Evidence map›Paper›PMID 27064994›Full record

ArticleAIDS (London, England)2016

Time trends in cancer incidence in persons living with HIV/AIDS in the antiretroviral therapy era: 1997-2012.

Lesley S Park, Janet P Tate, Keith Sigel, David Rimland, Kristina Crothers, Cynthia Gibert, Maria C Rodriguez-Barradas, Matthew Bidwell Goetz, Roger J Bedimo, Sheldon T Brown and 2 more

Abstract read
In one paragraph

Article in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 3% 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.

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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 78 citations in OpenAlex.

  1. Pooled it
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  19. Immune Activation and Microbial Translocation as Prognostic Biomarkers for AIDS-Related Non-Hodgkin Lymphoma in the AMC-034 Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Article
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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

12 authors at 8 institutions in 3 countries.

Lesley S ParkaStanford University School of Medicine, Stanford, California bVeterans Affairs Connecticut Healthcare System, West Haven cYale School of Medicine, New Haven, Connecticut dIcahn School of Medicine at Mt. Sinai, New York, New York eAtlanta Veterans Affairs Medical Center fEmory University School of Medicine, Atlanta, Georgia gUniversity of Washington School of Medicine, Seattle, Washington hWashington DC Veterans Affairs Medical Center iGeorge Washington University School of Medicine and Health Sciences, Washington, District of Columbia jMichael E. DeBakey Veterans Affairs Medical Center kBaylor College of Medicine, Houston, Texas lVeterans Affairs Greater Los Angeles Healthcare System mDavid Geffen School of Medicine, University of California, Los Angeles, California nVeterans Affairs North Texas Healthcare System oUniversity of Texas Southwestern Medical Center, Dallas, Texas pJames J. Peters Veterans Affairs Medical Center, New York, New York qYale School of Public Health, New Haven, Connecticut, USA.
Janet P Tate
Keith Sigel
David Rimland
Kristina Crothers
Cynthia Gibert
Maria C Rodriguez-Barradas
Matthew Bidwell Goetz
Roger J Bedimo
Sheldon T Brown
Amy C Justice
Robert Dubrow
The University of Texas Southwestern Medical Center · USEmory University · USVeterans Health Administration · USApple (Israel) · ILFundación Juan March · ESUniversity of California, Los Angeles · USVA Greater Los Angeles Healthcare System · USVA North Texas Health Care System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
North American AIDS Cohorts on Collaboration and Design (NAACCORD)U01AI069918 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Keri Nicole Althoff, RICHARD Douglas MOORE · 2006 to 2026
$65.2M
Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI Raul Ulises Hernandez · 2001 to 2026
$48.5M
Alcohol Associated Outcomes Among HIV+/- Aging VeteransU10AA013566 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2006 to 2010
$12.7M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
Alcohol and Multisubstance Use in the Veterans Aging Cohort StudyU01AA020790 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$7.7M
Diabetes, Endocrinology and Metabolism Training GrantT32DK007217 · NIDDK · STANFORD UNIVERSITY · PI Justin Pierce Annes, David Matthew Maahs · 1987 to 2026
$7.2M
Sex Disparities in Overall Response to ART Among HIV Infected IndividualsU24AA020794 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$5.5M
Translational Research on Alcohol, Immunodeficiency, and Aging In COMpAAASU24AA022001 · NIAAA · YALE UNIVERSITY · PI BRANDT, CYNTHIA A. · 2012 to 2020
$3.2M
Benefits and Harms of Lung Cancer Screening in HIV InfectionR01CA173754 · NCI · UNIVERSITY OF WASHINGTON · PI BRAITHWAITE, RONALD SCOTT, CROTHERS, KRISTINA ANNE · 2013 to 2017
$2.5M
Antiretroviral Therapy Strategies to Lower Cancer Risk in HIV-Infected PersonsR01CA165937 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI DUBROW, ROBERT D, SILVERBERG, MICHAEL J · 2012 to 2015
$2.4M
NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR001863NCI NIH HHS F31 CA180775NCI NIH HHS K07 CA180782NCI NIH HHS R01 CA165937NCI NIH HHS R01 CA173754NIAAA NIH HHS U01 AA020790NIAAA NIH HHS U10 AA013566NIAAA NIH HHS U24 AA020794NIAAA NIH HHS U24 AA022001NIAID NIH HHS U01 AI069918NIDDK NIH HHS T32 DK007217NIMH NIH HHS P30 MH062294NIMH NIH HHS T32 MH020031
6 · The paper itself

Abstract

objectiveUtilizing the Veterans Aging Cohort Study, the largest HIV cohort in North America, we conducted one of the few comprehensive comparisons of cancer incidence time trends in HIV-infected (HIV+) versus uninfected persons during the antiretroviral therapy (ART) era.

designProspective cohort study.

methodsWe followed 44 787 HIV+ and 96 852 demographically matched uninfected persons during 1997-2012. We calculated age-, sex-, and race/ethnicity-standardized incidence rates and incidence rate ratios (IRR, HIV+ versus uninfected) over four calendar periods with incidence rate and IRR period trend P values for cancer groupings and specific cancer types.

resultsWe observed 3714 incident cancer diagnoses in HIV+ and 5760 in uninfected persons. The HIV+ all-cancer crude incidence rate increased between 1997-2000 and 2009-2012 (P trend = 0.0019). However, after standardization, we observed highly significant HIV+ incidence rate declines for all cancer (25% decline; P trend <0.0001), AIDS-defining cancers (55% decline; P trend <0.0001), nonAIDS-defining cancers (NADC; 15% decline; P trend = 0.0003), and nonvirus-related NADC (20% decline; P trend <0.0001); significant IRR declines for all cancer (from 2.0 to 1.6; P trend <0.0001), AIDS-defining cancers (from 19 to 5.5; P trend <0.0001), and nonvirus-related NADC (from 1.4 to 1.2; P trend = 0.049); and borderline significant IRR declines for NADC (from 1.6 to 1.4; P trend = 0.078) and virus-related NADC (from 4.9 to 3.5; P trend = 0.071).

conclusionImproved HIV care resulting in improved immune function most likely contributed to the HIV+ incidence rate and the IRR declines. Further promotion of early and sustained ART, improved ART regimens, reduction of traditional cancer risk factor (e.g. smoking) prevalence, and evidence-based screening could contribute to future cancer incidence declines among HIV+ persons.

Indexed as

AdultAgedAged, 80 and overAnti-Retroviral AgentsFemaleHIV InfectionsHumansIncidenceMaleMiddle AgedNeoplasmsNorth AmericaProspective StudiesYoung AdultAnti-Retroviral Agents

Identifiers

PMID27064994
PMCPMC4925286
OpenAlexW2338317612

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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.