Table 1.
HCV Antibody–Positive | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Anti-HCV-Negative | Group 2 | Group 3 | Group 4 | Group 5 | |||||||||
All | Group 1 | Spontaneous Clearers | Chronic Untreated Infection | Successfully Treated | Treated; HCV-RNA-Positive | ||||||||
No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | ||
All | 16 099 | 100.0 | 10 091 | 62.7 | 722 | 4.5 | 3614 | 22.4 | 912 | 5.7 | 760 | 4.7 | |
Gender | Male | 11 910 | 74.0 | 7649 | 75.8 | 472 | 65.4 | 2548 | 70.5 | 679 | 74.5 | 562 | 73.9 |
Female | 4189 | 26.0 | 2442 | 24.2 | 250 | 34.6 | 1066 | 29.5 | 233 | 25.5 | 198 | 26.1 | |
HIV risk | MSM | 6248 | 38.8 | 5306 | 52.6 | 99 | 13.7 | 427 | 11.8 | 250 | 27.4 | 166 | 21.8 |
IDU | 4026 | 25.0 | 293 | 2.9 | 411 | 56.9 | 2422 | 67.0 | 467 | 51.2 | 433 | 57.0 | |
Heterosexual | 4628 | 28.7 | 3770 | 37.4 | 134 | 18.6 | 498 | 13.8 | 124 | 13.6 | 102 | 13.4 | |
Other | 1197 | 7.4 | 722 | 7.2 | 78 | 10.8 | 267 | 7.4 | 71 | 7.8 | 59 | 7.8 | |
Ethnic | White | 13 743 | 85.4 | 8483 | 84.1 | 589 | 81.6 | 3291 | 91.1 | 728 | 79.8 | 652 | 85.8 |
Origin | Other | 2356 | 14.6 | 1608 | 15.9 | 133 | 18.4 | 323 | 8.9 | 184 | 20.2 | 108 | 14.2 |
Region | South | 3936 | 24.4 | 2220 | 22.0 | 147 | 20.4 | 1015 | 28.1 | 259 | 28.4 | 295 | 38.8 |
Central | 4336 | 26.9 | 2858 | 28.3 | 238 | 33.0 | 692 | 19.1 | 331 | 36.3 | 217 | 28.6 | |
North | 3451 | 21.4 | 2493 | 24.7 | 131 | 18.1 | 591 | 16.4 | 134 | 14.7 | 102 | 13.4 | |
Central East | 2132 | 13.2 | 1328 | 13.2 | 89 | 12.3 | 602 | 16.7 | 53 | 5.8 | 60 | 7.9 | |
East | 1728 | 10.7 | 763 | 7.6 | 107 | 14.8 | 652 | 18.0 | 128 | 14.0 | 78 | 10.3 | |
Argentina | 516 | 3.2 | 429 | 4.3 | 10 | 1.4 | 62 | 1.7 | 7 | 0.8 | 8 | 1.1 | |
HBV status | Negative | 13 555 | 84.2 | 8830 | 87.5 | 526 | 72.9 | 2834 | 78.4 | 757 | 83.0 | 608 | 80.0 |
Positive | 1214 | 7.5 | 744 | 7.4 | 114 | 15.8 | 254 | 7.0 | 61 | 6.7 | 41 | 5.4 | |
Unknown | 1330 | 8.3 | 517 | 5.1 | 82 | 11.4 | 526 | 14.6 | 94 | 10.3 | 111 | 14.6 | |
Ever cART | No | 2395 | 14.9 | 1627 | 16.1 | 80 | 11.1 | 524 | 14.5 | 88 | 9.6 | 76 | 10.0 |
Yes | 13 704 | 85.1 | 8464 | 83.9 | 642 | 88.9 | 3090 | 85.5 | 824 | 90.4 | 684 | 90.0 | |
HIV VL | <500 | 11 036 | 68.6 | 6623 | 65.6 | 542 | 75.1 | 2431 | 67.3 | 795 | 87.2 | 645 | 84.9 |
Copies/mL | >500 | 5063 | 31.4 | 3468 | 34.4 | 180 | 24.9 | 1183 | 32.7 | 117 | 12.8 | 115 | 15.1 |
Comorbidities | AIDS | 4089 | 25.4 | 2735 | 27.1 | 199 | 27.6 | 867 | 24.0 | 139 | 15.2 | 149 | 19.6 |
CVD | 307 | 1.9 | 198 | 2.0 | 11 | 1.5 | 53 | 1.5 | 30 | 3.3 | 15 | 2.0 | |
NADM | 311 | 1.9 | 181 | 1.8 | 20 | 2.8 | 73 | 2.0 | 21 | 2.3 | 16 | 2.1 | |
ESLD | 175 | 1.1 | 45 | 0.4 | 10 | 1.4 | 66 | 1.8 | 23 | 2.5 | 31 | 4.1 | |
Hypertension | 3443 | 21.4 | 2233 | 22.1 | 161 | 22.3 | 635 | 17.6 | 229 | 25.1 | 185 | 24.3 | |
CKD | 108 | 0.7 | 34 | 0.3 | 9 | 1.2 | 32 | 0.9 | 23 | 2.5 | 10 | 1.3 | |
All | Anti-HCV Negative | HCV Antibody Positive | |||||||||||
Group 1 | Group 2 | Group 3 | Group 4 | Group 5 | |||||||||
Spontaneous Clearers | Chronic Untreated Infection | Cured | Treated; HCV-RNA-Positive | ||||||||||
No. | % | No. | % | No. | % | No. | % | No. | % | No. | % | ||
All | 16 099 | 100.0 | 10 091 | 62.7 | 722 | 4.5 | 3614 | 22.4 | 912 | 5.7 | 760 | 4.7 | |
Smoking status | Never | 4366 | 27.1 | 3462 | 34.3 | 112 | 15.5 | 635 | 17.6 | 205 | 22.5 | 137 | 18.0 |
Current | 8520 | 52.9 | 4675 | 46.3 | 471 | 65.2 | 32 | 0.9 | 440 | 48.2 | 423 | 55.7 | |
Previous | 1470 | 9.1 | 913 | 9.0 | 72 | 10.0 | 450 | 12.5 | 125 | 13.7 | 85 | 11.2 | |
Unknown | 1743 | 10.8 | 1041 | 10.3 | 67 | 9.3 | 2511 | 69.5 | 142 | 15.6 | 115 | 15.1 | |
Fibrosis | 0/1 | 6468 | 40.2 | 3441 | 34.1 | 434 | 60.1 | 275 | 7.6 | 584 | 64.0 | 384 | 50.5 |
2 | 464 | 2.9 | 33 | 0.3 | 19 | 2.6 | 378 | 10.5 | 93 | 10.2 | 100 | 13.2 | |
3 | 214 | 1.3 | 12 | 0.1 | 5 | 0.7 | 1625 | 45.0 | 65 | 7.1 | 53 | 7.0 | |
4 | 438 | 2.7 | 35 | 0.3 | 23 | 3.2 | 219 | 6.1 | 85 | 9.3 | 113 | 14.9 | |
Unknown | 8515 | 52.9 | 6570 | 65.1 | 241 | 33.4 | 79 | 2.2 | 85 | 9.3 | 110 | 14.5 | |
BMI | ≤18.5 kg/m2 | 620 | 3.9 | 335 | 3.3 | 32 | 4.4 | 182 | 5.0 | 34 | 3.7 | 36 | 4.7 |
18.5–25 kg/m2 | 8108 | 50.4 | 5108 | 50.6 | 352 | 48.8 | 1509 | 41.8 | 418 | 45.8 | 333 | 43.8 | |
>25 kg/m2 | 3350 | 20.8 | 2198 | 21.8 | 157 | 21.9 | 2080 | 57.6 | 201 | 22.0 | 148 | 19.5 | |
Unknown | 4021 | 25.0 | 2450 | 24.3 | 180 | 24.9 | 539 | 14.9 | 259 | 28.4 | 243 | 32.0 | |
Prior HCV | IFN + RBV | 1352 | 80.9 | 713 | 78.2 | 639 | 84.1 | ||||||
Treatment | DAA + IFN | 177 | 10.6 | 106 | 11.6 | 71 | 9.3 | ||||||
DAA only | 280 | 16.7 | 179 | 19.6 | 101 | 13.3 | |||||||
Median | IQR | Median | IQR | Median | IQR | Median | IQR | Median | IQR | Median | IQR | ||
Age, y | 41 | 35–49 | 41 | 34–49 | 42 | 36–50 | 40 | 34–45 | 48 | 39–53 | 47 | 40–53 | |
CD4, /mm3 | 443 | 288–633 | 437 | 287–618 | 460 | 291–672 | 410 | 258–610 | 543 | 369–773 | 550 | 372–754 | |
Nadir CD4, /mm3 | 180 | 73–291 | 180 | 71–293 | 164 | 57–288 | 172 | 76–285 | 190 | 78–292 | 199 | 102–300 | |
Baseline, mm/yy | 01/06 | 01/01–05/12 | 01/04 | 01/01–07/08 | 03/14 | 03/02–02/15 | 02/08 | 01/01–11/14 | 01/15 | 10/14–07/15 | 12/14 | 09/14–05/15 |
Baseline was defined as the latest of January 1, 2001, enrollment to EuroSIDA, known HCV antibody status, and, for those who were HCV antibody–positive, known HCV-RNA status. Spontaneous clearers (HCV antibody–positive, HCV-RNA-negative, untreated); chronic untreated infection (HCV antibody–positive, HCV-RNA-positive, untreated); cured (HCV antibody–positive, HCV-RNA-negative, treated); treated, HCV-RNA-positive (HCV antibody–positive, HCV-RNA-positive, treated). Six hundred twenty-nine persons (45/27/197/177/183 groups 1–5, respectively) had fibrosis defined by biopsy, 1327 (102/71/537/339/278) using Fibroscan, 4807 (3089/285/961/304/168) using APRI, and 821 (285/98/410/7/21) using hyaluronic acid. All comparisons across strata had a P value <.0001 except prior NADM (P = .33), prior CVD (P = .0079), and HCV treatment with IFN + RBV (P = .0023), with DAA + IFN (P = .13) and DAA only (P = .0005).
Abbreviations: BMI, body mass index; cART, combination antiretroviral therapy; CKD, chronic kidney disease; CVD, cardiovascular disease; DAA, direct-acting antivirals; ESLD, end-stage liver disease; HCV, hepatitis C virus; IDU, intravenous drug user; IFN, interferon; IQR, interquartile range; MSM, men who have sex with men; NADM, non-AIDS-defining malignancy; RBV, ribavirin; VL, viral load.