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Prevalence and prognostic significance of Epstein-Barr virus infection in classical Hodgkin's lymphoma: a meta-analysis.
[hodgkin lymphoma, classical]
The
prevalence
and
prognostic
significance
of
Epstein-
Barr
virus
(
EBV
)
infection
in
classical
Hodgkin
's
lymphomas
(
cHLs
)
remain
elusive
.
To
examine
the
epidemiological
and
prognostic
differences
between
EBV-
positive
and
-
negative
cHLs
,
we
conducted
a
meta
-analysis
of
119
published
studies
including
13
,
045
cases
.
We
pooled
the
results
of
relevant
published
studies
identified
using
the
PubMed
and
Embase
.
The
effect
sizes
of
outcome
parameters
were
calculated
by
prevalence
,
odds
ratio
(
OR
)
,
or
hazard
ratio
using
a
random-effects
model
.
The
pooled
prevalence
of
EBV
infection
in
cHL
was
47
.
9
%
,
which
was
significantly
higher
in
Africa
and
Central
and
South
America
than
other
regions
.
EBV-
positive
cHL
showed
higher
incidence
in
children
than
in
adults
(
69
.
7
vs
.
41
.
1
%
)
.
EBV-
positive
cHL
was
significantly
related
to
male
(
OR
=
1
.
8
,
95
%
CI
:
1
.
510
-
2
.
038
;
p
<
0
.
001
)
,
mixed
cellularity
subtype
(
OR
=
3
.
8
,
95
%
CI
:
3
.
243
-
4
.
451
;
p
<
0
.
001
)
,
and
advanced
clinical
stages
(
OR
=
1
.
2
,
95
%
CI
:
1
.
072
-
1
.
369
;
p
=
0
.
002
)
.
However
,
the
presence
of
EBV
in
cHL
was
not
associated
with
overall
or
event-free
survival
.
The
prevalence
of
EBV
differs
according
to
age
,
sex
,
region
,
histologic
subtype
,
and
clinical
stage
of
cHL
.
However
,
the
presence
of
EBV
has
little
effects
on
cHL
patient
's
survival
.
Diseases
Validation
Diseases presenting
"pooled prevalence of ebv infection in chl"
symptom
hodgkin lymphoma, classical
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