Portal de investigação
Impact of HIV infection on baseline characteristics and survival of women with breast cancer
Data de publicação:
Autores da FMUP
Participantes de fora da FMUP
- Brandao, M
- Bruzzone, M
- Franzoi, MA
- De Angelis, C
- Eiger, D
- Caparica, R
- Piccart Gebhart, M
- Buisseret, L
- Ceppi, M
- Dauby, N
- Carrilho, C
- de Azambuja, E
- Lambertini, M
Unidades de investigação
Abstract
Background: As women living with HIV (WLWH) become older, their risk of developing breast cancer increases. Nonetheless, literature is conflicting regarding tumor stage, distribution of subtypes and overall survival among WLWH vs. HIV-negative women with breast cancer. We assessed differences in clinicopathological characteristics and overall survival between these two groups. Methods: Systematic review and meta-analysis using MEDLINE, Scopus, ISI Web of Knowledge, LILACS, SciELO and conference abstracts up to 1 January 2020. Cross-sectional/cohort studies comparing baseline characteristics (stage and/or subtypes) and/or overall survival of WLWH vs. HIV-negative women with breast cancer were included. We performed random-effects meta-analyses to estimate summary statistics and subgroup analyses according to region of the world. Results: Eighteen studies [4 from North America, 14 from sub-Saharan Africa (SSA)] were included, with 3174 WLWH and 2 394 598 HIV-negative women. WLWH from North America and SSA were more likely to present with stage III/IV disease compared with HIV-negative women - pooled odds ratio (pOR) 1.76 [95% confidence interval (CI):1.58-1.95] and pOR 1.23 (95% CI: 1.06-1.42), respectively. WLWH from SSA were also less likely to have estrogen receptor-positive/HER2-negative tumors (pOR 0.81; 95% CI: 0.66-0.99). After adjustment, WLWH had worse overall survival compared with HIV-negative women, both in North America [pooled adjusted hazard ratio (aHR) 2.45; 95% CI: 1.11-5.41] and SSA (aHR 1.43; 95% CI: 1.06-1.92). Conclusion: Compared with HIV-negative women, WLWH are diagnosed with breast cancer at a more advanced stage and have a worse overall survival. These results should raise awareness regarding the detection and survival gap among WLWH with breast cancer and further studies are needed to decipher the reasons behind these disparities.
Dados da publicação
- ISSN/ISSNe:
- 1473-5571, 0269-9370
- Tipo:
- Article
- Páginas:
- 605-618
- Link para outro recurso:
- www.scopus.com
AIDS Lippincott Williams and Wilkins Ltd.
Citações Recebidas na Web of Science: 14
Citações Recebidas na Scopus: 18
Documentos
- Não há documentos
Filiações
Keywords
- breast neoplasms; cancer staging; HIV; meta-analysis; survival; women's health
Proyectos asociados
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Estudo Clínico Académico . 2020
Using pooled analyses based on individual participant data for a finer assessment of gastric cancer etiology
Investigador Principal: Nuno Miguel de Sousa Lunet
Estudo Clínico Académico . 2020
RISK AND SURVIVAL OF GASTRIC CANCER RELATES SECOND PRIMARY TUMOURS: A COMPETING RISKS FRAMEWORK
Investigador Principal: Nuno Miguel de Sousa Lunet
Estudo Clínico Académico . 2019
Citar a publicação
Brandao M,Bruzzone M,Franzoi MA,De Angelis C,Eiger D,Caparica R,Piccart M,Buisseret L,Ceppi M,Dauby N,Carrilho C,Lunet N,de Azambuja E,Lambertini M. Impact of HIV infection on baseline characteristics and survival of women with breast cancer. AIDS. 2021. 35. (4):p. 605-618. IF:4,632. (2).
