Evidence map›Paper›PMID 11487272›Full record

ArticleBritish journal of cancer2001

HPV presence precedes abnormal cytology in women developing cervical cancer and signals false negative smears.

G D Zielinski, P J Snijders, L Rozendaal, F J Voorhorst, H C van der Linden, A P Runsink, F A de Schipper, C J Meijer

Abstract readComparative Study
In one paragraph

Article in British journal of cancer, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Observational
  8. Review
  9. Review
  10. Review
  11. Key Molecular Events in Cervical Cancer Development.Medicina (Kaunas, Lithuania) · 2019
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Spectral cytopathology of cervical samples: detecting cellular abnormalities in cytologically normal cells.Laboratory investigation; a journal of technical methods and pathology · 2010
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

G D ZielinskiDepartment of Pathology, University Hospital Vrije Universiteit, Amsterdam, The Netherlands.
P J Snijders
L Rozendaal
F J Voorhorst
H C van der Linden
A P Runsink
F A de Schipper
C J Meijer

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a retrospective case-control study, we investigated high-risk HPV DNA presence by general primer GP5+/6+ PCR in the last normal cervical smear in the patient archives (i.e. baseline smear) of 57 women who later developed cervical cancer. Also, normal cervical smears of 114 age-matched control women were analysed. High-risk HPV DNA was detected in 37 of the 57 (65%) baseline smears of the case women, and 7 (6%) of 114 smears of the control women (OR 28, 95% Cl 11-72). The HPV positive subsequent smears and cervical cancer biopsies of the case women contained the same HPV type as was detected in the baseline smear. After cytological revision, the baseline smears of 48 case women (84%) were reclassified as abnormal, 33 (69%) of which scored high-risk HPV DNA positive. Ultimately, an undisputable normal baseline smear was found in only 10 case women. In 7 (70%) of them this smear was HPV positive, whereas only 7 (7%) of 104 revised, undisputable normal smears of control women were high-risk HPV positive (OR 32, 95% Cl 6.8-153). The results showed that (1) high-risk HPV presence precedes abnormal cytology in women who develop cervical cancer, and (2) high-risk HPV testing signals false-negative smears of women at risk of cervical cancer.

Indexed as

AdenocarcinomaAdultAgedCarcinoma, Squamous CellDNA, ViralFalse Negative ReactionsFemaleHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsPolymerase Chain ReactionPrecancerous ConditionsRetrospective StudiesSensitivity and SpecificityTumor Virus InfectionsDNA, Viral

Identifiers

PMID11487272
PMCPMC2364067

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.