Evidence map›Paper›PMID 34583968›Full record

Observational studyCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2021

Cancer in People with and without Hepatitis C Virus Infection: Comparison of Risk Before and After Introduction of Direct-Acting Antivirals.

Jennifer O Lam, Leo B Hurley, Jennifer B Lai, Varun Saxena, Suk Seo, Scott Chamberland, Charles P Quesenberry, Jamila H Champsi, Joanna Ready, Elizabeth Y Chiao and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2021. 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
1.7field-weighted citation impact, top 14% 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, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Prevention of Hepatocellular Carcinoma (HCC). White Paper of the Texas Collaborative Center for Hepatocellular Cancer (TeCH) Multi-stakeholder Conference.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023
    Article
  7. Article
  8. Review
  9. Review
  10. 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

12 authors at 7 institutions in 1 country.

Jennifer O LamDivision of Research, Kaiser Permanente Northern California, Oakland, California. jennifer.o.lam@kp.org.ORCID 0000-0001-5650-4310
Leo B HurleyDivision of Research, Kaiser Permanente Northern California, Oakland, California.ORCID 0000-0003-2208-3786
Jennifer B LaiSan Rafael Medical Center, Kaiser Permanente Northern California, San Rafael, California.ORCID 0000-0002-3418-4800
Varun SaxenaSouth San Francisco Medical Center, Kaiser Permanente Northern California, South San Francisco, California.
Suk SeoAntioch Medical Center, Kaiser Permanente Northern California, Antioch, California.
Scott ChamberlandRegional Pharmacy, Kaiser Permanente Northern California, Oakland, California.ORCID 0000-0003-1426-2485
Charles P QuesenberryDivision of Research, Kaiser Permanente Northern California, Oakland, California.
Jamila H ChampsiSouth San Francisco Medical Center, Kaiser Permanente Northern California, South San Francisco, California.
Joanna ReadySanta Clara Medical Center, Kaiser Permanente Northern California, Santa Clara, California.
Elizabeth Y ChiaoDepartment of General Oncology, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-5752-2916
Julia L Marcus *Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts.ORCID 0000-0002-8552-414X
Michael J Silverberg *Division of Research, Kaiser Permanente Northern California, Oakland, California.ORCID 0000-0001-9322-1395
Kaiser Permanente · USHarvard Pilgrim Health Care · USKaiser Permanente San Francisco Medical Center · USKaiser Permanente San Rafael Medical Center · USKaiser Permanente Santa Clara Medical Center · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, San Francisco · US

Funding

(PQ3) Identifying Novel Pharmacologic Risk factors for Common Non-AIDS Defining Cancers in Individuals with Well-controlled HIV InfectionR01CA206476 · NCI · BAYLOR COLLEGE OF MEDICINE · PI KRAMER, JENNIFER R · 2016 to 2019
$3.0M
Optimizing Care for HIV/HCV-Coinfected Patients in the New HCV Treatment EraK01AI122853 · NIAID · KAISER FOUNDATION RESEARCH INSTITUTE · PI MARCUS, JULIA L. · 2016 to 2020
$655k
NCI NIH HHS R01 CA206476NIAID NIH HHS K01 AI122853
6 · The paper itself

Abstract

backgroundChronic hepatitis C virus (HCV) infection is a leading cause of liver cancer. The association of HCV infection with extrahepatic cancers, and the impact of direct-acting antiviral (DAA) treatment on these cancers, is less well known.

methodsWe conducted a cohort study in a healthcare delivery system. Using electronic health record data from 2007 to 2017, we determined cancer incidence, overall and by type, in people with HCV infection and by DAA treatment status. All analyses included comparisons with a reference population of people without HCV infection. Covariate-adjusted Poisson models were used to estimate incidence rate ratios.

results2,451 people with HCV and 173,548 people without HCV were diagnosed with at least one type of cancer. Compared with people without HCV, those with HCV were at higher risk for liver cancer [adjusted incidence rate ratio (aIRR) = 31.4, 95% confidence interval (CI) = 28.9-34.0], hematologic cancer (aIRR = 1.3, 95% CI = 1.1-1.5), lung cancer (aIRR = 1.3, 95% CI = 1.2-1.5), pancreatic cancer (aIRR = 2.0, 95% CI = 1.6-2.5), oral/oropharynx cancer (aIRR = 1.4, 95% CI = 1.1-1.8), and anal cancer (aIRR = 1.6, 95% CI = 1.1-2.4). Compared with people without HCV, the aIRR for liver cancer was 31.9 (95% CI = 27.9-36.4) among DAA-untreated and 21.2 (95% CI = 16.8-26.6) among DAA-treated, and the aIRR for hematologic cancer was 1.5 (95% CI = 1.1-2.0) among DAA-untreated and 0.6 (95% CI = 0.3-1.2) among DAA-treated.

conclusionsPeople with HCV infection were at increased risk of liver cancer, hematologic cancer, and some other extrahepatic cancers. DAA treatment was associated with reduced risk of liver cancers and hematologic cancers. IMPACT: DAA treatment is important for reducing cancer incidence among people with HCV infection.

Indexed as

AdultAgedAntiviral AgentsFemaleHepatitis C, ChronicHumansIncidenceMaleMiddle AgedNeoplasmsRetrospective StudiesRisk AssessmentAntiviral Agents

Identifiers

PMID34583968
PMCPMC8667334
OpenAlexW3203235759

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.