title: Incidence of Kaposi's sarcoma and associated mortality in Fresno, California, 1998 to 2012.
abstract: OBJECTIVE
  The incidence of Kaposi's sarcoma (KS) decreased dramatically after the introduction of highly active antiretroviral therapy (HAART). This study determined the ongoing incidence of and mortality from KS in HIV-infected adults from 1998-2012 in Fresno County, California. The role of virologic control and immune reconstitution was assessed.
  
  
  METHODS
  Incident cases were identified from the state Electronic HIV/AIDS Reporting System (EHARS), the California Cancer Registry, and hospital records of the county HIV treatment center.
  
  
  RESULTS
  From 1998-2012, the average incidence of KS was 0.51 cases per 100,000 person-years. Of the 66 cases of KS there were 20 deaths, with 85% of the mortality occurring in the first 12 months. Among patients on HAART achieving HIV RNA <400 copies/uL, but with a <50 cell/uL increase in CD4 count there was no improvement in mortality.
  
  
  CONCLUSIONS
  The incidence of KS remains stable since 1998 with a 12-month mortality of 30%.
authors.affiliation: Fresno Medical Education Program, University of California San Francisco, Fresno, CA, USA amu@fresno.ucsf.edu.
authors.forename: Anandit
authors.initials: A
authors.lastname: Mu
authors.affiliation: Fresno County Department of Public Health, Fresno, CA, USA.
authors.forename: Jared
authors.initials: J
authors.lastname: Rutledge
authors.affiliation: Fresno Medical Education Program, University of California San Francisco, Fresno, CA, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Mills
authors.affiliation: Fresno Medical Education Program, University of California San Francisco, Fresno, CA, USA.
authors.forename: Simon
authors.initials: S
authors.lastname: Paul
mesh_terms: D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D002140:California / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000401:mortality; D006801:Humans; D015994:Incidence; D008297:Male; D012189:Retrospective Studies; D012514:Sarcoma, Kaposi / Q000453:epidemiology*
keywords: HIV/AIDS; Kaposi's sarcoma; highly active antiretroviral therapy; incidence; mortality