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(SOT). Associations of CMV with cancer risk among SOT recipients have been incompletely evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The authors used linked data from the US SOT registry and 32 cancer registries. Poisson regression was used to compare cancer incidence across CMV risk groups based on donor (D) and recipient (R) immunoglobulin G (IgG) serostatus: high risk (R\u2010negative\/D\u2010positive), moderate risk (R\u2010positive), and low risk (R\u2010negative\/D\u2010negative).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 247,318 SOT recipients were evaluated during 2000\u20132017 (R\u2010negative\/D\u2010positive, 20.3%; R\u2010positive, 62.9%; R\u2010negative\/D\u2010negative, 16.8%). CMV\u2010seropositive recipients were older, more racially\/ethnically diverse, and had lower socioeconomic status than CMV\u2010seronegative recipients. Compared with R\u2010negative\/D\u2010negative recipients, recipients in the R\u2010negative\/D\u2010positive and R\u2010positive groups had a lower incidence of diffuse large B\u2010cell lymphoma (DLBCL; R\u2010negative\/D\u2010positive: adjusted incidence rate ratio [aIRR], 0.74; 95% confidence interval [CI], 0.59\u20130.91; R\u2010positive: aIRR, 0.83; 95% CI, 0.69\u20131.00). CMV serostatus modified the association between Epstein\u2013Barr virus (EBV) status and DLBCL (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.0006): DLBCL incidence was increased for EBV R\u2010negative\/D\u2010positive recipients (aIRR, 3.46; 95% CI, 1.50\u20137.95) among CMV R\u2010negative\/D\u2010negative recipients but not among the other CMV risk groups. Compared with recipients who were CMV R\u2010negative\/D\u2010negative, those who were R\u2010negative\/D\u2010positive had a lower incidence of small intestine cancer (aIRR, 0.23; 95% CI, 0.09\u20130.63), and R\u2010positive recipients had a higher incidence of lung cancer (aIRR, 1.24; 95% CI, 1.05\u20131.46). CMV status was not associated with risk for other cancers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>CMV status was not associated with risk for most cancers among SOT recipients. The inverse association with DLBCL may reflect the protective effects of CMV prophylaxis or treatment with off\u2010target efficacy against EBV infection (the major cause of lymphoma in SOT recipients).<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.34462","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T13:29:21Z","timestamp":1663680561000},"page":"3985-3994","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Cancer risk associated with cytomegalovirus infection among solid organ transplant recipients in the United States"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8710-3691","authenticated-orcid":false,"given":"Jennifer M.","family":"Geris","sequence":"first","affiliation":[{"name":"Division of Epidemiology and Clinical Research, Department of Pediatrics University of Minnesota  Minneapolis Minnesota USA"},{"name":"Institute for Molecular Virology University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2516-0222","authenticated-orcid":false,"given":"Logan G.","family":"Spector","sequence":"additional","affiliation":[{"name":"Division of Epidemiology and Clinical Research, Department of Pediatrics University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7791-2698","authenticated-orcid":false,"given":"Ruth M.","family":"Pfeiffer","sequence":"additional","affiliation":[{"name":"Division of Cancer Epidemiology and Genetics National Cancer Institute, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5350-9025","authenticated-orcid":false,"given":"Ajit P.","family":"Limaye","sequence":"additional","affiliation":[{"name":"Division of Allergy and Infectious Diseases, Department of Medicine University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3832-6586","authenticated-orcid":false,"given":"Kelly J.","family":"Yu","sequence":"additional","affiliation":[{"name":"Division of Cancer Epidemiology and Genetics National Cancer Institute, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0203-6958","authenticated-orcid":false,"given":"Eric A.","family":"Engels","sequence":"additional","affiliation":[{"name":"Division of Cancer Epidemiology and Genetics National Cancer Institute, National Institutes of Health  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.23876\/j.krcp.18.0063"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.296.23.2823"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1592"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.virusres.2010.10.031"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/rmv.1862"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0891-5520(05)70158-6"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2007.10.006"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-199607150-00007"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2009.02897.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2006.00618.x"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2005.10.008"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/20.5.1346"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1086\/514142"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3181b9692d"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/tp.0000000000000641"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000150527"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.molmed.2003.11.002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/2042-4280-1-8"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2008101072"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2016-07-723148"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.Epi-19-0044"},{"key":"e_1_2_9_23_1","unstructured":"SwerdlowSH CampoE HarrisNL et al.WHO Classification of Tumours of Haematopoietic and Lymphoid Tissues. 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