Evidence map›Paper›PMID 30550925›Full record

Observational studyBreast (Edinburgh, Scotland)2019

Clinico-pathological characteristics among South African women with breast cancer receiving anti-retroviral therapy for HIV.

Boitumelo Phakathi, Herbert Cubasch, Sarah Nietz, Caroline Dickens, Therese Dix-Peek, Maureen Joffe, Alfred I Neugut, Judith Jacobson, Raquel Duarte, Paul Ruff

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in Breast (Edinburgh, Scotland), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Navigating the Nexus: HIV and Breast Cancer-A Critical Review.International journal of molecular sciences · 2024
    Review
  6. FGFR2 genetic variants in women with breast cancer.Molecular medicine reports · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
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

10 authors at 4 institutions in 2 countries.

Boitumelo PhakathiCharlotte Maxeke Surgical Breast Unit, Charlotte Maxeke Johannesburg Academic Hospital, Jubilee Road, Johannesburg, 2196, South Africa; Department of Surgery, University of the Witwatersrand Faculty of Health Sciences, 7 York Road, Johannesburg, 2193, South Africa. Electronic address: boitumelo.phakathi@wits.ac.za.
Herbert CubaschBatho Pele Breast Unit, Chris Hani Baragwanath Academic Hospital, 26 Chris Hani Road, Diepkloof, Soweto, 1860, South Africa; Non-Communicable Diseases Research Division, Wits Health Consortium (PTY) Ltd, 31 Princess of Wales Building, Johannesburg, 2193, South Africa.
Sarah NietzCharlotte Maxeke Surgical Breast Unit, Charlotte Maxeke Johannesburg Academic Hospital, Jubilee Road, Johannesburg, 2196, South Africa; Department of Surgery, University of the Witwatersrand Faculty of Health Sciences, 7 York Road, Johannesburg, 2193, South Africa.
Caroline DickensDepartment of Medicine, University of Witwatersrand Faculty of Health Sciences, 7 York Road Johannesburg, South Africa.
Therese Dix-PeekDepartment of Medicine, University of Witwatersrand Faculty of Health Sciences, 7 York Road Johannesburg, South Africa.
Maureen JoffeNon-Communicable Diseases Research Division, Wits Health Consortium (PTY) Ltd, 31 Princess of Wales Building, Johannesburg, 2193, South Africa; MRC Developmental Pathways to Health Research Unit, Department of Paediatrics, University of Witwatersrand Faculty of Health Sciences, 7 York Road, Johannesburg, South Africa.
Alfred I NeugutHerbert Irving Comprehensive Cancer Centre, Vagelos College of Physicians and Surgeons, Columbia University, New York, USA.
Judith JacobsonHerbert Irving Comprehensive Cancer Centre, Vagelos College of Physicians and Surgeons, Columbia University, New York, USA; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, USA.
Raquel DuarteDepartment of Medicine, University of Witwatersrand Faculty of Health Sciences, 7 York Road Johannesburg, South Africa.
Paul RuffNon-Communicable Diseases Research Division, Wits Health Consortium (PTY) Ltd, 31 Princess of Wales Building, Johannesburg, 2193, South Africa; Department of Medicine, University of Witwatersrand Faculty of Health Sciences, 7 York Road Johannesburg, South Africa.
University of the Witwatersrand · ZAAfrica Health Research Institute · ZAColumbia University · USJohannesburg Hospital · ZA

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
HIV's Effects on Breast Cancer Treatment and Outcomes in South AfricaR01CA192627 · NCI · WITS HEALTH CONSORTIUM (PTY), LTD · PI JACOBSON, JUDITH S, JOFFE, MAUREEN · 2015 to 2019
$1.7M
NCI NIH HHS P30 CA013696NCI NIH HHS R01 CA192627
6 · The paper itself

Abstract

purposeBreast cancer is the most common cancer in women and a leading cause of cancer-related mortality worldwide. South Africa has the largest global burden of HIV infection and the largest anti-retroviral treatment (ART) program. This study aimed to analyse the association of HIV and ART use with breast cancer clinico-pathological characteristics.

methodsStudy participants were females, newly diagnosed from May 2015 through September 2017 with invasive breast cancer at two academic Surgical Breast Units in Johannesburg, South Africa at the Charlotte Maxeke Johannesburg Academic Hospital and Chris Hani Baragwanath Academic Hospital. We compared HIV-positive and HIV negative patients' demographic and clinical-pathological characteristics at the time of breast cancer diagnosis.

resultsOf 1050 patients enrolled, 1016 (96.8%) had known HIV status, with 226 (22.2%) being HIV positive. HIV positive patients were younger (median (IQR) age 45 (40-52) years), than HIV-negative patients (median (IQR) age 57 (46-67)) (p < 0.001). HIV positive patients were more likely to be diagnosed with late stage breast cancer (p = 0.01). However, HIV positive patients receiving ART at the time of breast cancer diagnosis were less likely to present with metastatic disease than those not on ART (p = 0.05).

conclusionHIV-positive patients present with breast cancer at a younger age and later stage disease than HIV-negative patients. Neither the duration of HIV infection nor ART use was associated with clinico-pathological characteristics of breast cancer.

Indexed as

AdultAgedAge DistributionAnti-HIV AgentsBreast NeoplasmsCase-Control StudiesCD4 Lymphocyte CountComorbidityErb-b2 Receptor Tyrosine KinasesFemaleHIV InfectionsHumansKi-67 AntigenMiddle AgedNeoplasm GradingNeoplasm StagingAnti-HIV AgentsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesKi-67 AntigenMKI67 protein, humanReceptors, EstrogenReceptors, ProgesteroneAnti-retroviral therapy (ART)Breast cancerHuman immunodeficiency virus (HIV)

Identifiers

PMID30550925
PMCPMC6369009
OpenAlexW2904141125

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.