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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 4.

Association of key CD4 count and HIV RNA level predictors for overall NHL risk by NHL subtypes, NA-ACCORD, 1996–2014.

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.

a

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).

b

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).

c

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).

d

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