Evidence map›Paper›PMID 27648688›Full record

SynthesisEmerging infectious diseases2016

Population-Level Effects of Human Papillomavirus Vaccination Programs on Infections with Nonvaccine Genotypes.

David Mesher, Kate Soldan, Matti Lehtinen, Simon Beddows, Marc Brisson, Julia M L Brotherton, Eric P F Chow, Teresa Cummings, Mélanie Drolet, Christopher K Fairley and 11 more

Open access · diamondAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Emerging infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. HPV Type Replacement After HPV Vaccination.Current topics in microbiology and immunology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Human Papillomavirus Vaccination.The New England journal of medicine · 2023
    Review
  20. Article
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

21 authors at 14 institutions in 6 countries.

David Mesher
Kate Soldan
Matti Lehtinen
Simon Beddows
Marc Brisson
Julia M L Brotherton
Eric P F Chow
Teresa Cummings
Mélanie Drolet
Christopher K Fairley
Suzanne M Garland
Jessica A Kahn
Kimberley Kavanagh
Lauri Markowitz
Kevin G Pollock
Anna Söderlund-Strand
Pam Sonnenberg
Sepehr N Tabrizi
Clare Tanton
Elizabeth Unger
Sara L Thomas
Public Health England · GBSexual Health Clinic · FIUniversity College London · GBUniversity of Melbourne · AUCentre hospitalier universitaire de Québec · CACincinnati Children's Hospital Medical Center · USHealth Protection Scotland · GBImperial College London · GBIndiana University · USLondon School of Hygiene & Tropical Medicine · GBSkåne University Hospital · SETampere University · FIUniversity of Strathclyde · GBVictorian Clinical Genetics Services · AU

Funding

Epidemiologic Impact of HPV VaccinationR01AI104709 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI DING, LILI, KAHN, JESSICA · 2013 to 2022
$5.6M
Behavioral and Virologic Impact of HPV ImmunizationR01AI073713 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI KAHN, JESSICA · 2008 to 2012
$2.7M
Medical Research Council G0701757NIAID NIH HHS R01 AI073713NIAID NIH HHS R01 AI104709
6 · The paper itself

Abstract

We analyzed human papillomavirus (HPV) prevalences during prevaccination and postvaccination periods to consider possible changes in nonvaccine HPV genotypes after introduction of vaccines that confer protection against 2 high-risk types, HPV16 and HPV18. Our meta-analysis included 9 studies with data for 13,886 girls and women ≤19 years of age and 23,340 women 20-24 years of age. We found evidence of cross-protection for HPV31 among the younger age group after vaccine introduction but little evidence for reductions of HPV33 and HPV45. For the group this same age group, we also found slight increases in 2 nonvaccine high-risk HPV types (HPV39 and HPV52) and in 2 possible high-risk types (HPV53 and HPV73). However, results between age groups and vaccines used were inconsistent, and the increases had possible alternative explanations; consequently, these data provided no clear evidence for type replacement. Continued monitoring of these HPV genotypes is important.

Indexed as

Immunization ProgramsPapillomavirus VaccinesAdolescentCross ProtectionFemaleGenotypeHumansPapillomaviridaePapillomavirus InfectionsPrevalenceTreatment OutcomeYoung AdultPapillomavirus VaccinesgenotypesHPVHPV vaccinationhuman papillomavirusnonvaccine typessurveillancevaccinesviruses

Identifiers

PMID27648688
PMCPMC5038419
OpenAlexW2512277165

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.