Evidence map›Paper›PMID 26476151›Full record

Trial reportThe Journal of infection2016

Cervical HPV natural history among young Western Cape, South African women: The randomized control EVRI Trial.

Staci L Sudenga, B Nelson Torres, Matthys H Botha, Michele Zeier, Martha E Abrahamsen, Richard H Glashoff, Susan Engelbrecht, Maarten F Schim Van der Loeff, Louvina E Van der Laan, Siegfried Kipping and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of infection, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Sexually transmitted infections among women living with HIV in a Brazilian city.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Article
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

12 authors at 4 institutions in 3 countries.

Staci L SudengaCenter for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL, USA.
B Nelson TorresCenter for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL, USA.
Matthys H BothaDepartment of Obstetrics and Gynaecology and Unit for Gynaecological Oncology, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.
Michele ZeierDepartment of Medicine and Centre for Infectious Diseases, Stellenbosch University, Cape Town, South Africa.
Martha E AbrahamsenCenter for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL, USA.
Richard H GlashoffDivision of Medical Virology, Stellenbosch University and NHLS Tygerberg, Cape Town, South Africa.
Susan EngelbrechtDivision of Medical Virology, Stellenbosch University and NHLS Tygerberg, Cape Town, South Africa.
Maarten F Schim Van der LoeffDepartment of Infectious Diseases, Public Health Service of Amsterdam, Amsterdam, The Netherlands; Center for Infection and Immunity Amsterdam (CINIMA), Department of Internal Medicine, Academic Medical Center, Amsterdam, The Netherlands.
Louvina E Van der LaanDepartment of Obstetrics and Gynaecology and Unit for Gynaecological Oncology, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.
Siegfried KippingDepartment of Obstetrics and Gynaecology and Unit for Gynaecological Oncology, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa.
Douglas TaylorFHI 360, Durham, NC, USA.
Anna R GiulianoCenter for Infection Research in Cancer, Moffitt Cancer Center, Tampa, FL, USA. Electronic address: Anna.Giuliano@moffitt.org.
Stellenbosch University · ZAMoffitt Cancer Center · USFamily Health International 360 · USGGD Amsterdam · NL

Funding

Moffitt Postdoctoral Training Program in Molecular & Genetic EpidemiologyR25CA147832 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI EGAN, KATHLEEN M. · 2010 to 2014
$2.0M
NCI NIH HHS R25 CA147832NCI NIH HHS R25T CA147832
6 · The paper itself

Abstract

objectiveThe objective of this analysis was to assess human papillomavirus (HPV) infection persistence and incidence 7-months post-enrollment by HPV vaccine study arm (vaccine or placebo).

methodsHIV-negative, sexually active women aged 16-24 years in the Western Cape, South Africa, were enrolled in the EVRI Trial and were randomized to receive 4-valent HPV vaccine or placebo. Cervical specimens were collected at enrollment and at the 7-month visit and were genotyped for HPV. HPV prevalence, persistence, and incidence were calculated. Prevalence ratios and odds ratios were calculated to assess factors associated with a prevalent and incident HPV infection.

resultsHPV incidence rates were marginally higher for the placebo group (n = 163) compared to the vaccine group (n = 169). A large proportion of the prevalent high-risk (HR-HPV) HPV types (49%) persisted over the 7-month period in both arms. Prevalent HR-HPV infection was significantly associated with a prevalent gonorrhea infection and detection of Herpes simplex type 2 antibodies. Incident HR-HPV infection was significantly associated with abnormal cervical cytology at enrollment and younger age.

conclusionsWomen living in geographic areas, such as southern Africa, at high-risk for HPV need to receive HPV vaccination at a very young age to maximally prevent infection and subsequent disease.

Indexed as

Papillomavirus VaccinesAdolescentAdultFemaleHumansPapillomavirus InfectionsPrevalenceRisk FactorsSouth AfricaYoung AdultPapillomavirus VaccinesClinical trialEVRIHPV vaccineSTIs

Identifiers

PMID26476151
PMCPMC4698060
OpenAlexW1901585681

What OpenQuestion holds

Textmetadata
LicenceTDM
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.