Ten-year survival among HIV-1-infected subjects with AIDS or non-AIDS-defining malignancies

Vincenzo Spagnuolo, Laura Galli, Stefania Salpietro, Nicola Gianotti, Monica Guffanti, Francesca Cossarini, Alba Bigoloni, Paola Cinque, Simona Bossolasco, Giovanna Travi, Luca Fumagalli, Adriano Lazzarin, Antonella Castagna

Research output: Contribution to journalArticle

Abstract

Few data are available regarding the 10-year survival among subjects with HIV and cancer. The aim of this study was to evaluate the 10-year survival of HIV-infected subjects with AIDS-defining malignancies (ADM) or non-AIDS-defining malignancies (NADM). This was a single center, retrospective, observational study of subjects with HIV infection and a subsequent cancer diagnosis; the data were collected from January 1991 to April 2010. Malignancies were divided into ADM or NADM on the basis of the Centre of Diseases Control-1993 classification. Survival curves were estimated using Kaplan-Meyer method and compared by the log-rank test. Six hundred and fifteen (9.5%) of the 6,495 subjects recorded in the San Raffaele Infectious Diseases Database developed a malignancy: 431 (70%) an ADM and 184 (30%) a NADM. In the case of ADM, survival was more favorable when cancer was diagnosed during post-highly active antiretroviral therapy (HAART) era (10-year survival: 43.2% ± 4.4%) than when diagnosed during the pre-HAART era (10-year survival: 16.4% ± 2.7%; log-rank test: p <0.001). The same was true in the case of NADM (10-year survival: 44.7% ± 5.5% vs. 33.3 ± 9.6%; log-rank test: p = 0.03). An evaluation of survival probability by cancer type showed higher survival rates during the post-HAART era in the case of non-Hodgkin lymphoma (10-year survival: 42.1% ± 5.3% vs. 11.4% ± 3.3%; log-rank test: p =

Original languageEnglish
Pages (from-to)2990-2996
Number of pages7
JournalInternational Journal of Cancer
Volume130
Issue number12
DOIs
Publication statusPublished - Jun 15 2012

Keywords

  • cancer
  • HAART
  • HIV
  • survival

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

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    Spagnuolo, V., Galli, L., Salpietro, S., Gianotti, N., Guffanti, M., Cossarini, F., Bigoloni, A., Cinque, P., Bossolasco, S., Travi, G., Fumagalli, L., Lazzarin, A., & Castagna, A. (2012). Ten-year survival among HIV-1-infected subjects with AIDS or non-AIDS-defining malignancies. International Journal of Cancer, 130(12), 2990-2996. https://doi.org/10.1002/ijc.26332