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Epidemiology, Screening, Diagnosis, and Prognosis for Cancer in HIV/AIDS (14HC06)

Cindy Hou, DO, MBA, Garden State Infectious Diseases Associates


Release Date: December 1, 2012
Expired: November 30, 2014
Activity Code: 14HC06

This content is being provided for informational purposes only.

If you have any questions about this process, please email the Center for Continuing and Outreach Education at ccoereg@ca.rutgers.edu or call CCOE Enrollment Services at (800) 227-4852.

As seen in the December 2012 edition of



Sponsored by François-Xavier Bagnoud Center, School of Nursing, University of Medicine and Dentistry of New Jersey and UMDNJ-Center for Continuing and Outreach Education.


This activity is supported by an educational grant from the New Jersey Department of Health (NJDOH)—Division of HIV, STD and TB Services, through an MOA titled “Education and Training for Physicians and other Healthcare Professionals in the Diagnosis and Treatment of HIV/AIDS.”

Statement of Need

With the advent of antiretroviral therapy (ART), the number of individuals living with HIV and AIDS has increased compared to the pre-ART era. In the era of ART, the population with HIV is aging; they are less likely to die of AIDS-related conditions and more likely to experience the chronic conditions experienced by the general population, including cancers.

While the incidence of AIDS-defining cancers has decreased, non-AIDS defining cancers has climbed. Not only do people with HIV tend to develop these cancers earlier (e.g., in one study those with HIV developed lung cancer at a median age of 50, whereas the median age in the general population was 54), but they tend to be diagnosed in later stages, typically stage III or IV. For example, in one study of non-small cell squamous cell carcinoma of the lung, 74% of individuals with HIV were diagnosed with stage IIIB and IV disease. Survival rates for stage IIIB/IV were 25% at 1 year and 0% at 3 years. Both examples illustrate the lack of awareness around the prevalence of non-AIDS defining cancers in people with HIV, leading to a paucity of education and support to prevent these cancers, late screening and untimely diagnosis.

Target Audience

This activity is designed for physicians, nurses, social workers, health educators, and other health care professionals in New Jersey who are involved in the care of people with HIV.

Method of Participation

Participants should read the learning objectives, review the activity in its entirety, and then complete the self-assessment test, which consists of a series of multiple-choice questions. Upon completing this activity as designed, achieving a passing score of 70% or more on the self-assessment test and submitting a course evaluation, participants will have access to an online printable credit statement.

Estimated time to complete this activity as designed is 1.03 hours for nurses, and 1.1 hours for physicians.

Learning Objectives

Upon completion of this activity, participants should be able to:

  1. Recognize the changing epidemiology of cancer in people with HIV, including the decline in AIDS-defining cancers as well as the rise in non-AIDS defining cancers.
  2. Seek opportunities to screen for and diagnose cancer in people with HIV/AIDS.
  3. Ensure that all patients with HIV/AIDS are provided with cancer prevention education.


Activity Director(s)/CME Academic Advisor(s)

Patricia Kloser, MD, MPH, Professor of Medicine, UMDNJ-New Jersey Medical School and UMDNJ-School of Public Health

Margaret Evans, MSN, RN, Lead Nurse Planner, Nurse Manager for Education and Performance Improvement at Robert Wood Johnson Medical Group.

Planning Committee

Virginia Allread, MPH, AIDSLine Editor and Global Program Director, FXB Center, UMDNJ

Linda Berezny, Supervising Program Development Specialist Prevention and Education, NJDOH, Division of HIV, STD and TB Services

Alicia Gambino, MA, CHES, Director of Public Education, New Jersey Poison Information & Education System

Sindy Paul, MD, MPH, FACPM, Medical Director, NJDOH, Division of HIV, STD and TB Services

Joanne Phillips, RN, MS, Education, Specialist, FXB Center, UMDNJ

Renee Powell, BS, RN, Clinical Coordinator Quality Management, FXB Center, UMDNJ

Sarah Quinless, BA, Program Coordinator, FXB Center, UMDNJ

Michelle Thompson, Program Manager, FXB Center, UMDNJ

Elizabeth Ward, MSJ, Executive Director, CCOE, UMDNJ

Activity Authors

Cindy Hou, DO, MBA, Garden State Infectious Diseases Associates


Credit is no longer available for this activity.

Peer Review

In order to help ensure content objectivity, independence, and fair balance, and to ensure that the content is aligned with the interest of the public, UMDNJ-CCOE has resolved all potential and real conflicts of interest through content review by non-conflicted, qualified reviewers. This activity was peer-reviewed for relevance, accuracy of content and balance of presentation by Joanne Phillips, RN, MS; and Renee Powell, BS, RN

Field Test:
This activity was pilot-tested for time required for participation by David John Cennimo, MD; Jojy Cheriyan, MD, MPH, MPhil; Anna M. Haywood, RN, MSN; Mary C. Krug, RN, MSN, APN; Debbie Mohammed, MS, MPH, APRN-BC, AACRN; Kinshasa Morton, MD; and Kara Winslow, BSN, RN.

Disclosure Disclaimer

In accordance with the disclosure policies of UMDNJ and to conform with ACCME and FDA guidelines, individuals in a position to control the content of this educational activity are required to disclose to the activity participants: 1) the existence of any relevant financial relationship with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, with the exemption of non-profit or government organizations and non-health care related companies, within the past 12 months; and 2) the identification of a commercial product/device that is unlabeled for use or an investigational use of a product/ device not yet approved.

Disclosure Declarations

There were no relevant financial relationships to disclose reported by the activity director, authors, planning committee members, peer reviewers or field testers.

Off-Label Usage Disclosure

This activity does not contain information of commercial products/devices that are unlabeled for use or investigational uses of products not yet approved.

Content Disclaimer

The views expressed in this activity are those of the faculty. It should not be inferred or assumed that they are expressing the views of NJDOH – Division of HIV, STD and TB Services, any manufacturer of pharmaceuticals or devices, or UMDNJ. It should be noted that the recommendations made herein with regard to the use of therapeutic agents, varying disease states, and assessments of risk, are based upon a combination of clinical trials, current guidelines, and the clinical practice experience of the participating presenters. The drug selection and dosage information presented in this activity are believed to be accurate. However, participants are urged to consult all available data on products and procedures before using them in clinical practice.

Copyright © 2012 UMDNJ

All rights reserved including translation into other languages. No part of this activity may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval systems, without permission in writing from UMDNJ.

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