Evidence map›Paper›PMID 26446835›Full record

ArticleBMC pregnancy and childbirth2015

Risk of Human Papillomavirus (HPV) Infection and Cervical Neoplasia after Pregnancy.

Helen Trottier, Marie-Hélène Mayrand, Maria Luiza Baggio, Lenice Galan, Alex Ferenczy, Luisa L Villa, Eduardo L Franco, Ludwig-McGill Cohort Study Group

Open access · goldAbstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.1field-weighted citation impact, top 22% 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

12 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
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 at 3 institutions in 2 countries.

Helen TrottierDivision of Cancer Epidemiology, Department of Oncology, McGill University, Montreal, Canada. helen.trottier@umontreal.ca.
Marie-Hélène MayrandDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, Canada. marie-helene.mayrand@umontreal.ca.
Maria Luiza BaggioLudwig Institute for Cancer Research, São Paulo, Brazil. mlbaggio.pc@gmail.com.
Lenice GalanLudwig Institute for Cancer Research, São Paulo, Brazil. lenicegalan@gmail.com.
Alex FerenczyDepartment of Pathology, McGill University and Jewish General Hospital, Montreal, Canada. alex.ferenczy@mcgill.ca.
Luisa L VillaLudwig Institute for Cancer Research, São Paulo, Brazil. llvilla@vrg.ludwig.org.br.
Eduardo L FrancoDivision of Cancer Epidemiology, Department of Oncology, McGill University, Montreal, Canada. eduardo.franco@mcgill.ca.
Ludwig-McGill Cohort Study Group
Ludwig Cancer Research · BECentre Hospitalier Universitaire Sainte-Justine · CAMcGill University · CA

Funding

MOLECULAR EPIDEMIOLOGY OF PERSISTENT HPV INFECTIONR01CA070269 · NCI · MCGILL UNIVERSITY · PI FRANCO, EDUARDO L. · 1996 to 2003
$793k
Canadian Institutes of Health Research MA13647NCI NIH HHS CA70269NCI NIH HHS R01 CA070269
6 · The paper itself

Abstract

backgroundParity is well established as a risk factor for cervical cancer. It is not clear, however, how pregnancy influences the natural history of HPV infection and cervical neoplasia. Our objective was to study the risk of HPV infection and cervical squamous intraepithelial lesions (SIL) after pregnancy.

methodsWe used the Ludwig-McGill cohort study which includes 2462 women recruited in Sao Paulo, Brazil in 1993-97 and followed for up to 10 years. Cellular specimens were collected every 4-6 months for Pap cytology and HPV detection and genotyping by a polymerase chain reaction protocol. Study nurses recorded pregnancy occurrence during follow-up. HPV and Pap results from pregnant women were available before and after, but not during pregnancy. The associations between pregnancy and post-partum HPV infection/SIL were studied using generalized estimating equation models with logistic link. Adjusted odds ratios (OR) were estimated with empirical adjustment for confounding.

resultsWe recorded 122 women with a history of pregnancy during follow-up. Of these, 29 reintegrated the cohort study after delivery. No association between HPV and pregnancy was found. A single SIL case (high grade SIL) occurred post-partum. Likewise, there was no association between pregnancy and risk of low grade SIL or any-grade SIL at the next visit (adjusted OR = 0.84, 95 % CI: 0.46-15.33) after controlling for confounders.

conclusionsNo associations were found between pregnancy and HPV or LSIL. The single observed case of HSIL post-partum was more than would be expected based on the rate of these abnormalities among non-pregnant women. As this association was found with only one case, caution is required in the interpretation of these results.

Indexed as

AdultBrazilFemaleFollow-Up StudiesGenotypeHumansPapanicolaou TestPapillomaviridaePapillomavirus InfectionsPostpartum PeriodPregnancyPregnancy Complications, InfectiousSquamous Intraepithelial Lesions of the CervixVaginal SmearsYoung Adult

Identifiers

PMID26446835
PMCPMC4597450
OpenAlexW1935868666

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.