Evidence map›Paper›PMID 22934689›Full record

ArticleHIV medicine2013

Cancer, immunodeficiency and antiretroviral treatment: results from the Australian HIV Observational Database (AHOD).

K Petoumenos, M T van Leuwen, C M Vajdic, I Woolley, J Chuah, D J Templeton, A E Grulich, M G Law, Australian HIV Observational Database

Registry-linked trialAbstract read
In one paragraph

Article in HIV medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03113942 (Study of Pomalidomide in Anal Cancer Precursors), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03113942 phase2unknown statusnot on this mapstarted 2017, after this paper: background citation

Study of Pomalidomide in Anal Cancer Precursors (SPACE): a Phase 2 Study of Immunomodulation in People With Persistent HPV-associated High Grade Squamous Intraepithelial Lesions

TypeinterventionalSponsorKirby InstituteRan2017 to 2022Enrolled26ConditionsHigh Grade Squamous Intra-epithelial Lesion (HSIL)ArmsPomalidomide 2 MG Oral Capsule [Pomalyst]
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. HIV and neoplasms: What do we know so far?Einstein (Sao Paulo, Brazil) · 2023
    Pooled it
  2. Risk of Skin Cancers in Older Persons Living With HIV: A Systematic Review.The Journal of the Association of Nurses in AIDS Care : JANAC
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Combination antiretroviral therapy and cancer risk.Current opinion in HIV and AIDS · 2017
    Review
  9. Observational
  10. Article
  11. Article
  12. Multifocal spinal malignant peripheral nerve sheath tumor in an immunocompromised individual: case report and review of literature.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2014
    Review
  13. Incidence and risk of lung cancer in HIV-infected patients.Journal of cancer research and clinical oncology · 2013
    Review
  14. Incidence and timing of cancer in HIV-infected individuals following initiation of combination antiretroviral therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013
    Article
  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

K PetoumenosThe Kirby Institute, University of New South Wales, Sydney, Australia. kpetoumenos@kirby.unsw.edu.au
M T van Leuwen
C M Vajdic
I Woolley
J Chuah
D J Templeton
A E Grulich
M G Law
Australian HIV Observational Database
UNSW Sydney · AUCancer Institute of New South Wales · AUMonash University · AUSydney Sexual Health Centre · AU

Funding

The Asia-Pacific HIV Research CollaborationU01AI069907 · NIAID · FOUNDATION FOR AIDS RESEARCH · PI ANNETTE H SOHN · 2006 to 2026
$44.8M
NIAID NIH HHS U01 AI069907NIAID NIH HHS U01-AI069907
6 · The paper itself

Abstract

objectivesThe objective of the study was to conduct a within-cohort assessment of risk factors for incident AIDS-defining cancers (ADCs) and non-ADCs (NADCs) within the Australian HIV Observational Database (AHOD).

methodsA total of 2181 AHOD registrants were linked to the National AIDS Registry/National HIV Database (NAR/NHD) and the Australian Cancer Registry to identify those with a notified cancer diagnosis. Included in the current analyses were cancers diagnosed after HIV infection. Risk factors for cancers were also assessed using logistic regression methods.

resultsOne hundred and thirty-nine cancer cases were diagnosed after HIV infection among 129 patients. More than half the diagnoses (n = 68; 60%) were ADCs, of which 69% were Kaposi's sarcoma and 31% non-Hodgkin's lymphoma. Among the NADCs, the most common cancers were melanoma (n = 10), lung cancer (n = 6), Hodgkin's lymphoma (n = 5) and anal cancer (n = 5). Over a total of 21021 person-years (PY) of follow-up since HIV diagnosis, the overall crude cancer incidence rate for any cancer was 5.09/1000 PY. The overall rate of cancers decreased from 15.9/1000 PY [95% confidence interval (CI) 9.25-25.40/1000 PY] for CD4 counts < 100 cells/μL to 2.4/1000 PY (95% CI 1.62-3.39/1000 PY) for CD4 counts > 350 cells/μL. Lower CD4 cell count and prior AIDS diagnoses were significant predictors for both ADCs and NADCs.

conclusionsADCs remain the predominant cancers in this population, although NADC rates have increased in the more recent time period. Immune deficiency is a risk factor for both ADCs and NADCs.

Indexed as

Acquired Immunodeficiency SyndromeAdultAgingAnti-HIV AgentsAntiretroviral Therapy, Highly ActiveAnus NeoplasmsAustraliaCD4 Lymphocyte CountDatabases, FactualFemaleFollow-Up StudiesHodgkin DiseaseHumansLogistic ModelsLung NeoplasmsLymphoma, AIDS-RelatedAnti-HIV Agents

Identifiers

PMID22934689
PMCPMC3535176
OpenAlexW1733594485

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.