Impact of Antiretroviral Therapy on Cancer Treatment Outcomes among People Living with HIV in Low- and Middle-Income Countries : a Systematic Review

PURPOSE OF REVIEW: The relationship between antiretroviral therapy (ART) and cancer treatment outcomes among people living with HIV (PLWH) in low- and middle-income countries (LMICs) is complex and poorly understood for many cancers. We aimed to summarize existing evidence from LMICs regarding the benefit of ART on cancer treatment-related outcomes.

RECENT FINDINGS: We included twelve observational studies that reported associations between ART status and cancer treatment outcomes among HIV-positive patients in LMICs. Most confirmed ART was associated with improved cancer treatment outcomes. Heterogeneity in cancers under study, outcome measurement, categorization of ART status, and reporting of HIV-related immune function made formal comparison between studies untenable. Where evaluated, ART generally has a positive effect on cancer outcomes in people with HIV in LMICs. However, there remains a substantial gap in the literature regarding the impact of ART on treatment outcomes for most cancer types. Future research should focus on the optimal timing and integration of ART and cancer treatment for PLWH with strategies applicable to constrained-resource settings.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:18

Enthalten in:

Current HIV/AIDS reports - 18(2021), 2 vom: 02. Apr., Seite 105-116

Sprache:

Englisch

Beteiligte Personen:

Montaño, Michalina A [VerfasserIn]
Chagomerana, Maganizo B [VerfasserIn]
Borok, Margaret [VerfasserIn]
Painschab, Matthew [VerfasserIn]
Uldrick, Thomas S [VerfasserIn]
Bender Ignacio, Rachel A [VerfasserIn]

Links:

Volltext

Themen:

Anti-HIV Agents
Antiretroviral therapy
Cancer
HIV
Journal Article
LMIC
Review
Systematic Review
Treatment outcomes

Anmerkungen:

Date Completed 19.08.2021

Date Revised 31.05.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s11904-021-00542-5

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320896986