Table 2.
Causes of death | n (%)1 | MR (95% CI) per 1,000 PY | Early- vs. pre-cART eras | Late- vs. early-cART eras | ||||
---|---|---|---|---|---|---|---|---|
|
|
|||||||
Pre-cART era2 | Early-cART era2 | Late-cART era2 | IDR (95% CI) | P-value | IDR (95% CI) | P-value | ||
| ||||||||
All-cause3 | 1,752 (100.0) | 39.10 (37.05, 41.15) | 19.33 (17.15, 21.52) | 13.62 (9.92, 17.33) | 0.49 (0.44, 0.56) | <0.001 | 0.70 (0.53, 0.95) | 0.020 |
AIDS-related4 | 724 (51.3) | 17.64 (16.26, 19.01) | 5.14 (4.01, 6.26) | 3.41 (1.55, 5.26) | 0.29 (0.23, 0.37) | <0.001 | 0.66 (0.37, 1.19) | 0.169 |
Infection | 631 (44.7) | 15.32 (14.03, 16.60) | 4.62 (3.56, 5.69) | 2.88 (1.18, 4.59) | 0.30 (0.24, 0.39) | <0.001 | 0.62 (0.33, 1.18) | 0.144 |
Malignancy | 93 (6.6) | 2.32 (1.82, 2.82) | 0.51 (0.16, 0.87) | 0.52 (0.00, 1.25) | 0.22 (0.11, 0.46) | <0.001 | 1.02 (0.22, 4.80) | 0.980 |
Non-AIDS-related4 | 687 (48.7) | 14.37 (13.12, 15.61) | 9.19 (7.68, 10.69) | 7.86 (5.05, 10.67) | 0.64 (0.53, 0.77) | <0.001 | 0.86 (0.58, 1.27) | 0.438 |
Cardiovascular disease | 67 (4.8) | 1.12 (0.77, 1.46) | 1.41 (0.82, 2.00) | 1.31 (0.16, 2.46) | 1.26 (0.75, 2.13) | 0.378 | 0.93 (0.35, 2.45) | 0.879 |
Infection5 | 96 (6.8) | 2.40 (1.90, 2.91) | 0.58 (0.20, 0.96) | 0.26 (0.00, 0.78) | 0.24 (0.12, 0.48) | <0.001 | 0.45 (0.06, 3.58) | 0.453 |
Liver-related6 | 97 (6.9) | 2.21 (1.72, 2.70) | 1.09 (0.57, 1.61) | 0.26 (0.00, 0.78) | 0.49 (0.29, 0.84) | 0.008 | 0.24 (0.03, 1.80) | 0.165 |
Malignancy6 | 128 (9.1) | 2.10 (1.62, 2.57) | 2.57 (1.77, 3.37) | 3.41 (1.55, 5.26) | 1.23 (0.84, 1.80) | 0.299 | 1.33 (0.71, 2.48) | 0.377 |
Renal failure | 49 (3.5) | 0.95 (0.63, 1.27) | 0.96 (0.48, 1.45) | 0.26 (0.00, 0.78) | 1.01 (0.55, 1.86) | 0.965 | 0.27 (0.04, 2.06) | 0.207 |
Respiratory disease5 | 124 (8.8) | 3.10 (2.53, 3.68) | 0.58 (0.20, 0.96) | 1.05 (0.02, 2.08) | 0.19 (0.09, 0.37) | <0.001 | 1.81 (0.56, 5.89) | 0.322 |
Sudden death | 70 (5.0) | 1.09 (0.75, 1.43) | 1.67 (1.03, 2.31) | 1.31 (0.16, 2.46) | 1.53 (0.93, 2.52) | 0.092 | 0.78 (0.30, 2.04) | 0.619 |
Violence6 | 56 (4.0) | 1.40 (1.01, 1.78) | 0.32 (0.04, 0.60) | 0.26 (0.00, 0.78) | 0.23 (0.09, 0.58) | 0.002 | 0.82 (0.10, 6.98) | 0.853 |
AIDS, acquired immune deficiency syndrome; cART, combination antiretroviral therapy; CI, confidence interval; HCC, hepatocellular carcinoma; HIV, human immunodeficiency virus; IDR, incidence density ratio; MR, mortality rate; PY, person-years.
Percentages may not add to 100% due to rounding up to the nearest tenth.
Pre-cART, 1984–1996 (n=1,366); early-cART, 1997–2006 (n=291); late-cART, 2007–2016 (n=49).
Includes deaths for which the cause is unknown (n=265) or other (n=76).
Includes only those sub-categories enumerated below.
Pulmonary infections included in respiratory, not infection.
HCC included in liver, not malignancy.
Includes suicide and drug-related causes of death.