{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T22:43:38Z","timestamp":1793573018829,"version":"4.5.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:00:00Z","timestamp":1644451200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100004396","name":"Thailand Research Fund","doi-asserted-by":"publisher","award":["RTA6080009"],"award-info":[{"award-number":["RTA6080009"]}],"id":[{"id":"10.13039\/501100004396","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although many guidelines recommend switching tenofovir disoproxil fumarate (TDF) to other antiretroviral agents if there is a progressive decline in the estimated glomerular filtration rate (eGFR) not explained by other causes, a definite cut-point of the eGFR for TDF switching is not known.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cohort study was conducted among people living with HIV (PLHIV) who switched from TDF to other agents due to declined eGFR. Participants were categorized according to the eGFR at TDF switching: early-switch (eGFR \u2265 60\u00a0mL\/min\/1.73\u00a0m\n                      <jats:sup>2<\/jats:sup>\n                      ) and late-switch (eGFR &lt; 60\u00a0mL\/min\/1.73\u00a0m\n                      <jats:sup>2<\/jats:sup>\n                      ) groups. Binary logistic regression was used to determine factors associated with complete recovery of renal function.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 141 participants, mean age was 54.2 \u00b1 12.2\u00a0years and 74.5% were male. Median duration of TDF use was 5.2\u00a0years. Mean eGFR at the time of TDF switching was 72.4 \u00b1 13.7\u00a0mL\/min\/1.73\u00a0m\n                      <jats:sup>2<\/jats:sup>\n                      in the early-switch group and 47.0 \u00b1 14.8\u00a0mL\/min\/1.73\u00a0m\n                      <jats:sup>2<\/jats:sup>\n                      in the late-switch group. Six months after TDF switching, mean eGFR significantly increased to 84.2 \u00b1 13.5 ( p = .001) and 58.5 \u00b1 13.2\u00a0mL\/min\/1.73\u00a0m\n                      <jats:sup>2<\/jats:sup>\n                      ( p &lt; .001) in early-switch and late-switch groups, respectively. At 12\u00a0months after TDF switching, 44.4% of participants in early-switch group and 2.3% of participants in late-switch group had eGFR recovery to \u2265 90\u00a0mL\/min\/1.73\u00a0m\n                      <jats:sup>2<\/jats:sup>\n                      ( p &lt; .001). Multivariate analysis showed that only early switching (vs late switching) of TDF was associated with complete recovery of renal function at 12\u00a0months after TDF switching [OR, 7.542; 95% CI, 2.441\u201311.119; p = .028].\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In PLHIV with TDF-associated renal insufficiency, eGFR significantly recovers after switching TDF to other agents. Early TDF switching has a higher chance of complete recovery of renal function.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09564624221076632","type":"journal-article","created":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T18:44:26Z","timestamp":1644518666000},"page":"391-396","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Recovery of renal function after early versus late switching of tenofovir disoproxil fumarate in people living with HIV with renal insufficiency"],"prefix":"10.1177","volume":"33","author":[{"given":"Supawadee","family":"Suppadungsuk","sequence":"first","affiliation":[{"name":"Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Purim","family":"Janepiriyaprayoon","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1055-2963","authenticated-orcid":false,"given":"Somnuek","family":"Sungkanuparph","sequence":"additional","affiliation":[{"name":"Chakri Naruebodindra Medical Institute, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Samut Prakan, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,2,10]]},"reference":[{"key":"bibr1-09564624221076632","volume-title":"Global HIV & AIDS statistics \u2013 Fact sheet","author":"UNAIDS","year":"2021"},{"key":"bibr2-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e328331910c"},{"key":"bibr3-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1016\/S2055-6640(20)30323-X"},{"key":"bibr4-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1086\/378068"},{"key":"bibr5-09564624221076632","doi-asserted-by":"publisher","DOI":"10.2165\/00003495-200565030-00006"},{"key":"bibr6-09564624221076632","volume-title":"Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: Recommendations for a public health approach","author":"World Health Organization","year":"2020","edition":"2"},{"key":"bibr7-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1186\/s12981-015-0053-z"},{"key":"bibr8-09564624221076632","doi-asserted-by":"publisher","DOI":"10.4103\/2224-3151.206171"},{"key":"bibr9-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2012080857"},{"key":"bibr10-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1086\/655681"},{"key":"bibr11-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2010.318"},{"key":"bibr12-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0161562"},{"key":"bibr13-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0b013e3280b07b33"},{"key":"bibr14-09564624221076632","first-page":"643","volume":"42","author":"Manosuthi W","year":"2011","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"bibr15-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60616-X"},{"key":"bibr16-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12322"},{"key":"bibr17-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2010.483"},{"key":"bibr18-09564624221076632","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1038\/kisup.2012.73","volume":"3","author":"(KDIGO) CKD Work Group","year":"2013","journal-title":"Kidney Int Suppl"},{"key":"bibr19-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000986"},{"key":"bibr20-09564624221076632","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-015-0192-4"}],"container-title":["International Journal of STD &amp; 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