Cumulative Detection of Anal High-Grade Squamous Intraepithelial Lesions Over 2-Year Follow-up in Men Who Have Sex With Men Living With Human Immunodeficiency Virus in France

被引:0
作者
Combes, Jean-Damien [1 ]
Didelot, Jean-Michel [2 ]
Radenne, Sylvie [3 ]
Zaegel-Faucher, Olivia [4 ,5 ]
Lesage, Anne-Carole [6 ]
Siproudhis, Laurent [7 ,8 ,9 ]
Piroth, Lionel [10 ,11 ]
Marchand, Lucie [12 ]
Heard, Isabelle [13 ,14 ]
Hoyeau, Nadia [15 ]
Henno, Sebastien [16 ]
Darragh, Teresa M. [17 ]
Alberts, Catharina J. [1 ]
Clifford, Gary M. [1 ,18 ]
Etienney, Isabelle [6 ]
机构
[1] Int Agcy Res Canc IARC WHO, Early Detect Prevent & Infect Branch, Lyon, France
[2] Ctr Hosp Univ Montpellier, Serv Hepatogastroenterol, Montpellier, France
[3] CHU Lyon, Hop Croix Rousse, Serv Hepatol, Lyon, France
[4] Univ Aix Marseille, Serv Immuno Hematol Clin, APHM St Marguer, Marseille, France
[5] Univ Aix Marseille, Sci Econ & Sociales Sante & Traitement Informat Me, INSERM U912, Marseille, France
[6] Grp Hosp Diaconesses Croix St Simon, Serv Proctol Med Intervent, Paris, France
[7] Univ Hosp Rennes, Dept Gastroenterol, Rennes, France
[8] Univ Rennes 1, Inserm U1241, Rennes, France
[9] Univ Hosp Rennes, INPHY CIC 1414, Rennes, France
[10] Ctr Hosp Univ CHU Dijon, Dept Infectiol, Dijon, France
[11] Univ Bourgogne, Inst Natl Sante & Rech Med INSERM, Ctr Invest Clin INSERM CIC INSERM 1432, Dijon, France
[12] Agence Natl Rech sida & hepat Malad infectieuses e, Paris, France
[13] Ctr Natl Reference HPV, Inst Pasteur, Paris, France
[14] Hop Tenon, AP HP, Paris, France
[15] Hop St Antoine, AP HP, Grp Hosp Hop Univ Est Parisien GH HUEP, Serv Anat & Cytol Pathol, F-75571 Paris, France
[16] CHU Pontchaillou, Serv Anat & Cytol Pathol, Rennes, France
[17] Univ Calif San Francisco, Dept Pathol, San Francisco, CA USA
[18] Int Agcy Res Canc IARC WHO, Early Detect Prevent & Infect Branch, 25 Ave Tony Garnier, F-69366 Lyon 07, France
关键词
men who have sex with men; human immunodeficiency virus; anal cytology; high-resolution anoscopy; human papillomavirus; CANCER; HIV;
D O I
10.1093/infdis/jiad506
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We assessed cumulative detection and determinants of anal high-grade squamous intraepithelial lesions (HSILs) in men who have sex with men living with human immunodeficiency virus and who underwent 3 visits over 2 years, with cytology and high-resolution anoscopy, within the ANRS-EP57-APACHES study. The cumulative HSIL detection rate was 33% (134 of 410), of which 48% HSILs were detected at baseline. HSIL detection varied considerably by center (from 13% to 51%). The strongest HSIL determinants were baseline human papillomavirus 16 (adjusted odds ratio, 8.2; 95% confidence interval, 3.6-18.9) and p16/Ki67 (4.6 [2.3-9.1]). Repeated annual cytology and high-resolution anoscopy improved HSIL detection but did not fully compensate for between-center heterogeneity. Among 410 men having sex with men living with human immunodeficiency virus and undergoing annual anal cytology and high-resolution anoscopy, 33% had high-grade anal lesions detected within 2 years; strongest determinants were baseline positivity for human papillomavirus 16 and p16/Ki67.
引用
收藏
页码:55 / 60
页数:6
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