Table 4.
Key predictors for overall NHL risk | Non-Hodgkin lymphoma (NHL)
subtypes |
|||||||||
---|---|---|---|---|---|---|---|---|---|---|
Central nervous system NHL (CNS-NHL) | Diffuse large B-cell lymphoma (DLBCL) | Burkitt lymphoma (BL) | Other specified NHL | NHL not otherwise specified (NHL-NOS) | ||||||
Cases | HR (95% CI)a | Cases | HR (95% CI)a | Cases | HR (95% CI)a | Cases | HR (95% CI)a | Cases | HR (95% CI)a | |
Recent CD4 count (i.e., 180 d lag), cells per μLb | ||||||||||
<50 | 25 | 96·6 (10·2–917·6) | 23 | 2·4 (1·4–4·3) | 2 | 0·5 (0·1–2·6) | 1 | 0·3 (0·04–2·7) | 9 | 3·5 (1·2–9·6) |
50–<100 | 1 | 5·2 (0·3–96·2) | 25 | 2·9 (1·7–5·0) | 1 | 0·3 (0·04–2·5) | 6 | 2·4 (0·8–6·6) | 8 | 3·7 (1·4–10·1) |
100–<200 | 1 | 2·2 (0·1–39·6) | 34 | 1·7 (1·1–2·7) | 6 | 0·8 (0·3–2·3) | 11 | 1·8 (0·8–4·1) | 7 | 1·4 (0·5–3·8) |
200–<350 | 1 | 1·3 (0·1–22·2) | 42 | 1·2 (0·8–1·8) | 11 | 1·0 (0·4–2·3) | 8 | 0·7 (0·3–1·7) | 16 | 1·9 (0·9–4·2) |
350–<500 | 4 | 6·0 (0·6–54·0) | 37 | 1·1 (0·7–1·7) | 5 | 0·5 (0·2–1·5) | 15 | 1·4 (0·7–2·8) | 9 | 1·2 (0·5–2·9) |
≥500 | 1 | 1·0 (ref) | 52 | 1·0 (ref) | 12 | 1·0 (ref) | 19 | 1·0 (ref) | 11 | 1·0 (ref) |
Global p-value | <0·0001 | 0·0011 | 0·61 | 0·098 | 0·082 | |||||
Per 50 cells per μL | 0·65 (0·54–0·79) | 0·95 (0·92–0·98) | 1·04 (0·97–1·11) | 0·97 (0·91–1·02) | 0·95 (0·89–1·01) | |||||
P-trend | <0·0001 | 0·0035 | 0·29 | 0·25 | 0·088 | |||||
Late HIV RNA level average, copies per mLc,d | ||||||||||
≤500 | 2 | 1·0 (ref) | 46 | 1·0 (ref) | 3 | 1·0 (ref) | 22 | 1·0 (ref) | 8 | 1·0 (ref) |
>500–<10,000 | 2 | 1·3 (0·2–9·7) | 43 | 1·9 (1·2–2·9) | 9 | 8·3 (2·2–31·6) | 11 | 1·1 (0·5–2·3) | 16 | 3·2 (1·3–7·6) |
10,000–<100,000 | 11 | 3·2 (0·6–18·9) | 84 | 3·9 (2·6–5·9) | 19 | 23·8 (6·7–85·2) | 18 | 2·2 (1·1–4·5) | 21 | 4·4 (1·8–10·8) |
≥100,000 | 18 | 9·7 (1·5–61·1) | 40 | 7·7 (4·6–13·0) | 6 | 48·1 (10·7–216·6) | 9 | 5·9 (2·3–14·8) | 15 | 11·7 (4·3–32·3) |
Global p-value | 0·0059 | <0·0001 | <0·0001 | 0·0026 | <0·0001 | |||||
Per log10 copies per mL | 3·64 (1·95–6·79) | 1·95 (1·68–2·26) | 3·33 (2·28–4·86) | 1·51 (1·16–1·97) | 2·12 (1·58–2·83) | |||||
P-trend | <0·0001 | <0·0001 | <0·0001 | 0·0020 | <0·0001 |
NHL=non-Hodgkin lymphoma.
From competing risks, event-and-cohort-stratified, Cox model adjusted for sex, race/ethnicity, and baseline age and calendar period among persons with follow-up >1260 days. N= 68,585 times 5 (augmented dataset for analyzing five events [i.e., NHL subtypes]); number of NHL cases= 403 (33, 213, 37, 60, and 60 cases for CNS-NHL, DLBCL, BL, other specified NHL, and NHL-NOS, respectively).
Global p-heterogeneity for measure modeled as categorical and continuous was <0·0001 and <0·0001, respectively. P-heterogeneity for measure modeled as categorical and continuous for pairwise comparisons as follows: CNS-NHL vs. DLBCL (<0·0001 and <0·0001, for categorical and continuous, respectively), CNS-NHL vs. BL (<0·0001 and <0·0001), CNS-NHL vs. other specified NHL (<0·0001 and <0·0001), and CNS-NHL vs. NHL-NOS (<0·0001 and <0·0001), DLBCL vs. BL (0·091 and 0·032), DLBCL vs. other specified NHL (0·18 and 0·65), DLBCL vs. NHL-NOS (0·80 and 0·85), BL vs. other specified NHL (0·12 and 0·13), BL vs. NHL-NOS (0·14 and 0·053), and other specified NHL vs. NHL-NOS (0·060 and 0·61).
Global p-heterogeneity for measure modeled as categorical and continuous was 0·16 and 0·0028, respectively. P-heterogeneity for measure modeled as categorical and continuous for pairwise comparisons as follows: CNS-NHL vs. DLBCL (0·78 and 0·042, for categorical and continuous, respectively), CNS-NHL vs. BL (0·36 and 0·81), CNS-NHL vs. other specified NHL (0·97 and 0·0066), and CNS-NHL vs. NHL-NOS (0·83 and 0·11), DLBCL vs. BL (0·025 and 0·0074), DLBCL vs. other specified NHL (0·48 and 0·098), DLBCL vs. NHL-NOS (0·62 and 0·62), BL vs. other specified NHL (0·0039 and 0·0005), BL vs. NHL-NOS (0·15 and 0·060), and other specified NHL vs. NHL-NOS (0·31 and 0·091).
HIV RNA average during the late moving window (i.e., from 1260 to 180 days in the past).