Evidence map›Paper›PMID 26355673›Full record

ArticleAIDS (London, England)2016

Incidence and clearance of anal high-risk human papillomavirus in HIV-positive men who have sex with men: estimates and risk factors.

Ronald B Geskus, Cristina González, Montserrat Torres, Jorge Del Romero, Pompeyo Viciana, Mar Masiá, José R Blanco, Mauricio Iribarren, Silvia De Sanjosé, Beatriz Hernández-Novoa and 3 more

Abstract readMulticenter Study
In one paragraph

Article in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 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.

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

34 citing papers in PubMed, 1 synthesis or guideline 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

13 authors.

Ronald B GeskusaPublic Health Service of AmsterdambAcademic Medical Center, Amsterdam, The NetherlandscNational Center of Epidemiology, Institute of Health Carlos III, MadriddCIBERESPeNational Center of Microbiology, Institute of Health Carlos III. MadridfSanitary Center Sandoval, MadridgVirgen del Rocío University Hospital, SevillahElche University Hospital, AlicanteiSan Pedro -CIBIR Hospital, Logroño, La RiojajXeral de Vigo University Hospital, VigokCatalan Institute of Oncology, BarcelonalRamón y Cajal University Hospital-IRYCIS, Madrid, Spain.*Ronald B. Geskus and Cristina González contributed equally to the writing of this manuscript.†Marta Ortiz and Julia Del Amo are senior authors and have equally contributed to this manuscript.
Cristina González
Montserrat Torres
Jorge Del Romero
Pompeyo Viciana
Mar Masiá
José R Blanco
Mauricio Iribarren
Silvia De Sanjosé
Beatriz Hernández-Novoa
Marta Ortiz
Julia Del Amo
CoRIS-HPV Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo estimate incidence and clearance of high-risk human papillomavirus (HR-HPV), and their risk factors, in men who have sex with men (MSM) recently infected by HIV in Spain; 2007-2013.

methodsMulticenter cohort. HR-HPV infection was determined and genotyped with linear array. Two-state Markov models and Poisson regression were used.

resultsWe analysed 1570 HR-HPV measurements of 612 MSM over 13 608 person-months (p-m) of follow-up. Median (mean) number of measurements was 2 (2.6), median time interval between measurements was 1.1 years (interquartile range: 0.89-1.4). Incidence ranged from 9.0 [95% confidence interval (CI) 6.8-11.8] per 1000 p-m for HPV59 to 15.9 (11.7-21.8) per 1000 p-m for HPV51. HPV16 and HPV18 had slightly above average incidence: 11.9/1000 p-m and 12.8/1000 p-m. HPV16 showed the lowest clearance for both 'prevalent positive' (15.7/1000 p-m; 95% CI 12.0-20.5) and 'incident positive' infections (22.1/1000 p-m; 95% CI 11.8-41.1). More sexual partners increased HR-HPV incidence, although it was not statistically significant. Age had a strong effect on clearance (P-value < 0.001) due to the elevated rate in MSM under age 25; the effect of HIV-RNA viral load was more gradual, with clearance rate decreasing at higher HIV-RNA viral load (P-value 0.008).

conclusionNo large variation in incidence by HR-HPV type was seen. The most common incident types were HPV51, HPV52, HPV31, HPV18 and HPV16. No major variation in clearance by type was observed, with the exception of HPV16 which had the highest persistence and potentially, the strongest oncogenic capacity. Those aged below 25 or with low HIV-RNA- viral load had the highest clearance.

Indexed as

GenotypeHomosexuality, MaleAnus DiseasesCohort StudiesHIV InfectionsHumansIncidenceMalePapillomaviridaePapillomavirus InfectionsRisk FactorsSpainYoung Adult

Identifiers

PMID26355673
PMCPMC4674141

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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.