Differences in survival among adults with HIV-associated Kaposi's sarcoma during routine HIV treatment initiation in Zomba district, Malawi: a retrospective cohort analysis.
Identifieur interne : 000A12 ( PubMed/Curation ); précédent : 000A11; suivant : 000A13Differences in survival among adults with HIV-associated Kaposi's sarcoma during routine HIV treatment initiation in Zomba district, Malawi: a retrospective cohort analysis.
Auteurs : Emmanuel Singogo [Royaume-Uni] ; Thomas J. Keegan [Royaume-Uni] ; Peter J. Diggle [Royaume-Uni] ; Monique Van Lettow [Malawi] ; Alfred Matengeni [Malawi] ; Joep J. Van Oosterhout [Malawi] ; Sumeet Sodhi [Malawi] ; Martias Joshua [Malawi] ; Benjamin M. Taylor [Royaume-Uni]Source :
- International health [ 1876-3405 ] ; 2017.
Descripteurs français
- KwdFr :
- MESH :
- mortalité : Infections à VIH, Sarcome de Kaposi.
- virologie : Sarcome de Kaposi.
- épidémiologie : Malawi.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de survie, Femelle, Humains, Infections à VIH, Jeune adulte, Mâle, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- complications : HIV Infections.
- epidemiology : Malawi.
- mortality : HIV Infections, Sarcoma, Kaposi.
- therapy : HIV Infections.
- virology : Sarcoma, Kaposi.
- Adolescent, Adult, Female, Humans, Male, Middle Aged, Retrospective Studies, Survival Analysis, Young Adult.
Abstract
The HIV epidemic is a major public health concern throughout Africa. Malawi is one of the worst affected countries in sub-Saharan Africa with a 2014 national HIV prevalence currently estimated at 10% (9.3-10.8%) by UNAIDS. Study reports, largely in the African setting comparing outcomes in HIV patients with and without Kaposi's sarcoma (KS) indicate poor prognosis and poor health outcomes amongst HIV+KS patients. Understanding the mortality risk in this patient group could help improve patient management and care.
DOI: 10.1093/inthealth/ihx027
PubMed: 28911125
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Keegan</name><affiliation wicri:level="1"><nlm:affiliation>Lancaster Medical School, Lancaster University, LA1 4YF, Lancashire, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Lancaster Medical School, Lancaster University, LA1 4YF, Lancashire</wicri:regionArea></affiliation></author><author><name sortKey="Diggle, Peter J" sort="Diggle, Peter J" uniqKey="Diggle P" first="Peter J" last="Diggle">Peter J. 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Van Oosterhout</name><affiliation wicri:level="1"><nlm:affiliation>Dignitas International, Zomba, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>Dignitas International, Zomba</wicri:regionArea></affiliation></author><author><name sortKey="Sodhi, Sumeet" sort="Sodhi, Sumeet" uniqKey="Sodhi S" first="Sumeet" last="Sodhi">Sumeet Sodhi</name><affiliation wicri:level="1"><nlm:affiliation>Dignitas International, Zomba, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>Dignitas International, Zomba</wicri:regionArea></affiliation></author><author><name sortKey="Joshua, Martias" sort="Joshua, Martias" uniqKey="Joshua M" first="Martias" last="Joshua">Martias Joshua</name><affiliation wicri:level="1"><nlm:affiliation>Zomba Central Hospital, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>Zomba Central Hospital</wicri:regionArea></affiliation></author><author><name sortKey="Taylor, Benjamin M" sort="Taylor, Benjamin M" uniqKey="Taylor B" first="Benjamin M" last="Taylor">Benjamin M. Taylor</name><affiliation wicri:level="1"><nlm:affiliation>Lancaster Medical School, Lancaster University, LA1 4YF, Lancashire, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Lancaster Medical School, Lancaster University, LA1 4YF, Lancashire</wicri:regionArea></affiliation></author></analytic><series><title level="j">International health</title><idno type="eISSN">1876-3405</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>HIV Infections (complications)</term><term>HIV Infections (mortality)</term><term>HIV Infections (therapy)</term><term>Humans</term><term>Malawi (epidemiology)</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Sarcoma, Kaposi (mortality)</term><term>Sarcoma, Kaposi (virology)</term><term>Survival Analysis</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Femelle</term><term>Humains</term><term>Infections à VIH ()</term><term>Infections à VIH (mortalité)</term><term>Jeune adulte</term><term>Malawi (épidémiologie)</term><term>Mâle</term><term>Sarcome de Kaposi (mortalité)</term><term>Sarcome de Kaposi (virologie)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Malawi</term></keywords><keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>HIV Infections</term><term>Sarcoma, Kaposi</term></keywords><keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Infections à VIH</term><term>Sarcome de Kaposi</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Sarcome de Kaposi</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Sarcoma, Kaposi</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Malawi</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Survival Analysis</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de survie</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Jeune adulte</term><term>Mâle</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The HIV epidemic is a major public health concern throughout Africa. Malawi is one of the worst affected countries in sub-Saharan Africa with a 2014 national HIV prevalence currently estimated at 10% (9.3-10.8%) by UNAIDS. Study reports, largely in the African setting comparing outcomes in HIV patients with and without Kaposi's sarcoma (KS) indicate poor prognosis and poor health outcomes amongst HIV+KS patients. Understanding the mortality risk in this patient group could help improve patient management and care.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28911125</PMID><DateCreated><Year>2017</Year><Month>09</Month><Day>15</Day></DateCreated><DateCompleted><Year>2017</Year><Month>09</Month><Day>25</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>25</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1876-3405</ISSN><JournalIssue CitedMedium="Internet"><Volume>9</Volume><Issue>5</Issue><PubDate><Year>2017</Year><Month>Sep</Month><Day>01</Day></PubDate></JournalIssue><Title>International health</Title><ISOAbbreviation>Int Health</ISOAbbreviation></Journal><ArticleTitle>Differences in survival among adults with HIV-associated Kaposi's sarcoma during routine HIV treatment initiation in Zomba district, Malawi: a retrospective cohort analysis.</ArticleTitle><Pagination><MedlinePgn>281-287</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/inthealth/ihx027</ELocationID><Abstract><AbstractText Label="Background" NlmCategory="UNASSIGNED">The HIV epidemic is a major public health concern throughout Africa. Malawi is one of the worst affected countries in sub-Saharan Africa with a 2014 national HIV prevalence currently estimated at 10% (9.3-10.8%) by UNAIDS. Study reports, largely in the African setting comparing outcomes in HIV patients with and without Kaposi's sarcoma (KS) indicate poor prognosis and poor health outcomes amongst HIV+KS patients. Understanding the mortality risk in this patient group could help improve patient management and care.</AbstractText><AbstractText Label="Methods" NlmCategory="UNASSIGNED">Using data for the 559 adult HIV+KS patients who started ART between 2004 and September 2011 at Zomba clinic in Malawi, we estimated relative hazard ratios for all-cause mortality by controlling for age, sex, TB status, occupation, date of starting treatment and distance to the HIV+KS clinic.</AbstractText><AbstractText Label="Results" NlmCategory="UNASSIGNED">Patients with tuberculosis (95% CI: 1.05-4.65) and patients who started ART before 2008 (95% CI: 0.34-0.81) were at significantly greater risk of dying. A random-effects Cox model with Log-Gaussian frailties adequately described the variation in the hazard for mortality.</AbstractText><AbstractText Label="Conclusion" NlmCategory="UNASSIGNED">The year of starting ART and TB status significantly affected survival among HIV+KS patients. A sub-population analysis of this kind can inform an efficient triage system for managing vulnerable patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Singogo</LastName><ForeName>Emmanuel</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Lancaster Medical School, Lancaster University, LA1 4YF, Lancashire, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Keegan</LastName><ForeName>Thomas J</ForeName><Initials>TJ</Initials><AffiliationInfo><Affiliation>Lancaster Medical School, Lancaster University, LA1 4YF, Lancashire, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Diggle</LastName><ForeName>Peter J</ForeName><Initials>PJ</Initials><AffiliationInfo><Affiliation>Lancaster Medical School, Lancaster University, LA1 4YF, Lancashire, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Lettow</LastName><ForeName>Monique</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Dignitas International, Zomba, Malawi.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matengeni</LastName><ForeName>Alfred</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Dignitas International, Zomba, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>van Oosterhout</LastName><ForeName>Joep J</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>Dignitas International, Zomba, Malawi.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sodhi</LastName><ForeName>Sumeet</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Dignitas International, Zomba, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Joshua</LastName><ForeName>Martias</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Zomba Central Hospital, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Taylor</LastName><ForeName>Benjamin M</ForeName><Initials>BM</Initials><AffiliationInfo><Affiliation>Lancaster Medical School, Lancaster University, LA1 4YF, Lancashire, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int Health</MedlineTA><NlmUniqueID>101517095</NlmUniqueID><ISSNLinking>1876-3405</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008295" MajorTopicYN="N">Malawi</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012514" MajorTopicYN="N">Sarcoma, Kaposi</DescriptorName><QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName><QualifierName UI="Q000821" MajorTopicYN="Y">virology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">AIDS-associated</Keyword><Keyword MajorTopicYN="N">Antiretroviral therapy</Keyword><Keyword MajorTopicYN="N">Kaposis sarcoma</Keyword><Keyword MajorTopicYN="N">Survival</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>01</Month><Day>18</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>08</Month><Day>21</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>9</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>9</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>9</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28911125</ArticleId><ArticleId IdType="pii">4104515</ArticleId><ArticleId IdType="doi">10.1093/inthealth/ihx027</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour 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