Evidence map›Paper›PMID 29028665›Full record

ArticleAIDS (London, England)2018

Gynecologic cancer in HIV-infected women: treatment and outcomes in a multi-institutional cohort.

Kimberly L Levinson, David J Riedel, Laureen S Ojalvo, Wesley Chan, Ana M Angarita, Amanda N Fader, Anne F Rositch

Abstract readMulticenter Study
In one paragraph

Article in AIDS (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Cancer Treatment Disparities in People With HIV in the United States, 2001-2019.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. Article
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  8. Veteran Women Living With Human Immunodeficiency Virus Have Increased Risk of Human Papillomavirus (HPV)-Associated Genital Tract Cancers.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  9. Review
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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

7 authors at 2 institutions in 1 country.

Kimberly L LevinsonKelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Hospital.
David J RiedelInstitute of Human Virology, University of Maryland.
Laureen S OjalvoKelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Hospital.
Wesley ChanInstitute of Human Virology, University of Maryland.
Ana M AngaritaKelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Hospital.
Amanda N FaderKelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins Hospital.
Anne F RositchDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health.
Johns Hopkins Hospital · USJohns Hopkins University · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
NIAID NIH HHS P30 AI094189
6 · The paper itself

Abstract

objectiveTo evaluate gynecologic cancer treatments in HIV-infected women for adherence to National Comprehensive Cancer Network (NCCN) guidelines and to describe survival by adherence to guidelines.

designBeyond cervical cancer, there are little data on treatment and outcomes for these women. This is a retrospective cohort study of HIV-infected women with gynecologic cancers.

methodsHIV-infected women with gynecologic cancers from 2000 to 2015 were identified at two urban, comprehensive cancer centers. Chart reviews extracted demographic, HIV, and cancer-related variables. Cancer treatment was evaluated for adherence to NCCN guidelines. Overall survival was compared between those who received NCCN adherent and nonadherent cancer care.

resultsFifty-seven women were identified; 15 vulvar (26%), 26 cervical (46%), nine ovarian (16%), and seven endometrial (12%) cancers. Median time from HIV to cancer diagnosis was 8.5 years, and 88% of women were black. Thirty patients (53%) had stage I, and 27 (47%) had stage II-IV disease. Overall, 28 women (49%) received NCCN-adherent care; 22 of 30 stage I (73%) and six of 27 stage II-IV patients (22%). Among 29 women not receiving NCCN-adherent care, 69% were due to patient-related factors or toxicity. Among women with II-IV cancers, 48-month survival was higher in women who received NCCN-adherent care than those who did not (60 versus 28%).

conclusionMost HIV-infected women with advanced gynecologic cancers did not receive NCCN-adherent care and had worse survival compared to those who did. Focus on treatment-related toxicities and patient-related barriers to cancer care are necessary in this population.

Indexed as

AdultDisease ManagementFemaleGenital Neoplasms, FemaleGuideline AdherenceHIV InfectionsHumansMiddle AgedRetrospective StudiesSurvival AnalysisTreatment OutcomeUrban Population

Identifiers

PMID29028665
PMCPMC5921933
OpenAlexW2762310676

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.