Evidence map›Paper›PMID 28333966›Full record

ArticlePloS one2017

Associations of Human Papillomavirus (HPV) genotypes with high-grade cervical neoplasia (CIN2+) in a cohort of women living with HIV in Burkina Faso and South Africa.

Helen A Kelly, Jean Ngou, Admire Chikandiwa, Bernard Sawadogo, Clare Gilham, Tanvier Omar, Olga Lompo, Sylviane Doutre, Nicolas Meda, Helen A Weiss and 4 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  20. Prevalence, risk factors, and pregnancy outcomes of cervical cell abnormalities in the puerperium in a hyperendemic HIV setting.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2018
    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

14 authors at 5 institutions in 4 countries.

Helen A KellyClinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Jean NgouINSERM U1058 and University Hospital (CHRU), Montpellier, France.
Admire ChikandiwaWits Reproductive Health and HIV Institute, University of the Witwatersrand, Johannesburg, South Africa.
Bernard SawadogoCentre de Recherches Internationales en Santé, University of Ouagadougou, Ouagadougou, Burkina Faso.
Clare GilhamClinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Tanvier OmarNational Health Laboratory Services, Johannesburg, South Africa.
Olga LompoCentre de Recherches Internationales en Santé, University of Ouagadougou, Ouagadougou, Burkina Faso.
Sylviane DoutreINSERM U1058 and University Hospital (CHRU), Montpellier, France.
Nicolas MedaCentre de Recherches Internationales en Santé, University of Ouagadougou, Ouagadougou, Burkina Faso.
Helen A WeissDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Sinead Delany-MoretlweNational Health Laboratory Services, Johannesburg, South Africa.
Michel SegondyINSERM U1058 and University Hospital (CHRU), Montpellier, France.
Philippe MayaudClinical Research Department, London School of Hygiene and Tropical Medicine, London, United Kingdom.
HARP Study Group
Inserm · FRLondon School of Hygiene & Tropical Medicine · GBUniversité Joseph Ki-Zerbo · BFNational Health Laboratory Service · ZAUniversity of the Witwatersrand · ZA

Funding

Medical Research Council MR/K012126/1Medical Research Council MR/M01231X/1
6 · The paper itself

Abstract

objectiveTo describe associations of high-risk human papillomavirus (HR-HPV) with high-grade cervical intraepithelial neoplasia (CIN2+) in women living with HIV (WLHIV) in Burkina Faso (BF) and South Africa (SA).

methodsProspective cohort of WLHIV attending HIV outpatient clinics and treatment centres. Recruitment was stratified by ART status. Cervical HPV genotyping using INNO-LiPA and histological assessment of 4-quadrant cervical biopsies at enrolment and 16 months later.

resultsAmong women with CIN2+ at baseline, the prevalence of any HR-HPV genotypes included in the bi/quadrivalent (HPV16/18) or nonavalent (HPV16/18/31/35/45/52/58) HPV vaccines ranged from 37% to 90%. HPV58 was most strongly associated with CIN2+ (aOR = 5.40, 95%CI: 2.77-10.53). At 16-months follow-up, persistence of any HR-HPV was strongly associated with incident CIN2+ (aOR = 7.90, 95%CI: 3.11-20.07), as was persistence of HPV16/18 (aOR = 5.25, 95%CI: 2.14-12.91) and the additional HR types in the nonavalent vaccine (aOR = 3.23, 95%CI: 1.23-8.54).

conclusionHR-HPV persistence is very common among African WLHIV and is linked to incident CIN2+. HPV vaccines could prevent between 37-90% of CIN2+ among African WLHIV.

Indexed as

AdultBiopsyBurkina FasoCervix UteriFemaleGenotypeHIV InfectionsHumansPapillomaviridaePapillomavirus InfectionsPapillomavirus VaccinesPrevalenceProspective StudiesSouth AfricaUterine Cervical NeoplasmsPapillomavirus Vaccines

Identifiers

PMID28333966
PMCPMC5363860
OpenAlexW2599689153

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.