Evidence map›Paper›PMID 27513384›Full record

Trial reportSexually transmitted diseases2016

Higher HPV16 and HPV18 Penile Viral Loads Are Associated With Decreased Human Papillomavirus Clearance in Uncircumcised Kenyan Men.

Virginia Senkomago, Danielle M Backes, Michael G Hudgens, Charles Poole, Steven R Meshnick, Kawango Agot, Stephen Moses, Peter Jf Snijders, Chris Jlm Meijer, Albertus T Hesselink and 3 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Sexually transmitted diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Oncogenic Oral Human Papillomavirus Clearance Patterns over 10 Years.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  3. Article
  4. Article
  5. 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

13 authors at 8 institutions in 5 countries.

Virginia SenkomagoFrom the *Department of Epidemiology, †Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC; ‡Impact Research and Development Organization, Kisumu, Kenya; §Centre for Global Public Health, University of Manitoba, Winnipeg, Canada; ¶Department of Pathology, VU University Medical Center, Amsterdam, the Netherlands; ‖Department of Epidemiology and Population Health, Albert Einstein College of Medicine, NY; **Division of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, IL; and ††Lineberger Comprehensive Cancer Center, Chapel Hill, NC.
Danielle M Backes
Michael G Hudgens
Charles Poole
Steven R Meshnick
Kawango Agot
Stephen Moses
Peter Jf Snijders
Chris Jlm Meijer
Albertus T Hesselink
Nicolas F Schlecht
Robert C Bailey
Jennifer S Smith
Albert Einstein College of Medicine · USAmsterdam UMC Location VUmc · NLUniversity of Illinois Chicago · USVrije Universiteit Amsterdam · NLDepartment of Health · ZAImpact Research and Development Organization · KEUNC Lineberger Comprehensive Cancer CenterUniversity of Manitoba · CA

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Trial of Male Circumcision to Reduce HIV IncidenceU01AI050440 · NIAID · UNIVERSITY OF ILLINOIS AT CHICAGO · PI BAILEY, ROBERT CONVERSE · 2001 to 2009
$14.7M
DevelopmentalP30AI082151 · NIAID · RUSH UNIVERSITY MEDICAL CENTER · PI LANDAY, ALAN L · 2009 to 2014
$4.6M
Effect of Male Circumcision on Penile HPV InfectionR01CA114773 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SMITH, JENNIFER SUSAN · 2005 to 2010
$2.1M
NCI NIH HHS R01 CA114773NIAID NIH HHS P30 AI050410NIAID NIH HHS P30 AI082151NIAID NIH HHS U01 AI050440
6 · The paper itself

Abstract

backgroundWhether higher penile human papillomavirus (HPV) viral load is associated with a lower rate of HPV clearance remains unknown.

objectivesWe examined the association between penile HPV16 and HPV18 viral load and subsequent HPV clearance in uncircumcised Kenyan men. STUDY

designParticipants were human immunodeficiency virus (HIV)-seronegative, sexually active, 18- to 24-year-old men randomized to the control arm of a male circumcision trial in Kisumu, Kenya. Men provided exfoliated penile cells from two anatomical sites (glans/coronal sulcus and shaft) every 6 months for 2 years. GP5+/6+ polymerase chain reaction was used to identify 44 HPV-DNA types. Human papillomavirus viral load testing was conducted using a LightCyler real-time polymerase chain reaction assay; viral load was classified as high (>250 copies/scrape) or low (≤250 copies/scrape), for nonquantifiable values. The Kaplan-Meier method and Cox regression modeling were used to examine the association between HPV viral load and HPV clearance.

resultsA total of 1097 men, with 291 HPV16 and 131 HPV18 cumulative infections over 24 months were analyzed. Human papillomavirus clearance at 6 months after first HPV detection was lower for high versus low viral load HPV16 infections in the glans (adjusted hazard ratio [aHR], 0.65; 95% confidence interval [CI], 0.46-0.92)] and shaft (aHR, 0.44; 95% CI, 0.16-0.90), and HPV18 infections in the glans (aHR, 0.05; 95% CI, 0.01-0.17). DISCUSSION: High versus low HPV viral load was associated with a reduced HPV clearance for HPV16 infections in the glans and shaft, and for HPV18 infections in the glans, among young uncircumcised men. Reduced clearance of high viral load HPV16 and HPV18 infections in men may increase HPV transmission to their female partners as well as enhance the development of penile lesions in comparison to men with low viral load HPV infections.

Indexed as

Human papillomavirus 16Human papillomavirus 18AdultCircumcision, MaleHumansKaplan-Meier EstimateKenyaMalePapillomavirus InfectionsPenile DiseasesPenisProportional Hazards ModelsReal-Time Polymerase Chain ReactionRegression AnalysisViral LoadYoung Adult

Identifiers

PMID27513384
PMCPMC4985051
OpenAlexW2510283824

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.