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. Author manuscript; available in PMC: 2010 Jan 1.
Published in final edited form as: Curr Opin HIV AIDS. 2009 Jan;4(1):42–51. doi: 10.1097/COH.0b013e32831a9875

Table 2.

Recent literature evaluating antiretroviral therapy use and risk of non-AIDS-defining malignancies

Author Design N Subjects Country Cancer Exposure Results
Silverberg [32**] RCT 5,472 HIV(+) 33 countries
representing Asia;
Africa; Australia;
New Zealand; N. and
S. America
Any NADM ART
duration
No significant association (p>0.05)
Bruyand [33**] Cohort 4,194 HIV(+) France Any NADM ART
duration
No significant association (p>0.05)
Crum-Cianflone [34**] Cohort 2,499 HIV(+) USA Any NADM Nelfinavir or
Indinavir use
No significant association (p>0.05)
Patel [22**] Cohort 54,780 HIV(+) USA Multiple
subtypes
Any ART
use
Breast: RR=0.4; p=0.013
Colorectal: RR=0.5; p=0.027
Lung: RR=0.5; p<0.003
No significant association for other cancers
(p>0.05)
Hessol [24*] Registry
match
14,210 AIDS USA Multiple
subtypes
Current ART
use
Liver: HR=0.3 (95% CI=0.1–0.9)
All other cancers not significant (p>0.05)
Serraino [35*] Cohort 10,949 HIV(+) and
organ transplant
recipients
France; Italy Multiple
subtypes
Any ART
use
ART users and non users had similar risks
for head and neck, liver, lung, Hodgkin’s
lymphoma, and any NADM
Steigbigel [36] RCT 703 HIV(+) Countries
representing Asia;
Australia; Europe;
Peru; N. America; S.
America
Multiple
subtypes
Raltegravir
use
No significant association (p>0.05)
D'Souza [37**] Cohort 6,972 HIV(+) and
HIV(−) MSM
USA Anal Current ART
use
No significant association (p>0.05)
Piketty [26**] Cohort 86,322 HIV(+) France Anal Any ART
use
HR=1.7 (95% CI=1.1–2.8)
Kirk [28**] Cohort 2,086 HIV(+) and
HIV(−) IDU
USA Lung (fatal) Any ART
use
No significant association (p>0.05)
Crum-Cianflone [30] Cohort 4,507 HIV(+) USA Skin Any ART
use
No significant association (p>0.05)

ART, antiretroviral therapy; HR, hazard ratio; MSM, men who have sex with men; IDU, injection drug users; NADM, non-AIDS-defining malignancy; RR, risk ratio