Evidence map›Paper›PMID 22874522›Full record

SynthesisAIDS (London, England)2012

Human papillomavirus infection and increased risk of HIV acquisition. A systematic review and meta-analysis.

Catherine F Houlihan, Natasha L Larke, Deborah Watson-Jones, Karen K Smith-McCune, Stephen Shiboski, Patti E Gravitt, Jennifer S Smith, Louise Kuhn, Chunhui Wang, Richard Hayes

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in AIDS (London, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 6 pooled it
12.5field-weighted citation impact, top 1% of its field
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

98 citing papers in PubMed, 6 syntheses or guidelines pooled it, 203 citations in OpenAlex.

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38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 4 countries.

Catherine F HoulihanClinical Research Department, London School of Hygiene and Tropical Medicine, London, UK. Catherine.houlihan@lshtm.ac.uk
Natasha L Larke
Deborah Watson-Jones
Karen K Smith-McCune
Stephen Shiboski
Patti E Gravitt
Jennifer S Smith
Louise Kuhn
Chunhui Wang
Richard Hayes
London School of Hygiene & Tropical Medicine · GBRoyal College of Physicians · GBJohns Hopkins University · USNational Institute for Medical Research · TZUniversity of California, San Francisco · USUniversity of London · GB

Funding

Intramural NIH HHSMedical Research Council G0700837Medical Research Council MRC002630Wellcome TrustWellcome Trust ITCRBE30
6 · The paper itself

Abstract

objectivesHuman papillomavirus (HPV), one of the commonest sexually transmitted infections, may be a cofactor in HIV acquisition. We systematically reviewed the evidence for an association of HPV infection with HIV acquisition in women, heterosexual men and men who have sex with men (MSM).

design: Systematic review and meta-analysis.

methodsStudies meeting inclusion criteria in Pubmed, Embase and conference abstracts up to 29 July 2011 were identified. Random effects meta-analyses were performed to calculate summary hazard ratios (HR). Publication bias and statistical heterogeneity were evaluated and population attributable fractions (PAFs) calculated.

resultsEight articles were included, with previously unpublished data from five authors. Seven studies found an association between prevalent HPV and HIV acquisition. Risk of HIV acquisition in women doubled with prevalent HPV infection with any genotype [HR = 2.06 (95% CI = 1.44-2.94), I = 0%], although adjustment for confounders was often inadequate. The effect was similar for high-risk [HR = 1.99 (95% CI = 1.54-2.56), I = 8.4%] and low-risk [HR = 2.01 (95% CI = 1.27-3.20), I = 0%] HPV genotypes with weak evidence of publication bias (P = 0.06). Two studies in men were identified: both showed an association between HPV infection and HIV acquisition. Unpublished data from one of two studies in women indicated an association between genotypes targeted by HPV vaccines and HIV acquisition. PAFs for HIV attributable to infection with any HPV genotype ranged between 21 and 37%.

conclusionIf further studies validate the association between HPV infection and HIV acquisition, HPV vaccines may reduce HIV incidence in high HPV prevalence populations, in addition to preventing cervical cancer. HIV surveillance studies during implementation of HPV vaccine programmes are warranted.

Indexed as

AlphapapillomavirusFemaleHealth Knowledge, Attitudes, PracticeHIV SeropositivityHumansIncidenceMalePapillomavirus InfectionsRisk FactorsSexual Behavior

Identifiers

PMID22874522
PMCPMC3831022
OpenAlexW48286235

What OpenQuestion holds

Textmetadata
LicenceTDM
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.