Evidence map›Paper›PMID 22709394›Full record

ArticleVirology journal2012

Prevalence of high-risk human papillomavirus cervical infection in female kidney graft recipients: an observational study.

Bronislawa Pietrzak, Natalia Mazanowska, Alicja M Ekiel, Magdalena Durlik, Gayane Martirosian, Mirosław Wielgos, Pawel Kaminski

Abstract read
In one paragraph

Article in Virology journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

  1. Article
  2. Article
  3. A Six-Year Gynecological Follow-Up of Immunosuppressed Women with a High-Risk Human Papillomavirus Infection.International journal of environmental research and public health · 2022
    Article
  4. Review
  5. Article
  6. Cervical dysplasia after renal transplantation: A retrospective cohort study.Turkish journal of obstetrics and gynecology · 2021
    Article
  7. Article
  8. Relevance research between the expression of p16Journal of clinical laboratory analysis · 2020
    Article
  9. Article
  10. Article
  11. Article
  12. Malignancies after pediatric kidney transplantation: more than PTLD?Pediatric nephrology (Berlin, Germany) · 2014
    Review
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

7 authors.

Bronislawa PietrzakFirst Department of Obstetrics and Gynecology, Medical University of Warsaw, Pl, Starynkiewicza 1/3, 02-015, Warszawa, Poland. bpietrzak@wum.edu.pl
Natalia Mazanowska
Alicja M Ekiel
Magdalena Durlik
Gayane Martirosian
Mirosław Wielgos
Pawel Kaminski

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunosuppressive therapy protects the transplanted organ but predisposes the recipient to chronic infections and malignancies. Transplant patients are at risk of cervical intraepithelial neoplasia (CIN) and cervical cancer resulting from an impaired immune response in the case of primary infection or of reactivation of a latent infection with human papillomavirus of high oncogenic potential (HR-HPV).

methodsThe aim of this study was to assess the prevalence of HR-HPV cervical infections and CIN in 60 female kidney graft recipients of reproductive age in comparison to that in healthy controls. Cervical swabs were analyzed for the presence of HR-HPV DNA. HR-HPV-positive women remained under strict observation and were re-examined after 24 months for the presence of transforming HR-HPV infection by testing for HR-HPV E6/E7 mRNA. All the HR-HPV-positive patients were scheduled for further diagnostic tests including exfoliative cytology, colposcopy and cervical biopsy.

resultsThe prevalence of HR-HPV did not differ significantly between the study group and the healthy controls (18% vs 25%, p = 0.37). There was no correlation between HR-HPV presence and the immunosuppresive regimen, underlying disease, graft function or time interval from transplantation. A higher prevalence of HR-HPV was observed in females who had had ≥ 2 sexual partners in the past. Among HR-HPV-positive patients, two cases of CIN2+ were diagnosed in each group. In the course of follow-up, transforming HR-HPV infections were detected in two kidney recipients and in one healthy female. Histologic examination confirmed another two cases of CIN2+ developing in the cervical canal.

conclusionsFemale kidney graft recipients of reproductive age are as exposed to HR-HPV infection as are healthy individuals. Tests detecting the presence of HR-HPV E6/E7 mRNA offer a novel diagnostic opportunity in those patients, especially in those cases where lesions have developed in the cervical canal.

Indexed as

AgedAlphapapillomavirusFemaleHumansKidney TransplantationMiddle AgedPapillomavirus InfectionsPolandPostoperative ComplicationsPrevalenceRisk FactorsUterine Cervical Diseases

Identifiers

PMID22709394
PMCPMC3489881

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Registered trials

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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.