Kaposi's sarcoma in transplant and HIV-infected patients : An epidemiologic study in Italy and France
A follow-up study was conducted in Italy and in France to compare the epidemiology of Kaposi's sarcoma (KS) between human immunodeficiency virus (HIV)-infected people and transplant recipients. In all, 8,074 HIV-positive individuals (6,072 from France and 2,002 HIV-seroconverters from Italy) an...
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| Veröffentlicht in: | Transplantation 2005-12, Vol.80 (12), p.1656-1657 |
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| creator | ALAMARTINE, Eric SERRAINO, Diego COLOMBO, Valeria FUZIBET, Jean G DAL BELLO, Barbara TARGHETTA, Stefano GRASSO, Maurizia POZZETTO, Ubaldo BELLELLI, Stefania DORRUCCI, Maria DAL MASO, Luigino BUSNACH, Ghil ANGELETTI, Claudio PRADIER, Christian REZZA, Giovanni CARRIERI, Maria P LONGO, Benedetta PICHE, Marjorie PISELLI, Pierluca ARBUSTINI, Eloisa BURRA, Patrizia CITTERIO, Franco |
| description | A follow-up study was conducted in Italy and in France to compare the epidemiology of Kaposi's sarcoma (KS) between human immunodeficiency virus (HIV)-infected people and transplant recipients.
In all, 8,074 HIV-positive individuals (6,072 from France and 2,002 HIV-seroconverters from Italy) and 2,705 Italian transplant recipients (1,844 kidney transplants, 702 heart transplants, and 159 liver transplants) were followed-up between 1970 and 2004. Standardized incidence ratios (SIRs) and 95% confidence intervals (CIs) were computed to estimate the risk of KS, as compared to sex- and age-matched Italian and French populations. Incidence rate ratios (IRRs) were used to identify risk factors for KS.
A 451-fold higher SIR for KS was recorded in HIV-infected subjects and a 128-fold higher SIR was seen in transplant recipients. Significantly increased KS risks were observed in HIV-infected homosexual men (IRR=9.7 in France and IRR=6.7 in Italy vs. intravenous drug users), and in transplant recipients born in southern Italy (IRR=5.2 vs. those born in northern Italy). HIV-infected patients with high CD4+ cell counts and those treated with antiretroviral therapies had reduced KS risks. In relation to duration of immunosuppression, KS occurred earlier in transplant patients than in HIV-seroconverters.
This comparison highlighted that the risk of KS was higher among HIV-infected individuals than in transplant recipients, and that different co-factors are likely to influence the risk of KS. Moreover, the early KS occurrence in transplant recipients could be associated with different patterns of progressive impairment of the immune function. |
| doi_str_mv | 10.1097/01.tp.0000187864.65522.10 |
| format | Article |
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In all, 8,074 HIV-positive individuals (6,072 from France and 2,002 HIV-seroconverters from Italy) and 2,705 Italian transplant recipients (1,844 kidney transplants, 702 heart transplants, and 159 liver transplants) were followed-up between 1970 and 2004. Standardized incidence ratios (SIRs) and 95% confidence intervals (CIs) were computed to estimate the risk of KS, as compared to sex- and age-matched Italian and French populations. Incidence rate ratios (IRRs) were used to identify risk factors for KS.
A 451-fold higher SIR for KS was recorded in HIV-infected subjects and a 128-fold higher SIR was seen in transplant recipients. Significantly increased KS risks were observed in HIV-infected homosexual men (IRR=9.7 in France and IRR=6.7 in Italy vs. intravenous drug users), and in transplant recipients born in southern Italy (IRR=5.2 vs. those born in northern Italy). HIV-infected patients with high CD4+ cell counts and those treated with antiretroviral therapies had reduced KS risks. In relation to duration of immunosuppression, KS occurred earlier in transplant patients than in HIV-seroconverters.
This comparison highlighted that the risk of KS was higher among HIV-infected individuals than in transplant recipients, and that different co-factors are likely to influence the risk of KS. Moreover, the early KS occurrence in transplant recipients could be associated with different patterns of progressive impairment of the immune function.</description><identifier>ISSN: 0041-1337</identifier><identifier>EISSN: 1534-6080</identifier><identifier>DOI: 10.1097/01.tp.0000187864.65522.10</identifier><identifier>PMID: 16378064</identifier><identifier>CODEN: TRPLAU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Adult ; Age of Onset ; Biological and medical sciences ; Cohort Studies ; Databases, Factual ; Dermatology ; Female ; Follow-Up Studies ; France - epidemiology ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; HIV Infections - complications ; Human immunodeficiency virus ; Humans ; Italy - epidemiology ; Longitudinal Studies ; Male ; Medical sciences ; Middle Aged ; Sarcoma, Kaposi - epidemiology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Time Factors ; Tissue, organ and graft immunology ; Tumors of the skin and soft tissue. Premalignant lesions</subject><ispartof>Transplantation, 2005-12, Vol.80 (12), p.1656-1657</ispartof><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c427t-8024e4707340f8b2b3445aa066ed00151f056c250a88268faaa261a94ed7f7fd3</citedby><cites>FETCH-LOGICAL-c427t-8024e4707340f8b2b3445aa066ed00151f056c250a88268faaa261a94ed7f7fd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17401926$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16378064$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>ALAMARTINE, Eric</creatorcontrib><creatorcontrib>SERRAINO, Diego</creatorcontrib><creatorcontrib>COLOMBO, Valeria</creatorcontrib><creatorcontrib>FUZIBET, Jean G</creatorcontrib><creatorcontrib>DAL BELLO, Barbara</creatorcontrib><creatorcontrib>TARGHETTA, Stefano</creatorcontrib><creatorcontrib>GRASSO, Maurizia</creatorcontrib><creatorcontrib>POZZETTO, Ubaldo</creatorcontrib><creatorcontrib>BELLELLI, Stefania</creatorcontrib><creatorcontrib>DORRUCCI, Maria</creatorcontrib><creatorcontrib>DAL MASO, Luigino</creatorcontrib><creatorcontrib>BUSNACH, Ghil</creatorcontrib><creatorcontrib>ANGELETTI, Claudio</creatorcontrib><creatorcontrib>PRADIER, Christian</creatorcontrib><creatorcontrib>REZZA, Giovanni</creatorcontrib><creatorcontrib>CARRIERI, Maria P</creatorcontrib><creatorcontrib>LONGO, Benedetta</creatorcontrib><creatorcontrib>PICHE, Marjorie</creatorcontrib><creatorcontrib>PISELLI, Pierluca</creatorcontrib><creatorcontrib>ARBUSTINI, Eloisa</creatorcontrib><creatorcontrib>BURRA, Patrizia</creatorcontrib><creatorcontrib>CITTERIO, Franco</creatorcontrib><creatorcontrib>Immunesuppression and Cancer Study Group</creatorcontrib><title>Kaposi's sarcoma in transplant and HIV-infected patients : An epidemiologic study in Italy and France</title><title>Transplantation</title><addtitle>Transplantation</addtitle><description>A follow-up study was conducted in Italy and in France to compare the epidemiology of Kaposi's sarcoma (KS) between human immunodeficiency virus (HIV)-infected people and transplant recipients.
In all, 8,074 HIV-positive individuals (6,072 from France and 2,002 HIV-seroconverters from Italy) and 2,705 Italian transplant recipients (1,844 kidney transplants, 702 heart transplants, and 159 liver transplants) were followed-up between 1970 and 2004. Standardized incidence ratios (SIRs) and 95% confidence intervals (CIs) were computed to estimate the risk of KS, as compared to sex- and age-matched Italian and French populations. Incidence rate ratios (IRRs) were used to identify risk factors for KS.
A 451-fold higher SIR for KS was recorded in HIV-infected subjects and a 128-fold higher SIR was seen in transplant recipients. Significantly increased KS risks were observed in HIV-infected homosexual men (IRR=9.7 in France and IRR=6.7 in Italy vs. intravenous drug users), and in transplant recipients born in southern Italy (IRR=5.2 vs. those born in northern Italy). HIV-infected patients with high CD4+ cell counts and those treated with antiretroviral therapies had reduced KS risks. In relation to duration of immunosuppression, KS occurred earlier in transplant patients than in HIV-seroconverters.
This comparison highlighted that the risk of KS was higher among HIV-infected individuals than in transplant recipients, and that different co-factors are likely to influence the risk of KS. Moreover, the early KS occurrence in transplant recipients could be associated with different patterns of progressive impairment of the immune function.</description><subject>Adult</subject><subject>Age of Onset</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Databases, Factual</subject><subject>Dermatology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>France - epidemiology</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>HIV Infections - complications</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Sarcoma, Kaposi - epidemiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Time Factors</subject><subject>Tissue, organ and graft immunology</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>0041-1337</issn><issn>1534-6080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkTtvVDEQhS0EIkvgLyBTANVdxm-bLooIWRGJBmitWV8bGd0X195i_z3eZKUtmWaK-c4ZzRxC3jHYMnDmE7BtXbbQilljtdxqpThvs2dkw5SQnQYLz8kGQLKOCWGuyKtS_jReCWNekiumhbGg5YbEb7jMJX8stOAa5hFpnmhdcSrLgFOlOPX0fvery1OKocaeLlhznGqhn-nNROOS-zjmeZh_50BLPfTHk8Gu4nB81N41qxBfkxcJhxLfnPs1-Xn35cftfffw_evu9uahC5Kb2lngMkoDRkhIds_3QkqFCFrHvt2qWAKlA1eA1nJtEyJyzdDJ2JtkUi-uyYcn32Wd_x5iqX7MJcShnRLnQ_HagQTn4L8gc04p4VwD3RMY1rmUNSa_rHnE9egZ-FMYHpivi7-E4R_DaLOmfXtectiPsb8oz99vwPszgCXgkE6_yuXCGQnMcS3-AdE5kcc</recordid><startdate>20051227</startdate><enddate>20051227</enddate><creator>ALAMARTINE, Eric</creator><creator>SERRAINO, Diego</creator><creator>COLOMBO, Valeria</creator><creator>FUZIBET, Jean G</creator><creator>DAL BELLO, Barbara</creator><creator>TARGHETTA, Stefano</creator><creator>GRASSO, Maurizia</creator><creator>POZZETTO, Ubaldo</creator><creator>BELLELLI, Stefania</creator><creator>DORRUCCI, Maria</creator><creator>DAL MASO, Luigino</creator><creator>BUSNACH, Ghil</creator><creator>ANGELETTI, Claudio</creator><creator>PRADIER, Christian</creator><creator>REZZA, Giovanni</creator><creator>CARRIERI, Maria P</creator><creator>LONGO, Benedetta</creator><creator>PICHE, Marjorie</creator><creator>PISELLI, Pierluca</creator><creator>ARBUSTINI, Eloisa</creator><creator>BURRA, Patrizia</creator><creator>CITTERIO, Franco</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20051227</creationdate><title>Kaposi's sarcoma in transplant and HIV-infected patients : An epidemiologic study in Italy and France</title><author>ALAMARTINE, Eric ; SERRAINO, Diego ; COLOMBO, Valeria ; FUZIBET, Jean G ; DAL BELLO, Barbara ; TARGHETTA, Stefano ; GRASSO, Maurizia ; POZZETTO, Ubaldo ; BELLELLI, Stefania ; DORRUCCI, Maria ; DAL MASO, Luigino ; BUSNACH, Ghil ; ANGELETTI, Claudio ; PRADIER, Christian ; REZZA, Giovanni ; CARRIERI, Maria P ; LONGO, Benedetta ; PICHE, Marjorie ; PISELLI, Pierluca ; ARBUSTINI, Eloisa ; BURRA, Patrizia ; CITTERIO, Franco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-8024e4707340f8b2b3445aa066ed00151f056c250a88268faaa261a94ed7f7fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Age of Onset</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Databases, Factual</topic><topic>Dermatology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>France - epidemiology</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>HIV Infections - complications</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Sarcoma, Kaposi - epidemiology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Time Factors</topic><topic>Tissue, organ and graft immunology</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>ALAMARTINE, Eric</creatorcontrib><creatorcontrib>SERRAINO, Diego</creatorcontrib><creatorcontrib>COLOMBO, Valeria</creatorcontrib><creatorcontrib>FUZIBET, Jean G</creatorcontrib><creatorcontrib>DAL BELLO, Barbara</creatorcontrib><creatorcontrib>TARGHETTA, Stefano</creatorcontrib><creatorcontrib>GRASSO, Maurizia</creatorcontrib><creatorcontrib>POZZETTO, Ubaldo</creatorcontrib><creatorcontrib>BELLELLI, Stefania</creatorcontrib><creatorcontrib>DORRUCCI, Maria</creatorcontrib><creatorcontrib>DAL MASO, Luigino</creatorcontrib><creatorcontrib>BUSNACH, Ghil</creatorcontrib><creatorcontrib>ANGELETTI, Claudio</creatorcontrib><creatorcontrib>PRADIER, Christian</creatorcontrib><creatorcontrib>REZZA, Giovanni</creatorcontrib><creatorcontrib>CARRIERI, Maria P</creatorcontrib><creatorcontrib>LONGO, Benedetta</creatorcontrib><creatorcontrib>PICHE, Marjorie</creatorcontrib><creatorcontrib>PISELLI, Pierluca</creatorcontrib><creatorcontrib>ARBUSTINI, Eloisa</creatorcontrib><creatorcontrib>BURRA, Patrizia</creatorcontrib><creatorcontrib>CITTERIO, Franco</creatorcontrib><creatorcontrib>Immunesuppression and Cancer Study Group</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>ALAMARTINE, Eric</au><au>SERRAINO, Diego</au><au>COLOMBO, Valeria</au><au>FUZIBET, Jean G</au><au>DAL BELLO, Barbara</au><au>TARGHETTA, Stefano</au><au>GRASSO, Maurizia</au><au>POZZETTO, Ubaldo</au><au>BELLELLI, Stefania</au><au>DORRUCCI, Maria</au><au>DAL MASO, Luigino</au><au>BUSNACH, Ghil</au><au>ANGELETTI, Claudio</au><au>PRADIER, Christian</au><au>REZZA, Giovanni</au><au>CARRIERI, Maria P</au><au>LONGO, Benedetta</au><au>PICHE, Marjorie</au><au>PISELLI, Pierluca</au><au>ARBUSTINI, Eloisa</au><au>BURRA, Patrizia</au><au>CITTERIO, Franco</au><aucorp>Immunesuppression and Cancer Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Kaposi's sarcoma in transplant and HIV-infected patients : An epidemiologic study in Italy and France</atitle><jtitle>Transplantation</jtitle><addtitle>Transplantation</addtitle><date>2005-12-27</date><risdate>2005</risdate><volume>80</volume><issue>12</issue><spage>1656</spage><spage>1699</spage><epage>1657</epage><epage>1704</epage><pages>1656-1657</pages><issn>0041-1337</issn><eissn>1534-6080</eissn><coden>TRPLAU</coden><abstract>A follow-up study was conducted in Italy and in France to compare the epidemiology of Kaposi's sarcoma (KS) between human immunodeficiency virus (HIV)-infected people and transplant recipients.
In all, 8,074 HIV-positive individuals (6,072 from France and 2,002 HIV-seroconverters from Italy) and 2,705 Italian transplant recipients (1,844 kidney transplants, 702 heart transplants, and 159 liver transplants) were followed-up between 1970 and 2004. Standardized incidence ratios (SIRs) and 95% confidence intervals (CIs) were computed to estimate the risk of KS, as compared to sex- and age-matched Italian and French populations. Incidence rate ratios (IRRs) were used to identify risk factors for KS.
A 451-fold higher SIR for KS was recorded in HIV-infected subjects and a 128-fold higher SIR was seen in transplant recipients. Significantly increased KS risks were observed in HIV-infected homosexual men (IRR=9.7 in France and IRR=6.7 in Italy vs. intravenous drug users), and in transplant recipients born in southern Italy (IRR=5.2 vs. those born in northern Italy). HIV-infected patients with high CD4+ cell counts and those treated with antiretroviral therapies had reduced KS risks. In relation to duration of immunosuppression, KS occurred earlier in transplant patients than in HIV-seroconverters.
This comparison highlighted that the risk of KS was higher among HIV-infected individuals than in transplant recipients, and that different co-factors are likely to influence the risk of KS. Moreover, the early KS occurrence in transplant recipients could be associated with different patterns of progressive impairment of the immune function.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>16378064</pmid><doi>10.1097/01.tp.0000187864.65522.10</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
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| ispartof | Transplantation, 2005-12, Vol.80 (12), p.1656-1657 |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Age of Onset Biological and medical sciences Cohort Studies Databases, Factual Dermatology Female Follow-Up Studies France - epidemiology Fundamental and applied biological sciences. Psychology Fundamental immunology HIV Infections - complications Human immunodeficiency virus Humans Italy - epidemiology Longitudinal Studies Male Medical sciences Middle Aged Sarcoma, Kaposi - epidemiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Time Factors Tissue, organ and graft immunology Tumors of the skin and soft tissue. Premalignant lesions |
| title | Kaposi's sarcoma in transplant and HIV-infected patients : An epidemiologic study in Italy and France |
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