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Women living with HIV and breast cancer have poorer survival than HIV-negative women. Efavirenz–estrogen interactions are documented; however, the survival impact is unknown. Survival between women with estrogen-receptor positive breast cancer taking efavirenz ( n = 38) and nonefavirenz regimens ( n = 51) were compared. The 5-year overall-survival was 48.9% [95% confidence interval (CI) 33.0–72.2 and 51.1% (95% CI 34.0–76.8)] in the efavirenz and nonefavirenz groups, respectively suggesting efavirenz is unlikely driving poorer survival in women living with HIV and estrogen-receptor positive breast cancer.
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Johnson et al. (2024) studied this question.
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