艾滋病毒和瘤:我们到目前为止知道什么?
Thais Faria de Souza1, Yasmin Vianna Sym1, Ethel Zimberg Chehter1
1Centro Universitário FMABC, Santo André, SP, Brazil.
Einstein (Sao Paulo, Brazil)
|June 21, 2023
概括
高活性抗逆转录病毒疗法减少了艾滋病定义的癌症,但增加了艾滋病毒感染者的非艾滋病定义癌症. 需要对艾滋病毒进行进一步的研究.
科学领域:
- 在瘤学瘤学.
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 人类免疫缺陷病毒 (HIV) 流行病影响全球数百万人,瘤是严重的并发症.
- 高活性抗逆转录病毒疗法 (HAART) 改变了艾滋病管理,改变了疾病进展和相关病理.
研究的目的:
- 审查文献,并评估在引入HAART后艾滋病毒患者中瘤的作用.
- 在现代艾滋病治疗的背景下,分析艾滋病定义和非艾滋病定义癌症的趋势.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 在MEDLINE,LILACS和COCHRANE数据库中对2010年以后发表的文章进行了搜索.
- 一项元分析包括了20项研究,涉及2,605,869名患者.
主要成果:
- 在20篇文章中的15篇文章中,观察到艾滋病确定的新生病发病率的减少.
- 在12篇文章中报告了非艾滋病定义癌症的增加.
- 导致非艾滋病确定的癌症增加的因素包括艾滋病毒人口老龄化,风险行为和瘤病毒共感染.
结论:
- 确定了艾滋病定义性瘤的下降趋势和非艾滋病定义性瘤的增加趋势.
- 抗逆转录病毒治疗的致癌作用无法证实.
- 需要进一步研究艾滋病毒和瘤查在艾滋病毒感染者中的致癌作用.
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