Evidence map›Paper›PMID 28594305›Full record

ArticleHuman vaccines & immunotherapeutics2017

Potential impact of a nonavalent HPV vaccine on HPV related low-and high-grade cervical intraepithelial lesions: A referral hospital-based study in Sicily.

Giuseppina Capra, Lucia Giovannelli, Domenica Matranga, Carmelina Bellavia, Maria Francesca Guarneri, Teresa Fasciana, Giovanna Scaduto, Alberto Firenze, Alessandra Vassiliadis, Antonio Perino

Open access · hybridAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

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  18. Human papillomavirus and cervical cancer.Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology · 2020
    Review
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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

10 authors at 1 institution in 1 country.

Giuseppina Capraa Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Lucia Giovannellia Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Domenica Matrangaa Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Carmelina Bellaviaa Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Maria Francesca Guarneria Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Teresa Fascianaa Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Giovanna Scadutob Department of Surgical, Oncological & Oral Sciences, "Paolo Giaccone," Polyclinic University Hospital , Palermo , Italy.
Alberto Firenzea Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Alessandra Vassiliadisa Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Antonio Perinoa Department of Sciences for Health Promotion and Mother-Child Care "G. D'Alessandro," Polyclinic University Hospital , Palermo , Italy.
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While bivalent and quadrivalent HPV vaccines have been used for about 10 years, a nonavalent vaccine against HPV types 6/11/16/18/31/33/45/52 and 58 has been recently approved by FDA and EMA and is now commercially available. The objective of our study was to evaluate the potential impact of the nonavalent vaccine on HPV infection and related low- and high-grade squamous intraepithelial lesions (LSIL, HSIL), compared to the impact of the quadrivalent vaccine, in a female population living in Sicily (Italy). Low estimates of HPV vaccine impact were calculated as prevalence of HPV 6/11/16/18/31/33/45/52 and 58 genotypes, alone or in association, but excluding presence of other HPV types; high estimates were calculated as prevalence of HPV 6/11/16/18/31/33/45/52 and 58 genotypes alone or in association, in the presence of other HPV types. The nonavalent HPV vaccine showed increased impact, compared to the quadrivalent vaccine. Estimates of potential impact varied from 30.9% (low estimate) to 53.3% (high estimate) for LSIL, and from 56.9% to 81,0% for HSIL. The proportion of additional cases potentially prevented by the nonavalent vaccine was 14.4%-23.8% for LSIL, and 19.0%-32.8% for HSIL. The benefit of the nonavalent vaccine compared to the quadrivalent vaccine was more than 80% for both low and high impact estimates for LSIL and more than 50% for both low and high impact estimates for HSIL. The present study confirms that the switch from a first generation HPV vaccines to a nonavalent vaccine would increase the prevention of cervical HSIL in up to 90% of cases.

Indexed as

AdultCervix UteriFemaleGenotypeHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18HumansPapillomavirus InfectionsPapillomavirus VaccinesPrevalenceReferral and ConsultationSicilyUterine Cervical DysplasiaUterine Cervical NeoplasmsHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18Papillomavirus VaccinesHPV infectionimpact estimatenonavalentquadrivalentsquamous intraepithelial lesionsvaccine

Identifiers

PMID28594305
PMCPMC5557238
OpenAlexW2623854667

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.