Evidence map›Paper›PMID 25496614›Full record

Observational studyBMC infectious diseases2014

Human papillomavirus prevalence and type distribution among women attending routine gynecological examinations in Saudi Arabia.

Abdulaziz AlObaid, Ismail A Al-Badawi, Hanan Al-Kadri, Kusuma Gopala, Walid Kandeil, Wim Quint, Murad Al-Aker, Rodrigo DeAntonio

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01213459 (An Observational, Epidemiological Study on the Prevalence of Human Papillomavirus), which is not on this map. Cited by 35 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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.

NCT01213459 completednot on this map

An Observational, Epidemiological Study on the Prevalence of Human Papillomavirus (HPV) Types in Women >= 15 Years of Age, in the Kingdom of Saudi Arabia

TypeobservationalSponsorGlaxoSmithKlineRan2010 to 2011Enrolled420ConditionsInfections, Papillomavirus, Cervical CancerArmsCervical samples, Data collection
3 · Its place in the literature

Who cites it

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

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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

8 authors.

Abdulaziz AlObaidKing Fahd Medical City, P.O. Box 59046, Riyadh, 11525, Saudi Arabia. abalobaid@kfmc.med.sa.
Ismail A Al-BadawiKing Faisal Specialist Hospital & Research Centre, P.O. Box 3354, Riyadh, 11211, MBC-52, Saudi Arabia. i_albadawi@yahoo.com.
Hanan Al-KadriDepartment of Obstetrics and Gynecology, King Abdulaziz Medical City, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, P.O Box 22490, Riyadh, 11426, Saudi Arabia. halkadri@gmail.com.
Kusuma GopalaGlaxoSmithKline Pharmaceuticals Ltd, Bangalore, India. kusuma.b.gopala@gsk.com.
Walid KandeilGlaxoSmithKline Vaccines, Wavre, Belgium. Walid.x.kandeil@gsk.com.
Wim QuintDDL Diagnostic Laboratory, Rijswijk, the Netherlands. w.g.v.quint@ddl.nl.
Murad Al-AkerKing Faisal Specialist Hospital & Research Centre, P.O. Box 3354, Riyadh, 11211, MBC-52, Saudi Arabia. murad2076@yahoo.com.
Rodrigo DeAntonioGlaxoSmithKline Vaccines, Wavre, Belgium. rodrigo.d.deantonio@gsk.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical cancer (CC) is caused by persistent infection with high-risk (HR) human papillomavirus (HPV) types. In Saudi Arabia which has a population of 6.5 million women over the age of 15 years, approximately 152 new cases of CC are diagnosed and 55 women die from the disease annually. Nevertheless current epidemiological data for HPV in this population are limited. This study evaluated the prevalence and type distribution of HPV and documented the awareness of HPV infection and health-related behavior among Saudi and non-Saudi women attending routine examination.

methodsThis was an observational, epidemiological cross-sectional study conducted between April 2010 and December 2011 at three hospitals in Saudi Arabia. Cervical samples from women aged ≥15 years, who were attending routine gynecological examinations were collected and tested for HPV-DNA by polymerase chain reaction and typed using the SPF10 DEIA/LiPA25 system. Two questionnaires on health-related behavior and awareness of HPV infection were completed.

resultsA total of 417 women, mean age (standard deviation) 41.9 (±10.4) years, were included in the final analysis, of whom 77% (321/417) were Saudi nationals. HPV-DNA was detected in 9.8% women (41/417, 95% confidence interval [CI]: 7.1-13.1). The prevalence of any HR-HPV by age was: 25-34 years: 3.0%; 35-44 years: 4.5%; 45-54 years: 3.2%; >55 years: 10.9%. The most prevalent HR-HPV-types were: HPV-68/73 (5 cases); HPV-18 (4 cases); HPV-16 (3 cases). The most prevalent low risk (LR) types were HPV-6 (4 cases); HPV-42, HPV-53 and HPV-54 (2 cases each). The prevalence of HPV was higher among non-Saudi nationals vs. Saudi nationals (16.7% vs. 7.8%, P = 0.0234). No statistically significant risk factors were identified: 32.2% (101/314) women were aware of HPV and 89.9% (285/317) showed an interest in HPV vaccination.

conclusionThe overall prevalence of HPV was 9.8% in Saudi Arabia, but was higher in women over 55 years, as well as in non-Saudi nationals. These data provide a reference for public health authorities and may also help in determining future policies for the prevention of CC. CLINICAL

trial registrationNCT01213459.

Indexed as

AdolescentAdultAge DistributionAge FactorsCross-Sectional StudiesFemaleGynecological ExaminationHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsPolymerase Chain ReactionPrevalenceRisk FactorsSaudi ArabiaUterine Cervical Neoplasms

Identifiers

PMID25496614
PMCPMC4272558

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Registered trials

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.