Evidence map›Paper›PMID 38936380›Full record

SynthesisThe Lancet. Oncology2024

Cancer risk in people living with HIV and solid organ transplant recipients: a systematic review and meta-analysis.

Fengyi Jin, Claire M Vajdic, I Mary Poynten, Jennifer K McGee-Avila, Philip E Castle, Andrew E Grulich

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The Lancet. Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
–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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Manipulation of the cell cycle by HIV-1.Biochemical Society transactions · 2026
    Review
  5. Pseudotumoral donovanosis mimicking squamous cell carcinoma in a patient with HIV infection.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Thyroid cancer risk in people living with HIV: a systematic review and meta-analysis of global population-based registry studies.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Review
  10. Review
  11. Review
  12. Population-level cancer trends among solid organ transplant recipients in the United States during 1995-2021.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Skin Cancer in Solid Organ Transplant Recipients: A Review.American journal of clinical dermatology · 2026
    Review
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

6 authors.

Fengyi JinThe Kirby Institute, University of New South Wales, Sydney, NSW, Australia. Electronic address: jjin@kirby.unsw.edu.au.
Claire M VajdicThe Kirby Institute, University of New South Wales, Sydney, NSW, Australia.
I Mary PoyntenThe Kirby Institute, University of New South Wales, Sydney, NSW, Australia.
Jennifer K McGee-AvilaDivision of Cancer Prevention and Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Philip E CastleDivision of Cancer Prevention and Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, USA.
Andrew E GrulichThe Kirby Institute, University of New South Wales, Sydney, NSW, Australia.

Funding

WORK ORDER 126643 B539 EXPAND IC SUITE75N91019D00024 · NIAID · LEIDOS BIOMEDICAL RESEARCH, INC. · PI PENDLETON, RICHARD · 2019 to 2025
$3932.6M
NCI NIH HHS 75N91019D00024
6 · The paper itself

Abstract

backgroundSystematic evaluations of cancer risk in people living with HIV or AIDS (PLHIV) and solid organ transplant recipients provide unique insights into the role of the immune system in cancer development. In this systematic review and meta-analysis, we expand previous analyses of cancer risk for these two immunocompromised populations.

methodsWe considered studies published in English and listed on PubMed or Embase up to July 1, 2022. Studies were eligible for inclusion if they used population-based registries and compared cancer incidence in PLHIV or solid organ transplant recipients with the general population in the same geographical area. We extracted the number of observed site-specific cancers and expected cases and calculated meta-standardised incidence ratios for cancer within PLHIV and solid organ transplant recipients. In solid organ transplant recipients meta-standardised incidence ratios were compared by organ type. This project is registered on PROSPERO, CRD42022366679.

findings46 studies in PLHIV and 67 in solid organ transplant recipients were included in the analysis. Meta-standardised incidence ratios for cancers associated with human papillomavirus were increased in both populations; the highest meta-standardised incidence ratio in PLHIV was anal cancer (37·28 [95% CI 23·65-58·75], I

interpretationCancer risk was increased for a range of infection-related cancers in both PLHIV and solid organ transplant recipients, but divergent results in these and other cancers have emerged. The cancer risk patterns probably reflect variances in the degree of impaired immunity, exposure to carcinogenic viruses, and perhaps exposure to carcinogenic immunosuppressive agents.

fundingUS National Cancer Institute, National Institutes of Health.

Indexed as

HIV InfectionsNeoplasmsOrgan TransplantationTransplant RecipientsFemaleHumansImmunocompromised HostIncidenceMaleRisk AssessmentRisk Factors

Identifiers

PMID38936380
PMCPMC11246791

What OpenQuestion holds

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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.