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. Author manuscript; available in PMC: 2020 Apr 1.
Published in final edited form as: Lancet HIV. 2019 Feb 27;6(4):e240–e249. doi: 10.1016/S2352-3018(18)30360-6

Table 3.

Final models with key CD4 count and HIV RNA level predictors for CNS-NHL, DLBCL, and BL risk, NA-ACCORD, 1996–2014.

Non-Hodgkin lymphoma (NHL) subtype/Key predictors NHL cases HR (95% CI)a
Central nervous system NHL (CNS-NHL)
Recent CD4 count (i.e., 180 d lag), cells per μL
  <50 44 426·3 (58·1–3126·4)
  50–<100 7 71·9 (8·8– 588·1)
  100–<200 6 21·0 (2·5–175·3)
  200–<350 4 6·8 (0·8–60·6)
  350–<500 5 8·2 (1·0–70·6)
  ≥500 1 1·0 (ref)
  Global p-value <0·0001
  Per 50 cells per μL 0·50 (0·44–0·58)
  P-trend <0·0001
Diffuse large B-cell lymphoma (DLBCL)
Recent CD4 count (i.e., 180 d lag), cells per μL
  <50 23 2·4 (1·4–4·2)
  50–<100 25 2·9 (1·7–5·0)
  100–<200 34 1·7 (1·1–2·7)
  200–<350 42 1·2 (0·8–1·8)
  350–<500 37 1·1 (0·7–1·7)
  ≥500 52 1·0 (ref)
  Global p-value 0·0012
  Per 50 cells per μL 0·95 (0·92–0·98)
  P-trend 0·0039
Late HIV RNA level average, copies per mLb
  ≤500 46 1·0 (ref)
  >500–<10,000 43 1·8 (1·2–2·8)
  10,000–<100,000 84 3·9 (2·5–5·8)
  ≥100,000 40 7·5 (4·5–12·7)
  Global p-value <0·0001
  Per log10 copies per mL  1·94 (1·67–2·25)
  P-trend <0·0001
Burkitt lymphoma (BL)
Late proportion of time HIV RNA >500 copies per mLc
  0·00 2 1·0 (ref)
  >0·00–0·25 0 --
  >0·25–0·50 5 15·0 (2·9–78·4)
  >0·50–0·75 4 13·8 (2·5–77·2)
  >0·75–<1·00 10 36·0 (7·6–170·1)
  1·00 16 41·1 (9·1–186·6)
  Global p-value <0·0001
  Per 20% of time HIV RNA >500 copies per mL 2·01 (1·62–2·49)
  P-trend <0·0001

HR=hazard ratio. 95% CI=95% confidence interval.

a

From subtype-specific cohort-stratified Cox model with key predictor(s) as covariates and adjusted for sex, race/ethnicity, and baseline age and calendar period. CNS-NHL model among all persons (N= 102,131; number of CNS-NHL cases= 67). DLBCL and BL models among persons with follow-up >1260 days (N= 68,585; number of DLBCL cases= 213; number of BL cases= 37).

b

HIV RNA average during the late moving window (i.e., from 1260 to 180 days in the past).

c

Proportion of time HIV RNA >500 copies per mL during the late moving window (i.e., from 1260 to 180 days in the past).