Evidence map›Paper›PMID 27631359›Full record

ArticleSexually transmitted diseases2016

Multitype Infections With Human Papillomavirus: Impact of Human Immunodeficiency Virus Coinfection.

Leslie Massad, Marla Keller, Xianhong Xie, Howard Minkoff, Joel Palefsky, Gypsyamber DʼSouza, Christine Colie, Maria Villacres, Howard Strickler

Abstract read
In one paragraph

Article 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Adult-onset Recurrent Respiratory Papillomatosis at a South African Referral Hospital.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2022
    Article
  6. 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

9 authors.

Leslie MassadFrom the *Department of Obstetrics and Gynecology, Washington University School of Medicine, St. Louis, MO; †Departments of Medicine and Obstetrics & Gynecology and Women's Health, ‡Department of Epidemiology & Population Health, Albert Einstein College of Medicine; §Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, NY; ¶Department of Medicine, University of California, San Francisco, CA; ∥Departments of Epidemiology and International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; **Department of Obstetrics and Gynecology, Georgetown University, Washington, DC; ††Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA; ‡‡Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY.
Marla Keller
Xianhong Xie
Howard Minkoff
Joel Palefsky
Gypsyamber DʼSouza
Christine Colie
Maria Villacres
Howard Strickler

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Women's Interagency HIV Study (WIHS-V)U01AI035004 · NIAID · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI ANASTOS, KATHRYN M., SHARMA, ANJALI · 1993 to 2018
$65.7M
WOMEN'S INTERAGENCY HIV STUDY ORGANIZATION, MANAGEMENT AND COMMUNICATIONSU01AI034989 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AOUIZERAT, BRADLEY E, GREENBLATT, RUTH MARTHA · 1993 to 2018
$65.6M
Women's Interagency HIV Study (WIHS) IIIU01AI031834 · NIAID · SUNY DOWNSTATE MEDICAL CENTER · PI GUSTAFSON, DEBORAH R., MINKOFF, HOWARD · 1998 to 2018
$53.5M
WOMEN'S INTERAGENCY HIV STUDY (WIHS) ORGANIZATION AND MANAGEMENTU01AI034994 · NIAID · GEORGETOWN UNIVERSITY · PI KASSAYE, SEBLE G · 1993 to 2018
$52.0M
Women's Interagency HIV Study (WIHS) IV, Chicago ConsortiumU01AI034993 · NIAID · HEKTOEN INSTITUTE FOR MEDICAL RESEARCH · PI COHEN, MARDGE H, FRENCH, AUDREY · 1994 to 2018
$51.0M
WOMENS INTERAGENCY HIV STUDY (WIHS)U01HD032632 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MILAM, JOEL E · 1994 to 2012
$42.0M
WIHS DATA MANAGEMENT AND ANALYSIS CENTER(WDMAC)U01AI042590 · NIAID · JOHNS HOPKINS UNIVERSITY · PI GANGE, STEPHEN J, GOLUB, ELIZABETH T · 1998 to 2018
$38.4M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
HPV &CERVIX NEOPLASIA IN A LARGE, LONG TERM HIV+ COHORTR01CA085178 · NCI · YESHIVA UNIVERSITY · PI STRICKLER, HOWARD D · 2000 to 2014
$12.2M
Molecular Methods to Improve Cervical Cancer Screening in HIV+ WomenR01CA174634 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI STRICKLER, HOWARD D · 2013 to 2016
$2.6M
NCATS NIH HHS UL1 TR000004NCATS NIH HHS UL1 TR000454NCI NIH HHS R01 CA085178NCI NIH HHS R01 CA174634NIAID NIH HHS U01 AI031834NIAID NIH HHS U01 AI034989NIAID NIH HHS U01 AI034993NIAID NIH HHS U01 AI034994NIAID NIH HHS U01 AI035004NIAID NIH HHS U01 AI042590NICHD NIH HHS U01 HD032632
6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus (HIV) infection predisposes women to genital coinfection with human papillomaviruses (HPVs). Concurrent infection with multiple HPV types has been documented, but its frequency, correlates, and impact on development of precancer are poorly defined in HIV-seropositive women.

methodsHuman immunodeficiency virus-seropositive women and -seronegative comparison women were enrolled in a cohort study and followed every 6 months from 1994 to 2006. Cervicovaginal lavage samples were tested for HPV types using polymerase chain reaction amplification with MY09/MY11 consensus primers followed by hybridization with consensus and HPV type-specific probes. Analyses were performed using generalized estimating equations.

resultsMultitype HPV infections were found in 594 (23%) of 2543 HIV-seropositive women and 49 (5%) of 895 HIV-seronegative women (P < 0.0001). Compared with HPV uninfected women, those with multiple concurrent HPV infections were more likely to be younger, nonwhite, and current smokers, with lower CD4 counts and HIV RNA levels. The average proportion of women with multitype HPV infections across visits was 21% in HIV-seropositive women and 3% in HIV-seronegative women (P <0.0001). Compared with infection with 1 oncogenic HPV type, multitype concurrent infection with at least 1 other HPV type at baseline did not measurably increase the risk of ever having cervical intraepithelial neoplasia 3+ detected during follow-up (odds ratio, 0.80; 95% confidence interval, 0.32-2.03, P = 0.65).

conclusionsConcurrent multitype HPV infection is common in HIV-seropositive women and frequency rises as CD4 count declines, but multitype infection does not increase precancer risk.

Indexed as

AdultCD4 Lymphocyte CountCohort StudiesCoinfectionFemaleFollow-Up StudiesGenital Diseases, FemaleHIVHIV InfectionsHIV SeropositivityHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsRiskUterine Cervical Dysplasia

Identifiers

PMID27631359
PMCPMC5026395

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Registered trials

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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.