Review Article

The Trends and Risk Factors of AIDS-Defining Cancers and Non-AIDS-Defining Cancers in Adults Living with and without HIV: A Narrative Review

Table 2

Incidence and mortality trends for ADCs and NADCs in PLHIV and HIV-negative subgroups.

ArticleCountryIncidenceComparison between PLHIV & HIV negativesMortalityComparison between PLHIV & HIV negativesIncidenceMortality
ADCsNADCsADCsNADCsVirus-rel. NADCsNonvirus-rel. NADCsVirus-rel. NADCsNonvirus-rel. NADCs

Achenbach et al., 2011 [71]USA˅˄XXXX˅˄˅˄
Altuntas et al., 2020 [48]Turkey˄˅Increased risk of KS and urogenital cancers in PLHIV versus HIV negative˅˄XXXXX
Arora et al., 2021 [42]India˅˄X~~XXXXX
Billa et al., 2018 [52]France˅˄XXXXXXXX
Calabresi et al., 2013 [67]Italy˄˅Overall cancer risk 4-fold higher in PLHIV than HIV negativeXXX˄˅XX
Calkins et al., 2020 [49]USA˅˄XXXLow associated with shorter survival in PLHIV especially womenXXXX
Chiu et al., 2017 [31]Canada˅˄Higher standard incidence rate for development of NADCs in PLHIV versus HIV negativeXXxXXXX
Coghill et al., 2013 [68]Uganda˄˅(i) More ADCs (cervical and NHL) diagnosed in PLHIV versus HIV negative
(ii) More NADCs (breast and esophageal) diagnosed in HIV negative versus PLHIV
XXRisk of death twice for HIV pos 1-year after cancer diagnosisXXXX
Engels et al., 2017 [59]USA & Canada˅˄X˅˄Mortality rate of PLHIV higher than US general population in 2014XXXX
Fink et al., 2018 [54]Argentina, Brazil, Mexico, Chile, & Honduras˄˅X ˄˅XXXXX
Gheorghiță et al., 2019 [50]Romania˄˅X˅˄XXXXX
Gotti et al., 2014 [32]Italy~~X˅˄XXXXX
Grover et al., 2018 [55]USA & Canada˅˄X˅˄XXXXX
Horner et al., 2021 [43]USA˅˄X˄˅XXXXX
Ignacio et al., 2018 [11]Uganda˅˄XXXXXXXX
Jaquet et al., 2015 [64]Benin, Côte d’Ivoire, Nigeria, & Togo˅˄XXXXXXXX
Kauma et al., 2023 [40]Uganda~~XXXXXXXX
Mayor et al., 2016 [61]Puerto Rico˅˄(i) The incidence rate of ADCs in the late ART era was 17 times higher in PLHIV than the general population
(ii) Incidence rate of NADCs in late ART era remained twice higher in PLHIV versus general population
˅˄XXXXX
Mendoza et al., 2021 [44]Peru˄˅XXXXXXXX
Muturi et al., 2023 [41]Kenya˅˄XXXXXXXX
Park et al., 2018 [58]USA˅˄(i) More ADCs in PLHIV versus HIV negative
(ii) More virus-related NADCs in PLHIV versus HIV negative
(iii) More nonvirus-related NADCs in HIV negative versus PLHIV
XXX˅˄XX
Patel et al., 2021 [45]USA˅˄XXXXXXXX
Pinto et al., 2012 [70]Brazil˄˅XXXXXXXX
Raffetti et al., 2015 [65]Italy˄˅(i) Overall incidence of ADCs was higher in PLHIV than the Italian general population
(ii) Incidence of NADCs in PLHIV was similar to that of the Italian general population
˄ ˅˅ ˄XXXXX
Salters et al., 2016 [62]Canada˄˅HIV positive women compared to the general population were more likely to be diagnosed with cervical cancer, HL, NHL, & KSXXXXXXX
Silverberg et al., 2015 [66]USA & Canada˅˄Cumulative cancer incidence by age 65 and 75 years during 1996–2009 was higher in PLHIV versus HIV negative for all cancer types except colorectal, melanoma, and oropharynxXXXXXXX
Sinha et al., 2019 [51]India˄˅XXXXXXXX
Spence et al., 2021 [46]USA˅˄XXXXXXXX
Wang et al., 2021 [47]China˄˅XXXXXXXX
Yang et al., 2016 [63]China˅˄X˄˅XXXXX
Yanik et al., 2013 [69]USA˄˅XXXX˅˄XX

Key: ˄ = higher rate; ˅ = lower rate, ~ = similar rate, X = not part of the study. Mortality rate in the first year of ART. ADC mortality higher in pre-ART and lower post-ART while NADC lower in pre-ART and higher post-ART. ADCs: AIDS-defining cancers; NADCs: non-AIDS-defining cancers; HIV: human immunodeficiency virus; KS: Kaposi sarcoma; NHL: non-Hodgkin lymphoma; HL: Hodgkin lymphoma; ART: antiretroviral therapy; HAART: highly active antiretroviral therapy; PLHIV: people living with HIV.