Liver failure and hepatitis together accounted for a mortality rate of 1.1% in IDUs vs. 0.17% in non-IDUs (a difference of almost 1% between the two groups). Also, substance abuse-related deaths accounted
for a 0.5% difference in mortality, and infection (both AIDS-related and -unrelated) accounted for a further 1.13% difference in mortality. In addition, there was a 0.84% difference between the two groups with respect to death from unknown causes. It is thus possible that the above-mentioned causes of death are in fact underrepresented in these numbers. In summary, HIV-positive individuals with a history of IDU experienced higher rates of death and AIDS after starting cART, compared with individuals without a history of IDU. While liver-related disorders and deaths from the direct effects of substance abuse appeared to explain much of the excess mortality in IDUs, it also appeared that Bak protein Selleck AZD4547 they were at increased risk for many other causes of death which are not typically thought to be related to IDU. These differences may relate to the suboptimal management of HIV disease in these individuals. We are grateful to all patients, doctors and study nurses who were involved in the participating
cohort studies. The ART Cohort Collaboration is supported by the UK Medical Research Council grant G0700820. Sources of funding of individual cohorts include the Agence Nationale de Recherche sur le SIDA (ANRS), the Institut National de la Santé et de la Recherche Médicale (INSERM), the French, Italian, Spanish and Swiss Ministries of Health, The Swiss HIV Cohort Study, PRKACG supported by the Swiss National Science Foundation (Grant No. 33CSC0-08787), the Stichting HIV Monitoring (Academic Medical Center, University
of Amsterdam), the European Commission, the British Columbia and Alberta Governments, the Michael Smith Foundation for Health Research, the Canadian Institutes of Health Research, the VHA Office of Research and Development and unrestricted grants from GlaxoSmith Kline, Roche and Boehringer-Ingelheim. The study was supported in part by the Spanish Network for AIDS Research (RIS; ISCIII-RETIC RD06/006). “
“The aim of the study was to examine whether exposure to abacavir increases the risk for myocardial infarction (MI). This was a prospective nationwide cohort study which included all Danish HIV-infected patients on highly active antiretroviral therapy (HAART) from 1995 to 2005 (N=2952). Data on hospitalization for MI and comorbidity were obtained from Danish medical databases. Hospitalization rates for MI after HAART initiation were calculated for patients who used abacavir and those who did not. We used Cox’s regression to compute incidence rate ratios (IRR) as a measure of relative risk for MI, while controlling for potential confounders (as separate variables and via propensity score) including comorbidity.