Risk factor for renal impairment (unit) Total number of
Subjects=2115
No. subjects who dropped eGFR<60 ml/min per 1.73m2 (%) Hazard Ratio (95% CI) P value
Sex Female
Male
273
1842
68 (24.9)
318 (17.3)
 1.51 (1.16 to 1.96)
1
<0.001
Baseline age (years) >48.19
42.48-48.19
36.75-42.49
<36.76
528
529
529
529
4 (17.4)
70 (22.4)
56 (10.6)
256 (16.8)
 2.75 (2.03 to 3.73)
2.06 (1.50 to 2.82)
1.30 (0.92 to 1.82)
1
0.002
Ethnicity Other
Black Africans
Caucasian
336
259
1520
74 (22)
56 (21.6)
256 (16.8)
 1.29 (0.98 to 1.68)
1.28 (0.96 to 1.71)
1
0.090
Baseline CD4 (cells/mm3) Missing
<258
258-381
382-549
>550
11
526
528
525
525
1 (9.1)
106 (20.2)
83 (15.7)
103 (19.6)
93 (17.7)
 0.47 (0.07 to 3.40)
1.12 (0.85 to 1.48)
0.88 (0.65 to 1.18)
1.12 (0.84 to 1.48)
1
0.356  
Baseline viral load (copies/ml) Missing
>500
50-500
<50
24
456
368
1267
2 (8.3)
73 (16)
63 (17.1)
248 (19.6)
 0.43 (0.11 to 1.75)
0.79 (0.61 to 1.03)
0.85 (0.64 to 1.12)
1
0.155
Baseline eGFR ml/min per 1.73m2 61-69
69-78
79-84
>84
528
550
479
558
251 (47.5)
69 (12.6)
35 (7.3)
31 (5.6)
 10.42 (6.96 to 15.60)
2.42 (1.54 to 3.79)
1.38 (0.83 to 2.30)
1
<0.001
Baseline hepatitis C Ab status Positive
Negative
170
1945
32 (18.8)
354 (18.2)
 1.11 (0.78 to 1.60)
1
0.174
Baseline hepatitis B Surface Antigen status Positive
Negative
71
2044
25 (35.2)
361 (17.7)
 1.41(0.88 to 2.26)
1
0.180
Previous indinavir exposure Yes
No
230
1885
75 (32.6)
311 (16.5)
2.03 (1.58 to2.62)
1
<0.001
Previous tenofovir exposure Yes
No
835
1280
190 (14.8)
196 (23.5)
1.68 (1.38 to 2.05) <0.001
Tot duration tenofovir exposure ¥ Median exposure 2years (IQR 1-4yrs)     1.09 (1.06 to 1.12)* <0.001
ATZ/r exposure Yes
No
488
1627
276 (17.0)
110 (22.5)
1.2 (1.02 to 1.58)
1
<0.036
DRV/r exposure Yes
No
415
1700
283 (16.7)
103 (24.8)
1.54 (1.22 to 1.92)
1
<0.001
LPV/r exposure Yes
No
214
1901
321 (16.9)
65 (30.4)
1.71 (1.38 to 2.24)
1
<0.001
EFV exposure Yes
No
1245
870
204 (23.5)
182 (14.6)
0.6 (0.47 to 0.73)
1
<0.001
Combinations with Combination
LPV/r
DRV/r
ATZ/r
EFV
227
369
287
111
1121
68 (30.0)
80 (21.7)
61 (21.3)
27 (24.3)
150 (13.4)
1.97 (1.48 to 2.62)
2.07 (1.38 to 3.12)
1.71 (1.27 to 2.31)
1.65 (1.26 to 2.17)
1
<0.001
¥ Includes current TFV exposure
* For every additional year of TFV exposure, risk of developing eGFR<60 ml/min per 1.73m2 increased by 9%
HAART highly active antiretroviral therapy NRTI nucleos(t)ide reverse transcriptase inhibitor ATZ atazanavir DRV darunavir LPV lopinavir EFV efavirenz r ritonavir TFV tenofovir IND indinavir eGFR estimated glomerular filtration rate
Table 2: Univariate Cox’s proportional hazards regression model showing likelihood of eGFR< 60 ml/min per 1.73m2 since starting HAART with 2NRTI+ATZ/r, 2NRTI+DRV/r, 2NRTI+LPV/r or 2NRTI+EFV. 
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