Evidence map›Paper›PMID 27940936›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

HIV Infection, Immunosuppression, and Age at Diagnosis of Non-AIDS-Defining Cancers.

Meredith S Shiels, Keri N Althoff, Ruth M Pfeiffer, Chad J Achenbach, Alison G Abraham, Jessica Castilho, Angela Cescon, Gypsyamber D'Souza, Robert Dubrow, Joseph J Eron and 15 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06205511 (The Prevalence of Oral HPV Infection and Oral Lesions in People Living With HIV in a HIV Primary Care Clinic), which is not on this map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
5.5field-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.

NCT06205511 completednot on this mapstarted 2023, after this paper: background citation

The Prevalence of Oral HPV Infection and Oral Lesions in People Living With HIV in a HIV Primary Care Clinic

TypeobservationalSponsorVivent HealthRan2023 to 2024Enrolled300ConditionsHuman Immunodeficiency Virus, Human Papilloma VirusArmsOral HPV Sample
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 93 citations in OpenAlex.

  1. Trial
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  5. Review
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  7. Article
  8. Article
  9. Review
  10. Management of Antiretroviral Therapy and Opportunistic Infections in People Living with HIV Undergoing Hematopoietic Stem Cell Transplant in British Columbia.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2024
    Article
  11. Review
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  17. CD4/CD8 Ratio and Cancer Risk Among Adults With HIV.Journal of the National Cancer Institute · 2022
    Article
  18. Article
  19. 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

25 authors at 15 institutions in 4 countries.

Meredith S ShielsDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
Keri N AlthoffDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Ruth M PfeifferDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
Chad J AchenbachDepartment of Medicine, Division of Infectious Diseases, Center for Global Health, Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.
Alison G AbrahamDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Jessica CastilhoDivision of Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Angela CesconNorthern Ontario School of Medicine, Sudbury, Ontario, Canada.
Gypsyamber D'SouzaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Robert DubrowDepartment of Epidemiology, Yale School of Public Health, New Haven, Connecticut, USA.
Joseph J EronDepartment of Medicine, University of North Carolina at Chapel Hill, North Carolina, USA.
Kelly GeboDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
M John GillDepartment of Medicine, University of Calgary, Alberta, Canada.
James J GoedertDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
Surbhi GroverDepartment of Radiation Oncology, University of Pennsylvania, Philadelphia, USA.
Nancy A HessolSchool of Pharmacy, University of California, San Francisco, USA.
Amy JusticeDepartment of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Mari KitahataCenter for AIDS Research, University of Washington, Seattle, USA.
Angel MayorSchool of Medicine, Universidad Central del Caribe, Bayamon, Puerto Rico, USA.
Richard D MooreDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Sonia NapravnikDepartment of Medicine, University of North Carolina at Chapel Hill, North Carolina, USA.
Richard M NovakDivision of Infectious Diseases, University of Illinois College of Medicine, Chicago, USA.
Jennifer E ThorneDepartment of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Michael J SilverbergDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Eric A EngelsDivision of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, Maryland, USA.
North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) of the International Epidemiologic Databases to Evaluate AIDS (IeDEA)
Johns Hopkins University · USCancer Institute (WIA) · INDivision of Cancer Epidemiology and GeneticsUniversity of North Carolina at Chapel Hill · USAIDS United · USCenter for Global Health · USCentral University of the Caribbean · PRIllinois College · USKaiser Permanente · USNOSM University · CAUniversity of Calgary · CAUniversity of California, San Francisco · USUniversity of Pennsylvania · USVanderbilt University Medical Center · USYale University · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
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
Multicenter Aids Cohort Study- Part B (Baltimore Site)U01AI035042 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BROWN, TODD T, MARGOLICK, JOSEPH B. · 1993 to 2018
$61.5M
Infections, immunity, and inflammation in cancerZIACP010150 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI ENGELS, ERIC A · 2009 to 2025
$24.0M
TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI LUCIANO, CARLOS A., NOBOA, CARIAMARIE · 2012 to 2018
$23.2M
Center for the Analysis & Management of the Multicenter AIDS Cohort StudyUM1AI035043 · NIAID · JOHNS HOPKINS UNIVERSITY · PI D'SOUZA, GYPSYAMBER, JACOBSON, LISA P · 2012 to 2018
$20.7M
UNIVERSIDAD CENTRAL DEL CARIBE BIOMEDICAL RESEARCH CENTERSG12MD007583 · NIMHD · UNIVERSIDAD CENTRAL DEL CARIBE · PI RODRIGUEZ, JOSE GINEL · 2012 to 2016
$8.4M
The Silver Tsunami: Projecting multimorbidity, polypharmacy,and healthcare costs for those aging with HIV in the USR01AG053100 · NIA · JOHNS HOPKINS UNIVERSITY · PI ALTHOFF, KERI NICOLE · 2016 to 2020
$2.7M
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
The dynamics of HIV, aging, and T lymphocyte exhaustionK23AI120875 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CASTILHO, JESSICA L · 2016 to 2020
$867k
Challenging and Expanding Paradigms of Aging with HIVK01AI093197 · NIAID · JOHNS HOPKINS UNIVERSITY · PI ALTHOFF, KERI NICOLE · 2011 to 2015
$646k
NCI NIH HHS R01 CA165937NIAID NIH HHS K01 AI093197NIAID NIH HHS K23 AI120875NIAID NIH HHS P30 AI050410NIAID NIH HHS U01 AI035042NIAID NIH HHS U01 AI069918NIAID NIH HHS UM1 AI035043NIA NIH HHS R01 AG053100NIMHD NIH HHS G12 MD007583NIMHD NIH HHS U54 MD007587
6 · The paper itself

Abstract

Background: It is unclear whether immunosuppression leads to younger ages at cancer diagnosis among people living with human immunodeficiency virus (PLWH). A previous study found that most cancers are not diagnosed at a younger age in people with AIDS, with the exception of anal and lung cancers. This study extends prior work to include all PLWH and examines associations between AIDS, CD4 count, and age at cancer diagnosis. Methods: We compared the median age at cancer diagnosis between PLWH in the North American AIDS Cohort Collaboration on Research and Design and the general population using data from the Surveillance, Epidemiology and End Results Program. We used statistical weights to adjust for population differences. We also compared median age at cancer diagnosis by AIDS status and CD4 count. Results: After adjusting for population differences, younger ages at diagnosis (P < .05) were observed for PLWH compared with the general population for lung (difference in medians = 4 years), anal (difference = 4), oral cavity/pharynx (difference = 2), and kidney cancers (difference = 2) and myeloma (difference = 4). Among PLWH, having an AIDS-defining event was associated with a younger age at myeloma diagnosis (difference = 4; P = .01), and CD4 count <200 cells/µL (vs ≥500) was associated with a younger age at lung cancer diagnosis (difference = 4; P = .006). Conclusions: Among PLWH, most cancers are not diagnosed at younger ages. However, this study strengthens evidence that lung cancer, anal cancer, and myeloma are diagnosed at modestly younger ages, and also shows younger ages at diagnosis of oral cavity/pharynx and kidney cancers, possibly reflecting accelerated cancer progression, etiologic heterogeneity, or risk factor exposure in PLWH.

Indexed as

Immune ToleranceAdultAgedAge FactorsCD4 Lymphocyte CountCohort StudiesFemaleHIV InfectionsHumansMaleMiddle AgedNeoplasmsYoung AdultagingAIDScancerHIVimmunosuppression

Identifiers

PMID27940936
PMCPMC5850313
OpenAlexW2560043256

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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.