Evidence map›Paper›PMID 25713023›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2015

Survival among HIV-infected and HIV-uninfected individuals with common non-AIDS-defining cancers.

Julia L Marcus, Chun Chao, Wendy A Leyden, Lanfang Xu, Jeanette Yu, Michael A Horberg, Daniel Klein, William J Towner, Charles P Quesenberry, Donald I Abrams and 1 more

Abstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  16. Human Immunodeficiency Virus-Associated Differences in the Tumor Immune Microenvironment of Lung, Breast, and Prostate Cancers.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  17. Article
  18. Article
  19. Early Detection of Cancer and Precancerous Lesions in Persons With HIV Through a Comprehensive Cancer Screening Protocol.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  20. Prostate cancer in people with HIV.Current opinion in infectious diseases · 2025
    Review

13 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Julia L MarcusKaiser Permanente Northern California, Oakland, California.
Chun ChaoKaiser Permanente Southern California, Pasadena, California.
Wendy A LeydenKaiser Permanente Northern California, Oakland, California.
Lanfang XuKaiser Permanente Southern California, Pasadena, California.
Jeanette YuKaiser Permanente Northern California, Oakland, California.
Michael A HorbergMid-Atlantic Permanente Research Institute, Rockville, Maryland.
Daniel KleinKaiser Permanente Northern California, San Leandro, California.
William J TownerKaiser Permanente Southern California, Los Angeles, California.
Charles P QuesenberryKaiser Permanente Northern California, Oakland, California.
Donald I AbramsSan Francisco General Hospital, San Francisco, California. University of California San Francisco, San Francisco, California.
Michael J SilverbergKaiser Permanente Northern California, Oakland, California. michael.j.silverberg@kp.org.

Funding

HIV Infection, Antiretroviral Therapy, Cancer Incidence and ProgressionK01AI071725 · NIAID · KAISER FOUNDATION RESEARCH INSTITUTE · PI SILVERBERG, MICHAEL J · 2007 to 2011
$702k
NIAID NIH HHS K01 AI071725NIAID NIH HHS K01AI071725
6 · The paper itself

Abstract

backgroundNon-AIDS-defining cancers increasingly contribute to mortality among human immunodeficiency virus (HIV)-infected individuals. However, few studies have compared cancer prognosis by HIV status with adjustment for risk factors.

methodsWe conducted a cohort study of HIV-infected and HIV-uninfected adults in Kaiser Permanente California during 1996 to 2011, following subjects diagnosed with Hodgkin lymphoma or anal, prostate, colorectal, or lung cancers. We used Kaplan-Meier curves and Cox regression to assess cancer-related mortality within 5 years, comparing HIV-infected with HIV-uninfected subjects. Adjusted models included age, race/ethnicity, sex, cancer stage, cancer treatment, and smoking.

resultsAmong HIV-infected and HIV-uninfected subjects, there were 68 and 51 cases of Hodgkin lymphoma, 120 and 28 of anal cancer, 150 and 2,050 of prostate cancer, 53 and 646 of colorectal cancer, and 80 and 507 of lung cancer, respectively. Five-year cancer-related survival was reduced for HIV-infected compared with HIV-uninfected subjects, reaching statistical significance for lung cancer (10% vs. 19%, P = 0.002) but not Hodgkin lymphoma (83% vs. 89%, P = 0.40) or anal (64% vs. 74%, P = 0.38), prostate (86% vs. 92%, P = 0.074), or colorectal cancers (49% vs. 58%, P = 0.55). Adjusted results were similar, with lung cancer [HR, 1.3; 95% confidence interval (CI), 1.0-1.7] and prostate cancer (HR, 2.1; 95% CI, 1.1-4.1) reaching significance.

conclusionsCancer-related mortality was higher among HIV-infected compared with HIV-uninfected individuals for prostate and lung cancers, but not Hodgkin lymphoma, anal cancer, or colorectal cancer. IMPACT: Our findings emphasize the need for a focus on prevention, early detection, and adequate treatment of cancer among HIV-infected individuals.

Indexed as

AdultAgedCohort StudiesFemaleHIV InfectionsHumansMaleMiddle AgedNeoplasmsRisk FactorsSurvival Analysis

Identifiers

PMID25713023
PMCPMC4526437

What OpenQuestion holds

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Registered trials

None linked

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.