Evidence map›Paper›PMID 41567716›Full record

ArticleEClinicalMedicine2026

Cancer burden and risk factors among women with HIV: a multi-regional study from the D:A:D and RESPOND cohort collaborations.

Win Min Han, Bastian Neesgaard, Michael Knappik, Matthias Cavassini, Irene A Abela, Alisa Timiryasova, Lauren Greenberg, Charlotte Martin, Cristina Mussini, Ferdinand Wit and 17 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Navigating the Data Gaps of Ageing Among Women Living With HIV.Journal of the International AIDS Society · 2026
    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

27 authors.

Win Min HanKirby Institute, UNSW Sydney, Sydney, Australia.
Bastian NeesgaardCHIP, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Michael KnappikDepartment of Respiratory Medicine, Klinik Penzing, Vienna, Austria.
Matthias CavassiniService of Infectious Diseases, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
Irene A AbelaDivision of Infectious Diseases and Hospital Epidemiology, University Hospital Zürich, Zürich, Switzerland.
Alisa TimiryasovaCHIP, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Lauren GreenbergCHIP, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Charlotte MartinInfectious Diseases Department, Saint-Pierre University Hospital, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Cristina MussiniUniversità degli Studi di Modena, Modena, Italy.
Ferdinand WitAIDS Therapy Evaluation in the Netherlands (ATHENA) Cohort, HIV Monitoring Foundation, Amsterdam, the Netherlands.
Caroline SabinInstitute for Global Health, University College London, London, UK.
Antonella CastagnaSan Raffaele Scientific Institute, Università Vita-Salute San Raffaele, Milano, Italy.
Akaki AbutidzeGeorgian National AIDS Health Information System (AIDS HIS), Infectious Diseases, AIDS and Clinical Immunology Research Center, Tbilisi, Georgia.
Wafaa El-SadrDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Fabrice BonnetCHU de Bordeaux and Bordeaux University, BPH, INSERM U1219, Bordeaux, France.
Mario SarclettiAustrian HIV Cohort Study, Department of Dermatology and Venerology, Medical University Innsbruck, Innsbruck, Austria.
Christina CarlanderDepartment of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.
Anna HachfeldDepartment of Infectious Diseases, University Hospital Bern, University of Bern, Bern, Switzerland.
Nina WeisDepartment of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark.
Vani VannappagariViiV Healthcare, RTP, USA.
Felipe P RogattoGilead Science, Foster City, USA.
Lital A YoungMerck Sharp & Dohme, Rahway, NJ, USA.
Sean R HoseinEuropean AIDS Treatment Group (EATG), Brussels, Belgium.
Lene RyomCHIP, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.
Kathy PetoumenosKirby Institute, UNSW Sydney, Sydney, Australia.
D:A:D
RESPOND collaborations

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Data on cancer incidence and associated risk factors among women with HIV are limited. We investigated cancer burden among women with HIV. Methods: We included all women ≥18 years from the two large multicentre observational cohort collaborations (D:A:D and RESPOND). The primary outcomes were incidence of all cancers, HPV-related and common individual cancers including breast cancer, lung cancer, and non-Hodgkin lymphoma (NHL) from 2006 to 2021. Baseline was defined as the latest date of entry into local cohort enrolment and 1st January 2006 for D:A:D and 1st January 2012 for RESPOND. Participants were followed from baseline until the date of first cancer, final follow-up or administrative censoring-whichever occurred first. We assessed risk factors using multivariable Poisson regression by applying robust standard errors and determined a population attributable fraction (PAF) for key risk factors for cancers. Findings: Among 17,512 women included, median age at baseline was 39.5 years (interquartile range, IQR 32.5-46.0). Over 141,404 person-years (PYS) and a median 9.2 (5.5-10.1) years of follow-up, 832 women were diagnosed with any cancer; incidence rate 5.9 (95% CI 5.5-6.4)/1000 PYS, 163 HPV-related cancers (1.1 [1.0-1.3]/1000 PYS), 150 breast cancers (1.1 [0.9-1.2]/1000 PYS), 94 lung cancers (0.7 [0.5-0.8]/1000 PYS) and 72 NHL (0.5 [0.4-0.6]/1000 PYS). Older age (≥45 vs. <45 years), Southern Europe (vs. Western Europe) and smoking were associated with an increased risk of overall cancers. Lower pre-ART nadir CD4, time-updated CD4, and a prior AIDS diagnosis were associated with lung- and HPV-related cancer. In PAF analysis, smoking and HIV-related factors such as lower current CD4, nadir CD4 and HIV viremia significantly contributed to cancer risk. Interpretation: Our findings suggest that women with HIV older than 45 years, past or current immunosuppressed or current smokers could be candidates for intensified cancer screening and prevention. Funding: The Highly Active Antiretroviral Therapy Oversight Committee, The CHU St Pierre Brussels HIV Cohort, The Austrian HIV Cohort Study, The Australian HIV Observational Database, The AIDS Therapy Evaluation in the Netherlands national observational HIV cohort, The Brighton HIV Cohort, The National Croatian HIV Cohort, The EuroSIDA cohort, The Frankfurt HIV Cohort Study, The Georgian National AIDS Health Information System, The Nice HIV Cohort, The Isabel Foundation, The Modena HIV Cohort, The PISCIS Cohort Study, The Swiss HIV Cohort Study, The Swedish InfCare HIV Cohort, The Royal Free HIV Cohort Study, The San Raffaele Scientific Institute, The University Hospital Bonn HIV Cohort, The University of Cologne HIV Cohort, Merck Life Sciences, ViiV Healthcare, and Gilead Sciences.

Indexed as

Cancer incidenceHPVModifiable risk factorsObservational cohort studyWomen with HIV

Identifiers

PMID41567716
PMCPMC12818069

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.