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Sökning: WFRF:(Yilmaz Aylin) > (2020-2024) > Failure to restore ...

  • Malmstrom, StinaVastmanland Cty Hosp Västerås, Dept Infect Dis, Västerås, Sweden.;Uppsala Univ, Vastmanland Cty Hosp, Ctr Clin Res Vastmanland, Västerås, Sweden. (författare)

Failure to restore CD4(+) cell count associated with infection-related and noninfection-related cancer

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • Ovid Technologies (Wolters Kluwer Health),2022
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-467444
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-467444URI
  • https://doi.org/10.1097/QAD.0000000000003117DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:148702161URI
  • https://gup.ub.gu.se/publication/313782URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Objective: To assess incidence and relative risk of cancer in Sweden, by HIV status, from 1988 to 2017. Design: Population-based register study. Methods: From the Swedish Total Population Register, all people born between 1940 and 2000 (n = 8 587 629), and resident in Sweden sometime 1983-2017 were identified and linked to National HIV Register InfCareHIV, National Cancer Register, and LISA database. We present incidence and adjusted hazard ratios (adjHR) of infection and noninfection-related cancer for three periods between 1988 and 2017. Results: Incidence and relative risk of infection-related cancer decreased but remained higher in people with HIV (PWH) than in HIV-negative. The proportion attributable to infection remained higher in PWH than in HIV-negative (44 vs. 9%). Women with HIV had lower risk of infection-related cancer than men with HIV [adjusted hazard ratio (adjHR) 0.6, 95% CI 0.4-0.9], mainly driven by lower incidence of Kaposi's sarcoma (adjHR 0.1, 95% CI 0.0-0.4). Current viral suppression (adjHR 0.3, 95% CI 0.2-0.5) was associated with lower risk of infection-related cancer. Current CD4(+) cell count less than 200 cells/mu l was associated with both infection-related (adjHR 15.3, 95% CI 10.7-21.8) and noninfection-related cancer (adjHR 2.5, 95% CI 1.5-4.1), as was CD4(+) cell count increases less than 100 cells/mu l post antiretroviral therapy (ART) (infection-related cancer adjHR 6.6, 95% CI 4.2-10.6, noninfection-related cancer adjHR 2.0, 95% CI 1.2-3.3). Conclusion: Current CD4(+) cell count and failure to restore CD4(+) cell count both associated with infection and noninfection-related cancer. Viral suppression associated with lower risk of infection-related cancer. Early HIV detection and early adherent ART remain essential for cancer prevention.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Wagner, PhilippeUppsala universitet,Centrum för klinisk forskning, Västerås(Swepub:uu)phiwa720 (författare)
  • Yilmaz, Aylin,1974Gothenburg University,Göteborgs universitet,Institutionen för biomedicin, avdelningen för infektionssjukdomar,Institute of Biomedicine, Department of Infectious Medicine(Swepub:gu)xyilay (författare)
  • Svedhem, VeronicaKarolinska Institutet (författare)
  • Carlander, ChristinaKarolinska Institutet (författare)
  • Vastmanland Cty Hosp Västerås, Dept Infect Dis, Västerås, Sweden.;Uppsala Univ, Vastmanland Cty Hosp, Ctr Clin Res Vastmanland, Västerås, Sweden.Centrum för klinisk forskning, Västerås (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:AIDS: Ovid Technologies (Wolters Kluwer Health)36:3, s. 447-4570269-93701473-5571

Internetlänk

Hitta via bibliotek

  • AIDS (Sök värdpublikationen i LIBRIS)

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