Evidence map›Paper›PMID 26631958›Full record

ReviewJournal of clinical virology : the official publication of the Pan American Society for Clinical Virology2016

Cervical cancer screening of HPV vaccinated populations: Cytology, molecular testing, both or none.

Mariam El-Zein, Lyndsay Richardson, Eduardo L Franco

Open access · greenAbstract readReview
In one paragraph

Review in Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 103 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Detection of High-Risk Human Papillomavirus in Cervix Sample in an 11.3-year Follow-Up after Vaccination against HPV 16/18.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2017
    Trial
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  5. Review
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  18. Article
  19. Prevention and Screening of HPV Malignancies.Seminars in radiation oncology · 2021
    Review
  20. Screening for cervical cancer: Choices & dilemmas.The Indian journal of medical research · 2021
    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

3 authors at 1 institution in 1 country.

Mariam El-ZeinDivision of Cancer Epidemiology, McGill University, Montreal, QC, Canada.
Lyndsay RichardsonDivision of Cancer Epidemiology, McGill University, Montreal, QC, Canada.
Eduardo L FrancoDivision of Cancer Epidemiology, McGill University, Montreal, QC, Canada. Electronic address: eduardo.franco@mcgill.ca.
McGill 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 CRN-83320Canadian Institutes of Health Research MCT-54063Canadian Institutes of Health Research MOP-49396Canadian Institutes of Health Research MOP-64454NCI NIH HHS CA70269NCI NIH HHS R01 CA070269
6 · The paper itself

Abstract

Cervical cancer control includes primary prevention through vaccination to prevent human papillomavirus (HPV) infection and secondary prevention through screening to detect and treat cervical precancerous lesions. This review summarizes the evidence for the population impact of vaccines against oncogenic HPV types in reducing the prevalence of cervical precancerous lesions. We examine the gradual shift in screening technology from cervical cytology alone to cytology and HPV cotesting, and finally to the recognition that HPV testing can serve alone as the new screening paradigm, particularly in the initial post-vaccination era. We should expect an impact on screening performance and practices, as cohorts of HPV-vaccinated girls and adolescents reach cervical cancer screening age. In preparation for changes in the screening paradigm for the vaccination era, we propose that policymaking on cervical cancer screening should mirror current practices with other cancers as benchmarks. Cervical precancerous lesions will become a very rare condition following the widespread implementation of HPV vaccines with broader coverage in the number of preventable oncogenic types. Irrespective of screening technology, the false positive results will far outnumber the true positive ones, a tipping point that will herald a new period when the harms from cervical cancer screening will outweigh its benefits. We present a conceptual framework to guide decision making when we reach this point within 25-30 years.

Indexed as

Mass VaccinationAdolescentAdultEarly Detection of CancerFemaleForecastingGenotyping TechniquesHuman Papillomavirus DNA TestsHumansImmunohistochemistryMass ScreeningPapillomaviridaePapillomavirus InfectionsPapillomavirus VaccinesUterine Cervical DysplasiaUterine Cervical NeoplasmsPapillomavirus VaccinesCervical cancerCytologyHPV DNA testingHPV screeningHPV vaccinationHuman papillomavirus

Identifiers

PMID26631958
PMCPMC4789074
OpenAlexW2180929798

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.