Abstract | CONTEXT: OBJECTIVE: To evaluate the incidence of cancers in uninfected children born to HIV-infected mothers. METHOD:
Cancers were detected in a nationwide prospective cohort of children born to HIV-infected mothers by standardized questionnaire during the prospective follow-up period of 2 years; thereafter, they were detected by spontaneous pharmacovigilance declaration and by crosschecking data with the national registries of childhood cancer. Standardized incidence ratio for incidence comparisons with general population. RESULTS: Ten cases of cancer were detected among the 9127 exposed HIV-uninfected children (median age: 5.4 years, 53 052 person-years of follow-up). The overall incidence did not differ significantly from that expected for the general population: 10 cases observed versus 8.9 and 9.6 expected depending on whether 1990-1999 or 2000-2004 national rates were used as reference [standardized incidence ratio of 1.1 (0.3-1.5) and 1.0 (0.5-1.9)]. Five cases of central nervous system cancer were observed (standardized incidence ratio of 3.1 [1.0-7.2] P = 0.05 and 2.4 [0.8-5.6], P = 0.12). The relative risk of cancer for children exposed to didanosine- lamivudine combination was higher than that for zidovudine monotherapy [hazard ratio: 13.6 (2.5-73.9)]. CONCLUSION:
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Authors | Valérie Benhammou, Josiane Warszawski, Stéphanie Bellec, François Doz, Nicolas André, Brigitte Lacour, Martine Levine, Françoise Bavoux, Roland Tubiana, Laurent Mandelbrot, Jacqueline Clavel, Stéphane Blanche, ANRS-Enquête Périnatale Française |
Journal | AIDS (London, England)
(AIDS)
Vol. 22
Issue 16
Pg. 2165-77
(Oct 18 2008)
ISSN: 1473-5571 [Electronic] England |
PMID | 18832880
(Publication Type: Journal Article, Multicenter Study, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-HIV Agents
- Reverse Transcriptase Inhibitors
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Topics |
- Anti-HIV Agents
(adverse effects, therapeutic use)
- Child
- Child, Preschool
- Epidemiologic Methods
- Female
- France
(epidemiology)
- HIV Infections
(drug therapy, prevention & control, transmission)
- HIV-1
- Humans
- Infant
- Infectious Disease Transmission, Vertical
(prevention & control)
- Male
- Neoplasms
(chemically induced, epidemiology)
- Pregnancy
- Pregnancy Complications, Infectious
(drug therapy)
- Prenatal Exposure Delayed Effects
- Reverse Transcriptase Inhibitors
(adverse effects, therapeutic use)
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