Evidence map›Paper›PMID 27585544›Full record

ArticleBMC infectious diseases2016

Population-based prevalence of cervical infection with human papillomavirus genotypes 16 and 18 and other high risk types in Tlaxcala, Mexico.

Samantha E Rudolph, Attila Lorincz, Cosette M Wheeler, Patti Gravitt, Eduardo Lazcano-Ponce, Leticia Torres-Ibarra, Leith León-Maldonado, Paula Ramírez, Berenice Rivera, Rubí Hernández and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02510027 (Molecular Triage in Cervical Cancer Prevention), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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.

NCT02510027 unknown statusnot on this map

Molecular Triage in Cervical Cancer Prevention: The Tlaxcala Study

TypeobservationalSponsorInstituto Nacional de Salud Publica, MexicoRan2013Enrolled100,000ConditionsCervical Cancer, Intraepithelial NeoplasiaArmsHPV screening and triage tests
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. 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

15 authors.

Samantha E RudolphUC Berkeley-UCSF Joint Medical Program, Berkeley, CA, USA.
Attila LorinczWolfson Institute of Preventive Medicine, Barts and The London School of Medicine, Queen Mary University of London, London, UK.
Cosette M WheelerDepartment of Pathology, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Patti GravittDepartment of Pathology, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Eduardo Lazcano-PonceCentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Avenida Universidad 655, Colonia Sta. María Ahuacatitlán, 62100, Cuernavaca, Morelos, Mexico.
Leticia Torres-IbarraCentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Avenida Universidad 655, Colonia Sta. María Ahuacatitlán, 62100, Cuernavaca, Morelos, Mexico. leticia.torres@insp.mx.
Leith León-MaldonadoCONACYT, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Paula RamírezUnidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Cuernavaca, Morelos, México.
Berenice RiveraUnidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Cuernavaca, Morelos, México.
Rubí HernándezCentro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Avenida Universidad 655, Colonia Sta. María Ahuacatitlán, 62100, Cuernavaca, Morelos, Mexico.
Eduardo L FrancoDivision of Cancer Epidemiology, McGill University, Montreal, Canada.
Jack CuzickWolfson Institute of Preventive Medicine, Barts and The London School of Medicine, Queen Mary University of London, London, UK.
Pablo Méndez-HernándezDepartamento de Enseñanza, Capacitación e Investigación, Secretaría de Salud de Tlaxcala, Tlaxcala, Tlaxcala, Mexico.
Jorge SalmerónUnidad de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social, Cuernavaca, Morelos, México.
FRIDA Study Group

Funding

Cancer Research UK 16891Cancer Research UK C569/A10404
6 · The paper itself

Abstract

backgroundCervical cancer remains an important cause of cancer mortality for Mexican women. HPV 16/18 typing may help to improve cervical cancer screening. Here we present the prevalence of high-risk human papillomavirus (hrHPV) including HPV16 and HPV18 from the FRIDA (Forwarding Research for Improved Detection and Access) population.

methodsBeginning in 2013, we recruited 30,829 women aged 30-64 in Tlaxcala, Mexico. Cervical samples were collected and tested for 14 hrHPV genotypes (16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 66, and 68). We used logistic regression to estimate odds ratios with 95 % confidence intervals for hrHPV infections according to putative risk factors.

resultsPrevalence of infection with any of the 14 hrHPV types was 11.0 %. The age-specific prevalence of all hrHPV formed a U-shaped curve with a higher prevalence for women aged 30-39 and 50-64 than women aged 40-49. Across all age groups, 2.0 % of women were positive for HPV16 and/or HPV18 (HPV16/18), respectively. HPV16/18 prevalence also showed a U-shaped curve with increased prevalence estimates for women aged both 30-39 and 60-64. Both prevalence curves had a significant quadratic age coefficient. Infections with hrHPV were positively associated with an increased number of lifetime sexual partners, a history of sexually transmitted disease, being unmarried, use of hormonal contraception, having a history of smoking and reported condom use in the multivariate model.

conclusionsThe FRIDA population has a bimodal distribution of both hrHPV and HPV16/18 positivity with higher prevalences at ages 30-39 and 60-64. These findings will help to evaluate triage algorithms based on HPV genotyping.

trial registrationThe trial is registered with ClinicalTrials.gov, number NCT02510027 .

Indexed as

AdultEarly Detection of CancerFemaleGenotypeHuman papillomavirus 16Human papillomavirus 18HumansLogistic ModelsMexicoMiddle AgedPapillomavirus InfectionsPrevalenceRisk FactorsUterine Cervical NeoplasmsWomen's HealthHPV16/18Human papillomavirus DNA testingMexicoPrevalenceRisk factors

Identifiers

PMID27585544
PMCPMC5008001

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Registered trials

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.