Evidence map›Paper›PMID 30601401›Full record

Trial reportJournal of pediatric hematology/oncology2020

Prevalence and Outcome of HIV-associated Malignancies Among HIV-infected Children Enrolled into Care at Kilimanjaro Christian Medical Center 2006 to 2014: A Hospital-based Retrospective Analytical Study.

Michael Irira, James S Ngocho, Joshua Youze, Irene Shayo, Venancia Komba, Linda Minja, Francis P Karia, John Bartlett, Blandina T Mmbaga

Abstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of pediatric hematology/oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

9 authors.

Michael IriraKilimanjaro Christian Medical University College.
James S NgochoKilimanjaro Christian Medical University College.
Joshua YouzeKilimanjaro Christian Medical University College.
Irene ShayoKilimanjaro Christian Medical University College.
Venancia KombaKilimanjaro Christian Medical University College.
Linda MinjaKilimanjaro Clinical Research Institute, Moshi, Tanzania.
Francis P KariaKilimanjaro Christian Medical University College.
John BartlettKilimanjaro Christian Medical Centre.
Blandina T MmbagaKilimanjaro Christian Medical University College.

Funding

Social and Behavioral Sciences CoreP30AI064518 · NIAID · DUKE UNIVERSITY · PI Nwora Lance Okeke · 2005 to 2026
$50.5M
Strengthening of Research Capacity for Junior Faculty in TanzaniaD43TW010138 · FIC · KILIMANJARO CHRISTIAN MEDICAL COLLEGE · PI MTETA, ALFRED KIEN · 2015 to 2020
$3.2M
Developing Research Capacity in Africa for Studies on HIV-Associated MalignanciesD43CA153722 · NCI · DUKE UNIVERSITY · PI BARTLETT, JOHN A · 2010 to 2013
$1.6M
FIC NIH HHS D43 TW010138NCI NIH HHS D43 CA153722NIAID NIH HHS P30 AI064518
6 · The paper itself

Abstract

objectiveWe aimed to establish the prevalence of human immunodeficiency virus (HIV)-associated malignancies in children attending a care and treatment clinic at Kilimanjaro Christian Medical Centre. MATERIALS AND

methodsThis was a retrospective cross-sectional hospital-based study of children who attended an HIV care and treatment clinic between 2006 and 2014. Children 2 months to 17 years of age were eligible for participation. The data on social demographic and clinical characteristics were extracted from the medical record. A multivariate logistic regression model was developed to determine predictors of HIV-associated malignancies.

resultsMedical records from 721 HIV-infected children were reviewed. The median age (interquartile range) at HIV diagnosis was 5.7 (2.0 to 9.4) years. Among them, 34 (4.7%) had HIV-associated malignancies. The most common (n=24, 70.3%) malignancy was the Kaposi sarcoma. Age at HIV diagnosis was significantly associated with HIV-associated malignancies (adjusted odds ratio, 1.2; 95% confidence interval, 1.0-1.3). Among 34 patients with HIV-associated malignancies, 11 (32.4%) died. Seven (20.6%) patients reported complete remission from their malignancies, and outcomes for 6 patients were unknown.

conclusionsThe prevalence of HIV-associated malignancies was high and was associated with late HIV diagnosis. The Kaposi sarcoma was the commonest malignancy. Early HIV diagnosis and treatment in children might reduce HIV-associated malignancies.

Indexed as

HIV-1HIV InfectionsNeoplasmsChildChild, PreschoolCross-Sectional StudiesFemaleHumansKenyaMalePrevalenceRetrospective Studies

Identifiers

PMID30601401
PMCPMC6597337

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