Trends in Kaposi's Sarcoma in Miami Beach from 1987 to 2007
Identifieur interne : 002624 ( Pmc/Checkpoint ); précédent : 002623; suivant : 002625Trends in Kaposi's Sarcoma in Miami Beach from 1987 to 2007
Auteurs : Simon B. Zeichner [États-Unis] ; Ana L. Ruiz [États-Unis] ; Gabriel P. Suciu [États-Unis] ; Rachel Lerner Zeichner [États-Unis] ; Estelamari Rodriguez [États-Unis]Source :
- ISRN Oncology [ 2090-5661 ] ; 2012.
Abstract
Url:
DOI: 10.5402/2012/642106
PubMed: 23320191
PubMed Central: 3540766
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Trends in Kaposi's Sarcoma in Miami Beach from 1987 to 2007</title><author><name sortKey="Zeichner, Simon B" sort="Zeichner, Simon B" uniqKey="Zeichner S" first="Simon B." last="Zeichner">Simon B. Zeichner</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Internal Medicine, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, FL 33140, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Internal Medicine, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, FL 33140</wicri:regionArea><wicri:noRegion>FL 33140</wicri:noRegion></affiliation></author><author><name sortKey="Ruiz, Ana L" sort="Ruiz, Ana L" uniqKey="Ruiz A" first="Ana L." last="Ruiz">Ana L. Ruiz</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140</wicri:regionArea><wicri:noRegion>FL 33140</wicri:noRegion></affiliation></author><author><name sortKey="Suciu, Gabriel P" sort="Suciu, Gabriel P" uniqKey="Suciu G" first="Gabriel P." last="Suciu">Gabriel P. Suciu</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Public Health and Biostatistics, College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Public Health and Biostatistics, College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314</wicri:regionArea><wicri:noRegion>FL 33314</wicri:noRegion></affiliation></author><author><name sortKey="Zeichner, Rachel Lerner" sort="Zeichner, Rachel Lerner" uniqKey="Zeichner R" first="Rachel Lerner" last="Zeichner">Rachel Lerner Zeichner</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Clinical Psychology, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Clinical Psychology, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314</wicri:regionArea><wicri:noRegion>FL 33314</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez, Estelamari" sort="Rodriguez, Estelamari" uniqKey="Rodriguez E" first="Estelamari" last="Rodriguez">Estelamari Rodriguez</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140</wicri:regionArea><wicri:noRegion>FL 33140</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23320191</idno><idno type="pmc">3540766</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3540766</idno><idno type="RBID">PMC:3540766</idno><idno type="doi">10.5402/2012/642106</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">003E93</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003E93</idno><idno type="wicri:Area/Pmc/Curation">003E92</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003E92</idno><idno type="wicri:Area/Pmc/Checkpoint">002624</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002624</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Trends in Kaposi's Sarcoma in Miami Beach from 1987 to 2007</title><author><name sortKey="Zeichner, Simon B" sort="Zeichner, Simon B" uniqKey="Zeichner S" first="Simon B." last="Zeichner">Simon B. Zeichner</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Internal Medicine, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, FL 33140, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Internal Medicine, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, FL 33140</wicri:regionArea><wicri:noRegion>FL 33140</wicri:noRegion></affiliation></author><author><name sortKey="Ruiz, Ana L" sort="Ruiz, Ana L" uniqKey="Ruiz A" first="Ana L." last="Ruiz">Ana L. Ruiz</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140</wicri:regionArea><wicri:noRegion>FL 33140</wicri:noRegion></affiliation></author><author><name sortKey="Suciu, Gabriel P" sort="Suciu, Gabriel P" uniqKey="Suciu G" first="Gabriel P." last="Suciu">Gabriel P. Suciu</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Public Health and Biostatistics, College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Public Health and Biostatistics, College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314</wicri:regionArea><wicri:noRegion>FL 33314</wicri:noRegion></affiliation></author><author><name sortKey="Zeichner, Rachel Lerner" sort="Zeichner, Rachel Lerner" uniqKey="Zeichner R" first="Rachel Lerner" last="Zeichner">Rachel Lerner Zeichner</name><affiliation wicri:level="1"><nlm:aff id="I4">Department of Clinical Psychology, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Clinical Psychology, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314</wicri:regionArea><wicri:noRegion>FL 33314</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez, Estelamari" sort="Rodriguez, Estelamari" uniqKey="Rodriguez E" first="Estelamari" last="Rodriguez">Estelamari Rodriguez</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140</wicri:regionArea><wicri:noRegion>FL 33140</wicri:noRegion></affiliation></author></analytic><series><title level="j">ISRN Oncology</title><idno type="ISSN">2090-5661</idno><idno type="eISSN">2090-567X</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Purpose.</italic> Kaposi's sarcoma (KS) is a rare low-grade vascular tumor associated with the human herpes virus 8. By analyzing the epidemiology, staging, and treatment of KS, we hoped to improve the quality of care at our institution. <italic>Methods</italic>. Review of the Mount Sinai Medical Center tumor registry database in Miami Beach, FL, USA, identified 143 cases of KS between January 1, 1987 and December 31, 2007. <italic>Results.</italic> The majority of patients were non-Hispanic whites, non smoking males diagnosed between 1987 and 1996. Most of the patients were HIV positive, with an equal percentage diagnosed with local or distant disease. Most patients received no chemotherapy or radiation. There were no significant differences in patient survival based on sex, HIV status, or radiation received. There was a trend toward improved survival among older patients who smoked, received no chemotherapy, and had localized stage at diagnosis. Multivariate analysis revealed that non-Hispanic whites had a significant worse survival than Hispanic whites (HR = 0.55, 95% CI (0.33, 0.90), <italic>P</italic> = 0.02). Patients diagnosed between 1987 and 1996 had a worse survival than those between 1997 and 2007 (HR = 0.33 (95% CI 0.19, 0.55), <italic>P</italic> < 0.0001). <italic>Conclusion.</italic> This large retrospective study provides further insight into KS. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">ISRN Oncol</journal-id><journal-id journal-id-type="iso-abbrev">ISRN Oncol</journal-id><journal-id journal-id-type="publisher-id">ISRN.ONCOLOGY</journal-id><journal-title-group><journal-title>ISRN Oncology</journal-title></journal-title-group><issn pub-type="ppub">2090-5661</issn><issn pub-type="epub">2090-567X</issn><publisher><publisher-name>International Scholarly Research Network</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23320191</article-id><article-id pub-id-type="pmc">3540766</article-id><article-id pub-id-type="doi">10.5402/2012/642106</article-id><article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject></subj-group></article-categories><title-group><article-title>Trends in Kaposi's Sarcoma in Miami Beach from 1987 to 2007</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Zeichner</surname><given-names>Simon B.</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Ruiz</surname><given-names>Ana L.</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Suciu</surname><given-names>Gabriel P.</given-names></name><xref ref-type="aff" rid="I3"><sup>3</sup></xref></contrib><contrib contrib-type="author"><name><surname>Zeichner</surname><given-names>Rachel Lerner</given-names></name><xref ref-type="aff" rid="I4"><sup>4</sup></xref></contrib><contrib contrib-type="author"><name><surname>Rodriguez</surname><given-names>Estelamari</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Internal Medicine, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, FL 33140, USA</aff><aff id="I2"><sup>2</sup>Department of Hematology and Oncology, Mount Sinai Medical Center, Miami Beach, FL 33140, USA</aff><aff id="I3"><sup>3</sup>Department of Public Health and Biostatistics, College of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314, USA</aff><aff id="I4"><sup>4</sup>Department of Clinical Psychology, Nova Southeastern University, Fort Lauderdale-Davie, FL 33314, USA</aff><author-notes><corresp id="cor1">*Simon B. Zeichner: <email>simonzeichner@gmail.com</email></corresp><fn fn-type="other"><p>Academic Editors: A. Berner and L. Hunakova</p></fn></author-notes><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>25</day><month>12</month><year>2012</year></pub-date><volume>2012</volume><elocation-id>642106</elocation-id><history><date date-type="received"><day>15</day><month>11</month><year>2012</year></date><date date-type="accepted"><day>9</day><month>12</month><year>2012</year></date></history><permissions><copyright-statement>Copyright © 2012 Simon B. Zeichner et al.</copyright-statement><copyright-year>2012</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p><italic>Purpose.</italic> Kaposi's sarcoma (KS) is a rare low-grade vascular tumor associated with the human herpes virus 8. By analyzing the epidemiology, staging, and treatment of KS, we hoped to improve the quality of care at our institution. <italic>Methods</italic>. Review of the Mount Sinai Medical Center tumor registry database in Miami Beach, FL, USA, identified 143 cases of KS between January 1, 1987 and December 31, 2007. <italic>Results.</italic> The majority of patients were non-Hispanic whites, non smoking males diagnosed between 1987 and 1996. Most of the patients were HIV positive, with an equal percentage diagnosed with local or distant disease. Most patients received no chemotherapy or radiation. There were no significant differences in patient survival based on sex, HIV status, or radiation received. There was a trend toward improved survival among older patients who smoked, received no chemotherapy, and had localized stage at diagnosis. Multivariate analysis revealed that non-Hispanic whites had a significant worse survival than Hispanic whites (HR = 0.55, 95% CI (0.33, 0.90), <italic>P</italic> = 0.02). Patients diagnosed between 1987 and 1996 had a worse survival than those between 1997 and 2007 (HR = 0.33 (95% CI 0.19, 0.55), <italic>P</italic> < 0.0001). <italic>Conclusion.</italic> This large retrospective study provides further insight into KS. Ethnicity and date of diagnosis are important predictors of long-term survival.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Kaplan-Meier curve demonstrating the overall survival (27% at 5 years) in a population of Kaposi's sarcoma patients diagnosed at Mount Sinai Medical Center in Miami Beach, FL, USA.</p></caption><graphic xlink:href="ISRN.ONCOLOGY2012-642106.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Kaplan-Meier curve demonstrating a significantly improved survival based on ethnicity (non-Hispanic white versus Hispanic white, <italic>P</italic> = 0.01) in a population of Kaposi's sarcoma patients diagnosed at Mount Sinai Medical Center in Miami Beach, FL, USA.</p></caption><graphic xlink:href="ISRN.ONCOLOGY2012-642106.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Kaplan-Meier curve demonstrating a significantly improved survival based on date of diagnosis (1997–2007 versus 1987–1996, <italic>P</italic> = 0.004) in a population of Kaposi's sarcoma patients diagnosed at Mount Sinai Medical Center in Miami Beach, Florida.</p></caption><graphic xlink:href="ISRN.ONCOLOGY2012-642106.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Kaplan Meier curve demonstrating a significantly improved survival based on site of initial presentation (skin versus non-skin; <italic>P</italic> = 0.04) in a population of Kaposi's sarcomas patients diagnosed at Mount Sinai Medical Center in Miami Beach, Florida.</p></caption><graphic xlink:href="ISRN.ONCOLOGY2012-642106.004"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Epidemiological, staging, and treatment descriptive frequencies in a population of Kaposi's sarcoma patients diagnosed at Mount Sinai Medical Center in Miami Beach, FL, USA.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Category</th><th align="center" rowspan="1" colspan="1">Median</th><th align="center" rowspan="1" colspan="1">Standard deviation</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Age at diagnosis (years)</td><td align="center" rowspan="1" colspan="1">41</td><td align="center" rowspan="1" colspan="1">19.9</td></tr><tr><td align="left" colspan="3" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Category</td><td align="center" rowspan="1" colspan="1">Number (<italic>n</italic>)</td><td align="center" rowspan="1" colspan="1">Percentage (%)</td></tr><tr><td align="left" colspan="3" rowspan="1"><hr></hr></td></tr><tr><td align="left" rowspan="1" colspan="1">Sex</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Female</td><td align="center" rowspan="1" colspan="1">14</td><td align="center" rowspan="1" colspan="1">9.8</td></tr><tr><td align="left" rowspan="1" colspan="1"> Male</td><td align="center" rowspan="1" colspan="1">129</td><td align="center" rowspan="1" colspan="1">90.2</td></tr><tr><td align="left" rowspan="1" colspan="1">Race and ethnicity</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> White, non-Hispanic</td><td align="center" rowspan="1" colspan="1">86</td><td align="center" rowspan="1" colspan="1">60.1</td></tr><tr><td align="left" rowspan="1" colspan="1"> White Hispanic</td><td align="center" rowspan="1" colspan="1">40</td><td align="center" rowspan="1" colspan="1">28.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> Black</td><td align="center" rowspan="1" colspan="1">17</td><td align="center" rowspan="1" colspan="1">11.9</td></tr><tr><td align="left" rowspan="1" colspan="1">Smoking status</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Nonsmoker</td><td align="center" rowspan="1" colspan="1">61</td><td align="center" rowspan="1" colspan="1">42.7</td></tr><tr><td align="left" rowspan="1" colspan="1"> Ex-smoker</td><td align="center" rowspan="1" colspan="1">37</td><td align="center" rowspan="1" colspan="1">25.9</td></tr><tr><td align="left" rowspan="1" colspan="1"> Current smoker</td><td align="center" rowspan="1" colspan="1">21</td><td align="center" rowspan="1" colspan="1">14.7</td></tr><tr><td align="left" rowspan="1" colspan="1"> Unknown</td><td align="center" rowspan="1" colspan="1">24</td><td align="center" rowspan="1" colspan="1">16.8</td></tr><tr><td align="left" rowspan="1" colspan="1">Age range at diagnosis</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 21–40</td><td align="center" rowspan="1" colspan="1">65</td><td align="center" rowspan="1" colspan="1">45.5</td></tr><tr><td align="left" rowspan="1" colspan="1"> 41–60</td><td align="center" rowspan="1" colspan="1">42</td><td align="center" rowspan="1" colspan="1">29.4</td></tr><tr><td align="left" rowspan="1" colspan="1"> 61–80</td><td align="center" rowspan="1" colspan="1">16</td><td align="center" rowspan="1" colspan="1">11.2</td></tr><tr><td align="left" rowspan="1" colspan="1"> >80</td><td align="center" rowspan="1" colspan="1">20</td><td align="center" rowspan="1" colspan="1">14.0</td></tr><tr><td align="left" rowspan="1" colspan="1">Year of Kaposi's diagnosis</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 1987–1996</td><td align="center" rowspan="1" colspan="1">82</td><td align="center" rowspan="1" colspan="1">57.3</td></tr><tr><td align="left" rowspan="1" colspan="1"> 1997–2007</td><td align="center" rowspan="1" colspan="1">61</td><td align="center" rowspan="1" colspan="1">42.7</td></tr><tr><td align="left" rowspan="1" colspan="1">Site of initial presentation</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Nonskin</td><td align="center" rowspan="1" colspan="1">18</td><td align="center" rowspan="1" colspan="1">12.6</td></tr><tr><td align="left" rowspan="1" colspan="1"> Skin</td><td align="center" rowspan="1" colspan="1">125</td><td align="center" rowspan="1" colspan="1">87.4</td></tr><tr><td align="left" rowspan="1" colspan="1">Stage at diagnosis</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Local</td><td align="center" rowspan="1" colspan="1">61</td><td align="center" rowspan="1" colspan="1">40.6</td></tr><tr><td align="left" rowspan="1" colspan="1"> Regional</td><td align="center" rowspan="1" colspan="1">24</td><td align="center" rowspan="1" colspan="1">16.8</td></tr><tr><td align="left" rowspan="1" colspan="1"> Distant</td><td align="center" rowspan="1" colspan="1">58</td><td align="center" rowspan="1" colspan="1">40.6</td></tr><tr><td align="left" rowspan="1" colspan="1">Chemotherapy</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> None</td><td align="center" rowspan="1" colspan="1">115</td><td align="center" rowspan="1" colspan="1">80.4</td></tr><tr><td align="left" rowspan="1" colspan="1"> Chemotherapy, single agent</td><td align="center" rowspan="1" colspan="1">19</td><td align="center" rowspan="1" colspan="1">13.3</td></tr><tr><td align="left" rowspan="1" colspan="1"> Chemotherapy, multiple agents</td><td align="center" rowspan="1" colspan="1">9</td><td align="center" rowspan="1" colspan="1">6.3</td></tr><tr><td align="left" rowspan="1" colspan="1">Radiation therapy</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> No radiation</td><td align="center" rowspan="1" colspan="1">93</td><td align="center" rowspan="1" colspan="1">65.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> Radiation</td><td align="center" rowspan="1" colspan="1">50</td><td align="center" rowspan="1" colspan="1">35.0</td></tr><tr><td align="left" rowspan="1" colspan="1">HIV status</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> HIV-positive</td><td align="center" rowspan="1" colspan="1">75</td><td align="center" rowspan="1" colspan="1">52.4</td></tr><tr><td align="left" rowspan="1" colspan="1"> HIV-negative</td><td align="center" rowspan="1" colspan="1">68</td><td align="center" rowspan="1" colspan="1">47.6</td></tr></tbody></table></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Median, two- and five-year survival rates for demographic and clinical variables in a population of Kaposi's sarcoma patients diagnosed at Mount Sinai Medical Center in Miami Beach, FL, USA.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Variable</th><th align="center" rowspan="1" colspan="1">Median survival (months) (95% CI)</th><th align="center" rowspan="1" colspan="1"><italic>P</italic> value*</th><th align="center" rowspan="1" colspan="1">2-year survival (%)</th><th align="center" rowspan="1" colspan="1">5-year survival (%)</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Sex</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.84</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Female</td><td align="center" rowspan="1" colspan="1">28 (3, 106)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">57.1</td><td align="center" rowspan="1" colspan="1">21.4</td></tr><tr><td align="left" rowspan="1" colspan="1"> Male</td><td align="center" rowspan="1" colspan="1">23 (14, 26)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">45.0</td><td align="center" rowspan="1" colspan="1">20.9</td></tr><tr><td align="left" rowspan="1" colspan="1">Race and ethnicity</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.01</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Non-Hispanic, white</td><td align="center" rowspan="1" colspan="1">20 (12, 25)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">39.5</td><td align="center" rowspan="1" colspan="1">18.6</td></tr><tr><td align="left" rowspan="1" colspan="1"> Hispanic white</td><td align="center" rowspan="1" colspan="1">56 (26, 128)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">70.0</td><td align="center" rowspan="1" colspan="1">32.5</td></tr><tr><td align="left" rowspan="1" colspan="1"> Black</td><td align="center" rowspan="1" colspan="1">8 (2, 23)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">23.5</td><td align="center" rowspan="1" colspan="1">5.9</td></tr><tr><td align="left" rowspan="1" colspan="1">Smoking status</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.32</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Nonsmoker</td><td align="center" rowspan="1" colspan="1">23 (13, 31)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">47.5</td><td align="center" rowspan="1" colspan="1">19.7</td></tr><tr><td align="left" rowspan="1" colspan="1"> Ex-smoker</td><td align="center" rowspan="1" colspan="1">17 (8, 28)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">43.2</td><td align="center" rowspan="1" colspan="1">21.6</td></tr><tr><td align="left" rowspan="1" colspan="1"> Current smoker</td><td align="center" rowspan="1" colspan="1">36 (13, 134)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">61.9</td><td align="center" rowspan="1" colspan="1">28.6</td></tr><tr><td align="left" rowspan="1" colspan="1"> Unknown</td><td align="center" rowspan="1" colspan="1">15 (4, 26)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">33.3</td><td align="center" rowspan="1" colspan="1">16.7</td></tr><tr><td align="left" rowspan="1" colspan="1">Age at diagnosis, years (range) </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.34</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 21–40</td><td align="center" rowspan="1" colspan="1">22 (10, 26)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">43.0</td><td align="center" rowspan="1" colspan="1">28.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> 41–60</td><td align="center" rowspan="1" colspan="1">18 (9, 26)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">39.0</td><td align="center" rowspan="1" colspan="1">22.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> 61–80</td><td align="center" rowspan="1" colspan="1">38 (4, 128)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">61.0</td><td align="center" rowspan="1" colspan="1">46.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> >80</td><td align="center" rowspan="1" colspan="1">32 (12, 88)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">65.0</td><td align="center" rowspan="1" colspan="1">31.0</td></tr><tr><td align="left" rowspan="1" colspan="1">Year of Kaposi's diagnosis </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.004</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 1987–1996</td><td align="center" rowspan="1" colspan="1">14 (9, 23)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">35.0</td><td align="center" rowspan="1" colspan="1">12.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> 1997–2007</td><td align="center" rowspan="1" colspan="1">87 (38, —)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">65.0</td><td align="center" rowspan="1" colspan="1">56.0</td></tr><tr><td align="left" rowspan="1" colspan="1">Site of initial presentation</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.04</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Skin</td><td align="center" rowspan="1" colspan="1">23 (20, 28)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">48.0</td><td align="center" rowspan="1" colspan="1">29.0</td></tr><tr><td align="left" rowspan="1" colspan="1"> Nonskin</td><td align="center" rowspan="1" colspan="1">9 (3, 26)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">30.0</td><td align="center" rowspan="1" colspan="1">29.0</td></tr><tr><td align="left" rowspan="1" colspan="1">Stage at Diagnosis </td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.17</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Local</td><td align="center" rowspan="1" colspan="1">32 (14, 76)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">54.1</td><td align="center" rowspan="1" colspan="1">27.9</td></tr><tr><td align="left" rowspan="1" colspan="1"> Regional</td><td align="center" rowspan="1" colspan="1">22 (7, 123)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">50.0</td><td align="center" rowspan="1" colspan="1">16.7</td></tr><tr><td align="left" rowspan="1" colspan="1"> Distant</td><td align="center" rowspan="1" colspan="1">17 (9, 24)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">36.2</td><td align="center" rowspan="1" colspan="1">15.5</td></tr><tr><td align="left" rowspan="1" colspan="1">Chemotherapy</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.26</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> None</td><td align="center" rowspan="1" colspan="1">23 (18, 29)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">47.8</td><td align="center" rowspan="1" colspan="1">23.5</td></tr><tr><td align="left" rowspan="1" colspan="1"> Chemotherapy, single agent</td><td align="center" rowspan="1" colspan="1">14 (5, 52)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">47.4</td><td align="center" rowspan="1" colspan="1">10.5</td></tr><tr><td align="left" rowspan="1" colspan="1"> Chemotherapy, multiple agents</td><td align="center" rowspan="1" colspan="1">9 (3, 24)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">22.2</td><td align="center" rowspan="1" colspan="1">11.1</td></tr><tr><td align="left" rowspan="1" colspan="1">Radiation therapy</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.98</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> No radiation</td><td align="center" rowspan="1" colspan="1">23 (12, 31)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">46.2</td><td align="center" rowspan="1" colspan="1">22.6</td></tr><tr><td align="left" rowspan="1" colspan="1"> Radiation</td><td align="center" rowspan="1" colspan="1">22 (12, 28)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">46.0</td><td align="center" rowspan="1" colspan="1">18.0</td></tr><tr><td align="left" rowspan="1" colspan="1">HIV status</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">0.91</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> HIV-positive</td><td align="center" rowspan="1" colspan="1">19 (9, 26)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">41.3</td><td align="center" rowspan="1" colspan="1">22.7</td></tr><tr><td align="left" rowspan="1" colspan="1"> HIV-negative</td><td align="center" rowspan="1" colspan="1">25 (21, 32)</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1">51.5</td><td align="center" rowspan="1" colspan="1">19.1</td></tr></tbody></table><table-wrap-foot><fn><p>*Log-rank and Wilcoxon tests.</p></fn></table-wrap-foot></table-wrap><table-wrap id="tab3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Univariate and multivariate Cox-proportional hazards models in a population of Kaposi's sarcoma patients diagnosed at Mount Sinai Medical Center in Miami Beach, FL, USA.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Variable</th><th align="center" rowspan="1" colspan="1">Hazard ratio <break></break>(95% confidence limits)</th><th align="center" rowspan="1" colspan="1"><italic>P</italic> value</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">Age</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> >50 </td><td align="center" rowspan="1" colspan="1">0.91 (0.60, 1.21)</td><td align="center" rowspan="2" colspan="1">0.66</td></tr><tr><td align="left" rowspan="1" colspan="1"> <50*</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="left" rowspan="1" colspan="1">Year of diagnosis</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> 1997–2007 </td><td align="center" rowspan="1" colspan="1">0.38 (0.24, 0.60)<break></break>1</td><td align="center" rowspan="1" colspan="1"><0.0001<break></break></td></tr><tr><td align="left" rowspan="1" colspan="1"> 1987–1996*</td><td align="center" rowspan="1" colspan="1">0.33 (0.19, 0.55)** <break></break>1</td><td align="center" rowspan="1" colspan="1"><0.0001<break></break></td></tr><tr><td align="left" rowspan="1" colspan="1">Sex</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Male </td><td align="center" rowspan="1" colspan="1">0.94 (0.69, 1.19)</td><td align="center" rowspan="2" colspan="1">0.84</td></tr><tr><td align="left" rowspan="1" colspan="1"> Female*</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="left" rowspan="1" colspan="1">Ethnicity</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Hispanic, white</td><td align="center" rowspan="1" colspan="1">0.52 (0.36, 0.68)<break></break>1</td><td align="center" rowspan="1" colspan="1">0.01<break></break></td></tr><tr><td align="left" rowspan="1" colspan="1"> Non-Hispanic, white*</td><td align="center" rowspan="1" colspan="1">0.55 (0.33, 0.90)** <break></break>1</td><td align="center" rowspan="1" colspan="1">0.02</td></tr><tr><td align="left" rowspan="1" colspan="1">Smoking</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Current </td><td align="center" rowspan="1" colspan="1">0.62 (0.46, 0.77)</td><td align="center" rowspan="1" colspan="1">0.17</td></tr><tr><td align="left" rowspan="1" colspan="1"> Former </td><td align="center" rowspan="1" colspan="1"> 1.06 (0.73, 1.39)</td><td align="center" rowspan="2" colspan="1">0.82</td></tr><tr><td align="left" rowspan="1" colspan="1"> Nonsmoker*</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="left" rowspan="1" colspan="1">Site of initial presentation</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Skin</td><td align="center" rowspan="1" colspan="1">0.69 (0.49, 0.88) </td><td align="center" rowspan="2" colspan="1">0.22</td></tr><tr><td align="left" rowspan="1" colspan="1"> Nonskin*</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="left" rowspan="1" colspan="1">Stage</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Regional </td><td align="center" rowspan="1" colspan="1">1.14 (0.83, 1.45)</td><td align="center" rowspan="1" colspan="1">0.68</td></tr><tr><td align="left" rowspan="1" colspan="1"> Distant</td><td align="center" rowspan="1" colspan="1">1.48 (0.99, 1.96)</td><td align="center" rowspan="2" colspan="1">0.07</td></tr><tr><td align="left" rowspan="1" colspan="1"> Local*</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="left" rowspan="1" colspan="1">Chemotherapy </td><td align="center" rowspan="1" colspan="1">1.27 (0.92, 1.62)</td><td align="center" rowspan="2" colspan="1">0.43</td></tr><tr><td align="left" rowspan="1" colspan="1">No chemotherapy*</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="left" rowspan="1" colspan="1">Radiation</td><td align="center" rowspan="1" colspan="1">1.01 (0.67, 1.34)</td><td align="center" rowspan="2" colspan="1">0.98</td></tr><tr><td align="left" rowspan="1" colspan="1">No radiation*</td><td align="center" rowspan="1" colspan="1">1</td></tr><tr><td align="left" rowspan="1" colspan="1">HIV status</td><td align="center" rowspan="1" colspan="1"> </td><td align="center" rowspan="1" colspan="1"> </td></tr><tr><td align="left" rowspan="1" colspan="1"> Positive </td><td align="center" rowspan="1" colspan="1">1.02 (0.67, 1.36)</td><td align="center" rowspan="2" colspan="1">0.91</td></tr><tr><td align="left" rowspan="1" colspan="1"> Negative*</td><td align="center" rowspan="1" colspan="1">1</td></tr></tbody></table><table-wrap-foot><fn><p>*Reference level.</p></fn><fn><p>**Significant variables based on multivariate analysis.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Zeichner, Simon B" sort="Zeichner, Simon B" uniqKey="Zeichner S" first="Simon B." last="Zeichner">Simon B. Zeichner</name></noRegion><name sortKey="Rodriguez, Estelamari" sort="Rodriguez, Estelamari" uniqKey="Rodriguez E" first="Estelamari" last="Rodriguez">Estelamari Rodriguez</name><name sortKey="Ruiz, Ana L" sort="Ruiz, Ana L" uniqKey="Ruiz A" first="Ana L." last="Ruiz">Ana L. Ruiz</name><name sortKey="Suciu, Gabriel P" sort="Suciu, Gabriel P" uniqKey="Suciu G" first="Gabriel P." last="Suciu">Gabriel P. Suciu</name><name sortKey="Zeichner, Rachel Lerner" sort="Zeichner, Rachel Lerner" uniqKey="Zeichner R" first="Rachel Lerner" last="Zeichner">Rachel Lerner Zeichner</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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