Evidence map›Paper›PMID 23660798›Full record

ArticleAmerican journal of epidemiology2013

Epidemiologic approaches to evaluating the potential for human papillomavirus type replacement postvaccination.

Joseph E Tota, Agnihotram V Ramanakumar, Mengzhu Jiang, Joakim Dillner, Stephen D Walter, Jay S Kaufman, François Coutlée, Luisa L Villa, Eduardo L Franco

Open access · bronzeAbstract read
In one paragraph

Article in American journal of epidemiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 3 pooled it
7.3field-weighted citation impact, top 2% 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

53 citing papers in PubMed, 3 syntheses or guidelines pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Review
  10. HPV Type Replacement After HPV Vaccination.Current topics in microbiology and immunology · 2026
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. 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

9 authors at 1 institution in 1 country.

Joseph E TotaDivision of Cancer Epidemiology, Department of Oncology, Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Agnihotram V Ramanakumar
Mengzhu Jiang
Joakim Dillner
Stephen D Walter
Jay S Kaufman
François Coutlée
Luisa L Villa
Eduardo L Franco
McGill University · CA

Funding

MOLECULAR EPIDEMIOLOGY OF PERSISTENT HPV INFECTIONR01CA070269 · NCI · MCGILL UNIVERSITY · PI FRANCO, EDUARDO L. · 1996 to 2003
$793k
CIHR CRN-83320NCI NIH HHS CA70269NCI NIH HHS R01 CA070269
6 · The paper itself

Abstract

Currently, 2 vaccines exist that prevent infection by the genotypes of human papillomavirus (HPV) responsible for approximately 70% of cervical cancer cases worldwide. Although vaccination is expected to reduce the prevalence of these HPV types, there is concern about the effect this could have on the distribution of other oncogenic types. According to basic ecological principles, if competition exists between ≥2 different HPV types for niche occupation during natural infection, elimination of 1 type may lead to an increase in other type(s). Here, we discuss this issue of "type replacement" and present different epidemiologic approaches for evaluation of HPV type competition. Briefly, these approaches involve: 1) calculation of the expected frequency of coinfection under independence between HPV types for comparison with observed frequency; 2) construction of hierarchical logistic regression models for each vaccine-targeted type; and 3) construction of Kaplan-Meier curves and Cox models to evaluate sequential acquisition and clearance of HPV types according to baseline HPV status. We also discuss a related issue concerning diagnostic artifacts arising when multiple HPV types are present in specific samples (due to the inability of broad-spectrum assays to detect certain types present in lower concentrations). This may result in an apparent increase in previously undetected types postvaccination.

Indexed as

CoinfectionFemaleGenotypeHumansKaplan-Meier EstimateMutationPapillomaviridaePapillomavirus InfectionsPapillomavirus VaccinesProportional Hazards ModelsUterine Cervical NeoplasmsVirus ReplicationPapillomavirus Vaccinescervical cancerHPV type replacementhuman papillomavirusvaccination

Identifiers

PMID23660798
PMCPMC3736757
OpenAlexW2109939777

What OpenQuestion holds

Textmetadata
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.