Evidence map›Paper›PMID 27385707›Full record

ArticleJournal of clinical microbiology2016

Performance of a Cartridge-Based Assay for Detection of Clinically Significant Human Papillomavirus (HPV) Infection: Lessons from VALGENT (Validation of HPV Genotyping Tests).

Kate Cuschieri, Daan Geraets, Jack Cuzick, Louise Cadman, Catherine Moore, Davy Vanden Broeck, Elisaveta Padalko, Wim Quint, Marc Arbyn

Abstract readValidation Study
In one paragraph

Article in Journal of clinical microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Comparative analysis of SD biosensor standardBMC infectious diseases · 2025
    Article
  7. Article
  8. Quality assurance in human papillomavirus testing for primary cervical screening.International journal of gynecological cancer : official journal of the International Gynecological Cancer Society · 2023
    Review
  9. Article
  10. Article
  11. Article
  12. Cervical human papillomavirus DNA detection in women living with HIV and HIV-uninfected women living in Limbe, Cameroon.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020
    Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. hrHPV prevalence and type distribution in rural Zimbabwe: A community-based self-collection study using near-point-of-care GeneXpert HPV testing.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2019
    Article
  18. Article
  19. Article
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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

9 authors.

Kate CuschieriScottish HPV Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom kate.cuschieri@luht.scot.nhs.uk.
Daan GeraetsDDL Diagnostic Laboratory, Rijswijk, The Netherlands.
Jack CuzickCentre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Charterhouse Square, London, United Kingdom.
Louise CadmanCentre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Charterhouse Square, London, United Kingdom.
Catherine MooreScottish HPV Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Davy Vanden BroeckNational Reference Centre for HPV, Brussels, Belgium International Centre for Reproductive Health, Ghent University, Ghent, Belgium Laboratory of Molecular Pathology, AML, Antwerp, Belgium.
Elisaveta PadalkoNational Reference Centre for HPV, Brussels, Belgium Department of Laboratory Medicine, Ghent University Hospital, Ghent, Belgium School of Life Sciences, Hasselt University, Diepenbeek, Belgium.
Wim QuintDDL Diagnostic Laboratory, Rijswijk, The Netherlands.
Marc ArbynUnit of Cancer Epidemiology and Belgian Cancer Centre, Scientific Institute of Public Health, Brussels, Belgium.

Funding

Cancer Research UK 16891
6 · The paper itself

Abstract

The Validation of Human Papillomavirus (HPV) Genotyping Tests (VALGENT) studies offer an opportunity to clinically validate HPV assays for use in primary screening for cervical cancer and also provide a framework for the comparison of analytical and type-specific performance. Through VALGENT, we assessed the performance of the cartridge-based Xpert HPV assay (Xpert HPV), which detects 14 high-risk (HR) types and resolves HPV16 and HPV18/45. Samples from women attending the United Kingdom cervical screening program enriched with cytologically abnormal samples were collated. All had been previously tested by a clinically validated standard comparator test (SCT), the GP5+/6+ enzyme immunoassay (EIA). The clinical sensitivity and specificity of the Xpert HPV for the detection of cervical intraepithelial neoplasia grade 2 or higher (CIN2+) and CIN3+ relative to those of the SCT were assessed as were the inter- and intralaboratory reproducibilities according to international criteria for test validation. Type concordance for HPV16 and HPV18/45 between the Xpert HPV and the SCT was also analyzed. The Xpert HPV detected 94% of CIN2+ and 98% of CIN3+ lesions among all screened women and 90% of CIN2+ and 96% of CIN3+ lesions in women 30 years and older. The specificity for CIN1 or less (≤CIN1) was 83% (95% confidence interval [CI], 80 to 85%) in all women and 88% (95% CI, 86 to 91%) in women 30 years and older. Inter- and intralaboratory agreements for the Xpert HPV were 98% and 97%, respectively. The kappa agreements for HPV16 and HPV18/45 between the clinically validated reference test (GP5+/6+ LMNX) and the Xpert HPV were 0.92 and 0.91, respectively. The clinical performance and reproducibility of the Xpert HPV are comparable to those of well-established HPV assays and fulfill the criteria for use in primary cervical cancer screening.

Indexed as

AdolescentAdultAgedEarly Detection of CancerFemaleGenotyping TechniquesHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsReproducibility of ResultsSensitivity and SpecificityUnited KingdomUterine Cervical NeoplasmsYoung Adult

Identifiers

PMID27385707
PMCPMC5005513

What OpenQuestion holds

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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.