Malignancies, Particularly B-Cell Lymphomas, Are a Frequent Cause of Mortality in Human Immunodeficiency Virus-1 Patients Despite Highly Active Antiretroviral Therapy
Author(s) -
Daniel O. Griffin,
Michael J. Metzger,
Kaitlin Poeth,
Kathy Deng,
Arif Dharsee,
Juan Carlos Rico,
Joseph P. McGowan
Publication year - 2015
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofv147
Subject(s) - medicine , malignancy , cohort , life expectancy , human immunodeficiency virus (hiv) , cancer , antiretroviral therapy , lymphoma , mortality rate , cause of death , immunodeficiency , immunology , viral load , population , disease , immune system , environmental health
Human immunodeficiency virus (HIV)-1-infected individuals are affected by diseases at rates above those of their HIV-negative peers despite the increased life expectancy of the highly active antiretroviral therapy era. We followed a cohort of approximately 2000 HIV-1-infected patients for 5 years. The most frequent cause of death in this HIV-1-infected cohort was malignancy, with 39% of all classified deaths due to cancer. Among the cancer deaths, B-cell lymphomas were the most commonly seen malignancy, representing 34% of all cancer deaths. These lymphomas were very aggressive with a median survival of <2 months from time of diagnosis.
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