Evidence map›Paper›PMID 26096203›Full record

ArticleInternational journal of cancer2015

Human papillomavirus prevalence and type-distribution in cervical glandular neoplasias: Results from a European multinational epidemiological study.

Katsiaryna Holl, Andrzej M Nowakowski, Ned Powell, W Glenn McCluggage, Edyta C Pirog, Sabrina Collas De Souza, Wiebren A Tjalma, Mats Rosenlund, Alison Fiander, Maria Castro Sánchez and 16 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
7.0field-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

64 citing papers in PubMed, 1 synthesis or guideline pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Cervical HPV-independent adenosquamous carcinoma: report of a case series.Virchows Archiv : an international journal of pathology · 2026
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Gastrin-releasing peptide receptor: a promising new biomarker to identify cervical precursor lesions and cancer.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

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

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

26 authors at 20 institutions in 14 countries.

Katsiaryna HollGlobal Health Economics, GSK Vaccines, Wavre, Belgium.
Andrzej M NowakowskiFirst Department of Oncologic Gynaecology and Gynaecology, Medical University of Lublin, Poland.
Ned PowellInstitute of Cancer and Genetics, HPV Research Group, Cardiff University School of Medicine, Cardiff, Wales, United Kingdom.
W Glenn McCluggageDepartment of Pathology, Belfast Health and Social Care Trust, Belfast, Northern Ireland, United Kingdom.
Edyta C PirogDepartment of Pathology, Weill Medical College of Cornell University, New York-Presbyterian Hospital, New York, NY.
Sabrina Collas De Souza4Clinics, Biostatistics, Paris, France (at the time of study).
Wiebren A TjalmaMultidisciplinary Breast Clinic-Gynecological Oncology Unit, Department of Obstetrics and Gynecology, Antwerp University Hospital, University of Antwerp, Antwerpen, Belgium.
Mats RosenlundIMS Health, Stockholm, Sweden.
Alison FianderInstitute of Cancer and Genetics, HPV Research Group, Cardiff University School of Medicine, Cardiff, Wales, United Kingdom.
Maria Castro SánchezObstetrics and Gynaecology Department, University Hospital Puerto De Hierro Majadahonda, Madrid, Spain.
Vasileia DamaskouDepartment of Anatomical Pathology, General Hospital of Patras, Achaia, Greece.
Elmar A JouraComprehensive Cancer Center, Department of Gynecology and Obstetrics, Medical University of Vienna, Vienna, Austria.
Benny KirschnerDepartment of Obstetrics and Gynaecology, Hvidovre University Hospital, Hvidovre, Copenhagen, Denmark.
Robert KoissDepartment of Obstetrics and Gynecologic Oncology, St. Stephan Hospital, Budapest, Hungary.
John O'LearyCERVIVA Research Consortium, Funded by the Health Research Board Ireland, Based at the Department of Pathology, The Coombe Women and Infants University Hospital and Trinity College, Dublin, Ireland.
Wim QuintDDL Diagnostic Laboratory, Rijswijk, The Netherlands.
Olaf ReichDepartment of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Aureli TornéHospital Clinic, August Pi i Sunyer Biomedical Research Institute (IDIBAPS), University of Barcelona, Barcelona, Spain.
Michael WellsDepartment of Oncology, University of Sheffield Medical School, Sheffield, England, United Kingdom.
Lukas RobUniversity Hospital Motol, Prague, Czech Republic.
Larisa KolomietsInstitute of Oncology of RAMS Siberian Branch, Tomsk, Russia.
Anco MolijnDDL Diagnostic Laboratory, Rijswijk, The Netherlands.
Alevtina SavichevaLaboratory of Microbiology, DO Ott Research Institute of Obstetrics and Gynaecology, St. Petersburg, Russia.
Elena ShipitsynaLaboratory of Microbiology, DO Ott Research Institute of Obstetrics and Gynaecology, St. Petersburg, Russia.
Dominique RosillonEpidemiology Department, GlaxoSmithKline Vaccines, Wavre, Belgium.
David JenkinsDDL Diagnostic Laboratory, Rijswijk, The Netherlands.
DDL Diagnostic Laboratory · NLCardiff University · GBResearch Institute of Obstetrics and Gynecology named after D.O. Ott · RUAntwerp University Hospital · BEBelfast Health and Social Care Trust · GBComprehensive Cancer Center Vienna · ATCoombe Women & Infants University Hospital · IEGeneral University Hospital of Patras · GRGlaxoSmithKline (Belgium) · BEHealth First · USHospital Universitario Puerta de Hierro Majadahonda · ESHvidovre Hospital · DKKarolinska Institutet · SEMedical University of Graz · ATNewYork–Presbyterian Hospital · USTomsk Cancer Research Institute · RUUniversitat de Barcelona · ESUniversity Hospital in Motol · CZUniversity of Sheffield · GBUzsoki Hospital · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cervical glandular neoplasias (CGN) present a challenge for cervical cancer prevention due to their complex histopathology and difficulties in detecting preinvasive stages with current screening practices. Reports of human papillomavirus (HPV) prevalence and type-distribution in CGN vary, providing uncertain evidence to support prophylactic vaccination and HPV screening. This study [108288/108290] assessed HPV prevalence and type-distribution in women diagnosed with cervical adenocarcinoma in situ (AIS, N = 49), adenosquamous carcinoma (ASC, N = 104), and various adenocarcinoma subtypes (ADC, N = 461) from 17 European countries, using centralised pathology review and sensitive HPV testing. The highest HPV-positivity rates were observed in AIS (93.9%), ASC (85.6%), and usual-type ADC (90.4%), with much lower rates in rarer ADC subtypes (clear-cell: 27.6%; serous: 30.4%; endometrioid: 12.9%; gastric-type: 0%). The most common HPV types were restricted to HPV16/18/45, accounting for 98.3% of all HPV-positive ADC. There were variations in HPV prevalence and ADC type-distribution by country. Age at diagnosis differed by ADC subtype, with usual-type diagnosed in younger women (median: 43 years) compared to rarer subtypes (medians between 57 and 66 years). Moreover, HPV-positive ADC cases were younger than HPV-negative ADC. The six years difference in median age for women with AIS compared to those with usual-type ADC suggests that cytological screening for AIS may be suboptimal. Since the great majority of CGN are HPV16/18/45-positive, the incorporation of prophylactic vaccination and HPV testing in cervical cancer screening are important prevention strategies. Our results suggest that special attention should be given to certain rarer ADC subtypes as most appear to be unrelated to HPV.

Indexed as

AdultAgedCarcinoma, AdenosquamousCross-Sectional StudiesEuropeFemaleHuman papillomavirus 16HumansMiddle AgedPapillomavirus InfectionsPrevalenceRetrospective StudiesUterine Cervical DysplasiaUterine Cervical NeoplasmsYoung Adultadenocarcinoma in situadenosquamous carcinomacervical adenocarcinomacervical glandular neoplasiahuman papillomavirus

Identifiers

PMID26096203
PMCPMC5034816
OpenAlexW2151086957

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.