Evidence map›Paper›PMID 29992888›Full record

ArticleCurrent HIV research2018

Therapeutic Outcomes in AIDS-Associated Kaposi's Sarcoma Patients on Antiretroviral Therapy Treated with Chemotherapy at Two Tertiary Hospitals in Lusaka, Zambia.

Watson Mtonga, Aaron Mujajati, Derick Munkombwe, Aubrey Kalungia, Lungwani Tyson Muungo, John West, Charles Wood, Owen Ngalamika

Open access · hybridAbstract read
In one paragraph

Article in Current HIV research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

10 citing papers in PubMed, 10 citations in OpenAlex.

  1. 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

8 authors at 3 institutions in 2 countries.

Watson MtongaDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Aaron MujajatiDepartment of Medicine, School of Medicine, University of Zambia, Lusaka, Zambia.
Derick MunkombweDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Aubrey KalungiaDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
Lungwani Tyson MuungoDepartment of Pharmacy, School of Health Sciences, University of Zambia, Lusaka, Zambia.
John WestNebraska Center for Virology, University of Nebraska, Lincoln, United States.
Charles WoodNebraska Center for Virology, University of Nebraska, Lincoln, United States.
Owen NgalamikaDermatology and Venereology Section, Adult Hospital of University Teaching Hospitals, Lusaka, Zambia.
University of Zambia · ZMUniversity of Nebraska–Lincoln · USUniversity Teaching Hospital · ZM

Funding

KAPOSIS SARCOMA AND HUMAN HERPESVIRUS IN AFRICAR01CA075903 · NCI · UNIVERSITY OF NEBRASKA LINCOLN · PI WOOD, CHARLES · 1998 to 2015
$11.1M
Supplement: Fogarty Training in HIV- and AIDS Associated Diseases/MalignanciesD43TW001429 · FIC · UNIVERSITY OF NEBRASKA LINCOLN · PI WOOD, CHARLES · 2000 to 2015
$7.2M
Zambia AIDS Malignancies Diagnosis and Pathogenesis Program SupplementU54CA221204 · NCI · UNIVERSITY OF NEBRASKA LINCOLN · PI WOOD, CHARLES · 2017 to 2022
$3.8M
KSHV,HIV and the Kaposi's Sarcoma Tumor NicheR01CA228178 · NCI · UNIVERSITY OF NEBRASKA LINCOLN · PI WEST, JOHN T., WOOD, CHARLES · 2018 to 2024
$2.9M
AIDS Malignancies Training and Research International Program (AMTRIP)D43TW010354 · FIC · UNIVERSITY OF NEBRASKA LINCOLN · PI Chipepo Kankasa, Charles Wood · 2016 to 2026
$2.8M
Models for KHSV transmission and its inhibitionR01CA239591 · NCI · UNIVERSITY OF NEBRASKA LINCOLN · PI WEST, JOHN T., WOOD, CHARLES · 2019 to 2024
$2.1M
Biomarkers of Kaposi sarcoma recrudescence in ZambiaK43TW011095 · FIC · UNIVERSITY OF ZAMBIA · PI NGALAMIKA, OWEN · 2018 to 2023
$721k
FIC NIH HHS D43 TW001429FIC NIH HHS D43 TW010354FIC NIH HHS K43 TW011095NCI NIH HHS R01 CA075903NCI NIH HHS R01 CA228178NCI NIH HHS R01 CA239591NCI NIH HHS U54 CA221204
6 · The paper itself

Abstract

The incidence of HIV-associated Kaposi's sarcoma (KS) remains high in Zambia in the antiretroviral therapy era. The most efficacious treatment regimen for KS has yet to be established. In both developed and developing countries, treatment regimens have had limited efficacy. Late presentation in Africa affects therapeutic outcomes.

objectiveThe aim of this study was to determine therapeutic outcomes of epidemic KS patients on combination antiretroviral therapy (cART) after completion of six cycles of Adriamycin, Bleomycin, and Vincristine (ABV) chemotherapy.

methodsThis was a descriptive cross-sectional study. Study participants were drawn from a study database of confirmed incident KS patients seen at the Skin Clinic of the University Teaching Hospitals (UTH) during the period between August, 2015 and September, 2016.

resultsOf the 38 successfully recruited study participants, a complete response was documented in 18 (47%) after 6 cycles of ABV whereas 20 (53%) experienced a partial response. KS recurrence was observed in 8 (44%) of the individuals that experienced an initial complete response. At the time of the study, clinical assessment revealed that KS lesions had completely regressed in 21 (55%) of all the patients.

conclusionABV chemotherapy appears ineffective in long-term resolution of epidemic KS patients on ART. Recurrence rates are high after chemotherapy in patients that experience initially favorable responses to treatment. There is a need to diagnose KS earlier, and to develop more efficacious treatment options in order to reduce recurrence rates for epidemic KS.

Indexed as

Acquired Immunodeficiency SyndromeAdultAgedAged, 80 and overAntineoplastic AgentsAnti-Retroviral AgentsBleomycinCross-Sectional StudiesDoxorubicinDrug TherapyFemaleHumansIncidenceMaleMiddle AgedRecurrenceAntineoplastic AgentsAnti-Retroviral AgentsBleomycinDoxorubicinVincristinechemotherapyHIV-associatedKaposi`s Sarcomaoutcomesrecurrencetreatment.

Identifiers

PMID29992888
PMCPMC8103568
OpenAlexW2882810607

What OpenQuestion holds

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Registered trials

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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.