Year: 2023
Type: article
Study design: Observational Study
Abstract: Treatment of screen-detected anal high-grade squamous intraepithelial lesions has been shown to effectively reduce the incidence of invasive anal cancer in people with HIV. We provide population-based estimates of cumulative incidence of anal cancer by risk group and age at HIV or AIDS diagnosis. The 0- to 10-year cumulative incidence of anal cancer for men who have sex with men and are younger than 30 years of age at HIV diagnosis was 0.17% (95% confidence interval [CI] = 0.13% to 0.20%) compared with 0.04% (95% CI = 0.02% to 0.06%) in other men and 0.03% (95% CI = 0.01% to 0.04%) in women. For men who have sex with men and have a diagnosis of AIDS and are younger than 30 years of age, the 0- to 10-year cumulative incidence was 0.35% (95% CI = 0.28% to 0.41%). Among people with HIV, men who have sex with men are at the greatest risk of anal cancer, and those with a diagnosis of AIDS had higher risk than those without AIDS. These estimates may inform recommendations for priority populations that could benefit most from anal cancer screening and treatment.
DOI: 10.1093/jnci/djad128
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $4,978
Awards: CANCER PREVENTION AND CONTROL PROGRAMS FOR STATE, TERRITORIAL AND TRIBAL ORGANIZATIONS, HIV/AIDS SURVEILLANCE, G1450502146, G1572741679, G1771401908, G2223114356, G222668952, G2238238119, NATIONAL HIV SURVEILLANCE SYSTEM (NHSS), G2594571626, G2875564675, G3721309601, MARYLAND CANCER PREVENTION AND CONTROL PROGRAM, G5277343995, G5792419742, G6585519052, G6709081817, G6821856496, G6986264563, G7032819450, G7213438293, G7290139498, G7383702617, G7431522812, G867096425, G8680458046
OpenAlex ID: W4382931031