baselinea

1′406 (28.1)

754 (53.6)

0.77 (0.66–0.90)

< 0.001

Follow-up in a non-tertiary care center

2′408 (48.0)

1′169 (48.6)

0.56 (0.46–0.70)

< 0.001

Comorbidities

 Chronic HBV infection

338 (6.7)

188 (55.6)

0.97 (0.74–1.26)

0.81

 Chronic HCV infection

624 (12.5)

349 (55.9)

0.66 (0.54–0.80)

< 0.001

 Diabetes

322 (6.4)

202 (62.7)

0.95 (0.71–1.26)

0.70

 Arterial hypertension

2′669 (53.3)

1′584 (59.4)

1.21 (1.04–1.40)

0.01

 History of CV disease

388 (7.7)

243 (62.6)

0.79 (0.61–1.03)

0.08

 Dyslipidemia

2′209 (44.1)

1′336 (60.5)

1.09 (0.94–1.26)

0.26

At least one risk factor for TDF toxicityb

652 (13.0)

465 (71.3)

2.21 (1.77–2.75)

< 0.001

PI-based ART

1′178 (23.5)

855 (72.6)

0.97 (0.81–1.16)

0.74

NNRTI-based single-pill regimen

1′978 (39.5)

522 (26.4)

0.11 (0.09–0.13)

< 0.001

  1. TDF Tenofovir disoproxil fumarate, TAF Tenofovir alafenamide, HBV Hepatitis B virus, HCV Hepatitis C virus, CV Cardiovascular, PI Protease inhibitor, ART Antiretroviral treatment, NNRTI Non-nucleoside reverse transcriptase inhibitor
  2. atime of switch for those who switched, or 1st October 2016 (introduction of TAF in Switzerland) or registration date if registered after that date for those who did not switch
  3. bosteoporosis, impaired renal function or marked proteinuria