{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T02:32:44Z","timestamp":1790303564978,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T00:00:00Z","timestamp":1748476800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2025,9,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The cancer risk of people with HIV (PWH) enrolled in the Italian COhort of Naives to Antiretrovirals (ICONA) with HIV diagnosis occurred between 01\/1997 and 12\/2023 has been compared to that of the corresponding general population of Italy. Incident cancers were grouped according to their association with viral infections. Standardized incidence ratios (SIRs) were estimated as the ratio between the observed number of cancers among PWH and the expected ones among the general population. Competing risks cumulative incidence curves and Gray's test were used to compare incidence between groups (gender and CD4+ T\u2010cells values at diagnosis) with death as a competing risk. Overall, 17,298 PWH (79.1% males) contributing to 133,851 person\u2010years of follow\u2010up were included; 763 (4.4%) developed &gt;\u2009=\u20091 incident cancers, the most frequent cancers being KS (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u2009204), NHL (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u2009127) and lung\u2010trachea\u2010bronchus (\n                    <jats:italic>N<\/jats:italic>\n                    \u2009=\u200966). PWH were at 1.6\u2010times higher risk for all cancers compared to the general population (SIR\u2009=\u20091.6, 95% CI: 1.5\u20131.8), with significantly increased SIR for almost all virus\u2010related cancers, including KS (SIR\u2009=\u2009145), NHL (SIR\u2009=\u20095.8), ICC (SIR\u2009=\u20096.0), anal cancer (SIR\u2009=\u200921.0) and Hodgkin lymphoma (SIR\u2009=\u200910.0). Apart from lung cancer risk (SIR\u2009=\u20091.3), none of the non\u2010virus\u2010related cancers turned out to be more frequent among PWH. PWH with CD4\u2009+\u2009&lt;200 cells\/mm\n                    <jats:sup>3<\/jats:sup>\n                    at cART initiation showed the highest cancer incidence, 5% after 5\u2009years, versus 3% for CD4+ 200\u2013349 and 2% for CD4+ &gt;350 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u2009.001). These findings underscore the need to continue prevention efforts in PWH, including behavioral risk reduction, early cART initiation, screening, and vaccination.\n                  <\/jats:p>","DOI":"10.1002\/ijc.35493","type":"journal-article","created":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T04:18:37Z","timestamp":1748492317000},"page":"1142-1153","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Cancer incidence in people with HIV in Italy: Comparison of the ICONA COHORT with general population data"],"prefix":"10.1002","volume":"157","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7342-0263","authenticated-orcid":false,"given":"Pierluca","family":"Piselli","sequence":"first","affiliation":[{"name":"Department of Epidemiology Istituto Nazionale per le Malattie Infettive \u201cL. Spallanzani\u201d IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Tavelli","sequence":"additional","affiliation":[{"name":"Fondazione ICONA  Milan Italy"},{"name":"National PhD Programme in One Health approaches to infectious diseases and life science research, Department of Public Health, Experimental and Forensic Medicine University of Pavia  Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Cimaglia","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Istituto Nazionale per le Malattie Infettive \u201cL. 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Spallanzani\u201d IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Pipit\u00f2","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Palermo  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Caioli","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Istituto Nazionale per le Malattie Infettive \u201cL. Spallanzani\u201d IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Girardi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Istituto Nazionale per le Malattie Infettive \u201cL. Spallanzani\u201d IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Antinori","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Istituto Nazionale per le Malattie Infettive \u201cL. 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