br Table br eDemographic and clinico pathological characteristics of patients
Table 1
eDemographic and clinico-pathological characteristics of patients with known HIV statusa at breast cancer diagnosis.
Total
HIV positive
HIV negative
p valueb
Age at Breast Cancer Diagnosis
Ethnicity
Stage at Diagnosis
Metastasis
Site of Metastasis
Tumour grade at diagnosis
ER status at diagnosis
PR status at diagnosis
Her2 status at diagnosis
Ki67 status at diagnosis
IHC4 subtype at diagnosis
a 34 patients (3.2%) had unknown HIV status and were excluded from the analysis.
b Chi square test or.
c Mann Whitney test comparing HIV positive to HIV negative proportions for non-missing values.
e Comparison for positive and negative HER2 values only.
adjusted for age and ethnicity, tumour stage was not associated with HIV status (Table 2). IHC 4 breast cancer subtype and tumour grade did not differ between HIV positive and HIV negative pa-tients, with or without adjustment for age and ethnicity, except in the unadjusted comparison within subgroups of Luminal B (Table 2).
Patients with HIV
HIV status at the time of their breast cancer diagnosis. The duration (median (IQR) of known HIV status prior to breast cancer diagnosis was 4 years. (0e9) years).
The HIV-infected patients had A23187 median (IQR) CD 4 count of 477 (287e670) cells/mm3 and 59.4% of patients on ARTs had a viral load below detectable levels (i.e. viral load below 50 copies/ml). Among patients with detectable viral loads, the median (IQR) viral load was 4757.5 (268.5e58609.5) copies/ml. The duration of seropositivity and ART use, CD 4 cell count and viral load were not associated with the clinical stage and pathological characteristics of the breast
Table 2
Prevalence ratios (PRs) of HIV by breast cancer stage, grade, metastatic disease status, and IHC subtype.
Unadjusted PR
p-value
Adjusted PRa
p-value
Stage at Diagnosis
Early Stage
1 (Ref)
No metastasis
1 (Ref)
a Adjusted for age (linear) and ethnicity (black vs non-black).
Table 3
Clinical characteristics of HIV positive patients by time since HIV diagnosis.
Less than or equal to 1 year
More than 1 year
P-valuea
Stage at BC diagnosis
Metastatic disease
IHC4 subtypes at diagnosis
Viral Load
a Chi square test.
b Fisher's exact test and.
c Mann Whitney test comparing duration of HIV positivity.
Table 4
Clinical characteristics of HIV positive patients by anti-retroviral (ART) use at breast cancer diagnosis.
Not on ART
On ART
P-valuea
Stage at BC diagnosis
Metastatic disease
IHC4 subtypes at diagnosis
#Mann Whitney test comparing use of ART.
a Chi square test.
b Fisher's exact test and.
Table 5
Clinical characteristics of HIV positive patients by duration of anti-retroviral therapy (ART) at breast cancer diagnosis.
Less than or equal to 1 year
More than 1 year
P-valuea
Stage at BC diagnosis
Metastatic disease
IHC4 subtypes at diagnosis
#Mann Whitney test comparing duration of ART.
a Chi square test.
b Fisher's exact test and.
Fig. 1. CD 4 count and HIV viral load. Box and whisker plots of CD 4 cell counts (cells/ mm3) and HIV viral loads (log copies/ml) categorised by duration of HIV seropositivity, use of ARTs and the duration of ART use. Boxes represent interquartile ranges with the median line drawn. Outliers are shown as dots. p-values were calculated using the Mann Whitney test.
cancer (Tables 3 and 5; Fig. 1). Patients not on ARTs were diagnosed at a later stage than those on ARTs; the difference was of marginal statistical significance (Table 4). Patients neurotransmitters had been diagnosed with HIV more than a year prior to their breast cancer diagnosis, and those on ART had lower viral loads and higher CD4 cell counts than other patients.