Evidence map›Paper›PMID 24530938›Full record

ArticleVaccine2014

Does the HPV vaccination programme have implications for cervical screening programmes in the UK?

Helen Beer, Sam Hibbitts, Sinead Brophy, M A Rahman, Jo Waller, Shantini Paranjothy

Open access · hybridAbstract read
In one paragraph

Article in Vaccine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
4.7field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Helen BeerPublic Health Wales, Screening Division, Cervical Screening Wales, 18 Cathedral Road, Cardiff CF11 9LJ, Wales, UK.
Sam HibbittsSchool of Medicine, Cardiff University, Cardiff CF14 4XN, Wales, UK. Electronic address: hibbittssj@cardiff.ac.uk.
Sinead BrophyHealth Information Research Unit, Swansea University, College of Medicine, Swansea SA2 8PP, Wales, UK; Centre for Improvement in Population Health through E-records Research, Swansea University, College of Medicine, Swansea SA2 8PP, Wales, UK.
M A RahmanHealth Information Research Unit, Swansea University, College of Medicine, Swansea SA2 8PP, Wales, UK.
Jo WallerCancer Research UK Health Behaviour Research Centre, Research Department of Epidemiology and Public Health, UCL, Gower Street, London WC1E 6BT, UK.
Shantini ParanjothySchool of Medicine, Cardiff University, Cardiff CF14 4XN, Wales, UK; Centre for Improvement in Population Health through E-records Research, Swansea University, College of Medicine, Swansea SA2 8PP, Wales, UK.
Cancer Research UK · GBCardiff University · GBPublic Health Wales · GBSwansea University · GB

Funding

Arthritis Research UKBritish Heart FoundationCancer Research UK 13254Cancer Research UK 14134Chief Scientist OfficeMedical Research Council MR/K006525/1Medical Research Council MR/K023233/1Wellcome Trust MR/K006525/1
6 · The paper itself

Abstract

In the UK, a national HPV immunisation programme was implemented in 2008 for girls aged 12-13 years. In addition a catch-up programme was implemented for older girls up to 18 years of age from 2009 to 2011, with an uptake rate of 49.4%. Information about future uptake of cervical screening according to vaccination statistics is important in order to understand the impact of the vaccination programme and implications for a national cervical screening programme. We analysed data on a cohort of women who had been offered the HPV vaccine in the catch-up programme and were invited for cervical screening between 2010 and 2012 in Wales (n=30,882), in a record-linked database study, to describe the cervical screening uptake and clinical outcome according to HPV vaccination status. In our cohort, 48.5% (n=14,966) women had had HPV vaccination and 45.9% (n=14,164) women attended for cervical screening. Women who were unvaccinated were less likely to attend cervical screening (adjusted OR 0.58; 95% CI (0.55, 0.61)). Of those who attended for screening, 13.9% of vaccinated women had abnormal cytology reported compared to 16.7% of women who were unvaccinated. Women who lived in areas with high levels of social deprivation were less likely to be vaccinated (Quintile 5 OR 0.48 95% CI (0.45, 0.52)) or attend cervical screening (Quintile 5 OR 0.70; 95% CI (0.65, 0.75)) compared to those who lived in the least deprived areas. These data highlight the need for new strategies to address inequalities in cervical screening uptake and can inform further mathematical modelling work to clarify the impact of the HPV vaccination programme on future cervical cancer incidence.

Indexed as

Immunization ProgramsAdultFemaleHealthcare DisparitiesHumansMass ScreeningPapillomavirus InfectionsPapillomavirus VaccinesUterine Cervical NeoplasmsVaccinationWalesYoung AdultPapillomavirus Vaccines

Identifiers

PMID24530938
PMCPMC3991313
OpenAlexW2075926407

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.