Table 1. Association of Kaposi's sarcoma-associated immune reconstitution inflammatory syndrome and Kaposi's sarcoma-associated mortality with the use of glucocorticoids.
Univariate analyses | ||||||
Variable | KS-IRIS (N = 135, % or mean) | KS mortality (N = 145, % or mean) | ||||
KS-IRIS (N = 50) | Non-KS-IRIS (N = 85) | P | Death (N = 17) | Survival (N = 128) | P | |
Male gender | 100% | 96.47% | 0.2952 | 88.00% | 97.66% | 0.1049 |
Age at KS Dx | 31.46 | 34.84 | 0.0216 a | 34.29 | 33.36 | 0.7798 |
MSM | 94.00% | 81.18% | 0.0428 a | 70.59% | 87.50% | 0.0747 |
ART delay (months) | 11.33 | 16.46 | 0.3734 | 7.27 | 17.37 | 0.0585 |
Visceral KS | 42.00% | 38.82% | 0.7202 | 70.59% | 35.16% | 0.0074 a |
Glucocorticoid use | 54.90% | 36.47% | 0.0474 a | 76.47% | 36.72% | 0.0030 a |
Mycobacterium sp | 42.00% | 28.23% | 0.1305 | 41.18% | 31.25% | 0.4192 |
CD4+ cell count at KS Dx | 147.32 | 103.25 | 0.0474 a | 115.29 | 124.08 | 0.7696 |
HIV load at KS Dx | 278,744 | 308,834 | 0.7757 | 67,824 | 311,816 | 0.00003 a |
OIs | 76.00% | 69.41% | 0.4362 | 70.59% | 70.31% | 1 |
Multivariate analyses | ||||||
Variable | KS-IRIS (N = 135) | KS mortality (N = 145) | ||||
OR | 95% CI | P | OR | 95% CI | P | |
Glucocorticoid use (unadjusted) | 2.045 | 1.005–4.160 | 0.0484 a | 5.601 | 1.727–18.170 | 0.0041 a |
Glucocorticoid use b | 2.362 | 1.0838–5.149 | 0.0306 a | 4.719 | 1.383–16.103 | 0.0132 a |
MSM b | 4.192 | 1.017–17.281 | 0.0473 a | NA | NA | NA |
CD4+ at KS Dx b | 1.004 | 1.001–1.008 | 0.0104 a | NA | NA | NA |
Visceral KS | NA | NA | NA | 3.551 | 1.076–11.72 | 0.0376 a |
ART delay, more than 3 months of ART initiation after KS diagnosis; ART, antiretroviral therapy; CD4+ and CD8+ counts are expressed in cells/μl; CI, confidence interval; Dx, diagnosis; KS, Kaposi's sarcoma; KS-IRIS, Kaposi's sarcoma-associated immune reconstitution inflammatory syndrome; OI, opportunistic infection; OR, odds ratio.
aA two-sided P value ≤0.05 was considered to be significant. Only significant variables in univariate analyses were included in multivariate models. NA, not applied to the multivariate model.
bAdjusted values.