Evidence map›Paper›PMID 28898982›Full record

ArticleAmerican journal of clinical pathology2017

Prevalence of Anal Human Papillomavirus (HPV) and Performance of Cepheid Xpert and Hybrid Capture 2 (hc2) HPV Assays in South African HIV-Infected Women.

Zizipho Z A Mbulawa, Timothy Wilkin, Bridgette J Goeieman, Eefje Jong, Pamela Michelow, Avril Swarts, Jennifer S Smith, Patricia Kegorilwe, Cynthia S Firnhaber, Anna-Lise Williamson

Abstract read
In one paragraph

Article in American journal of clinical pathology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Cervical human papillomavirus DNA detection in women living with HIV and HIV-uninfected women living in Limbe, Cameroon.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020
    Article
  5. Article
  6. 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

10 authors.

Zizipho Z A MbulawaInstitute of Infectious Disease and Molecular Medicine and Division of Medical Virology, Department of Pathology, University of Cape Town, Cape Town, South Africa.
Timothy WilkinDivision of Infectious Diseases, Weill Cornell Medicine, New York, NY.
Bridgette J GoeiemanRight to Care, Johannesburg, South Africa.
Eefje JongJulius Clinical Research, Zeist, The Netherlands.
Pamela MichelowCytology Unit, Department of Anatomical Pathology, Faculty of Health Sciences.
Avril SwartsClinical HIV Research Unit, Faculty of Health Sciences, Department of Internal Medicine, University of the Witwatersrand, Johannesburg, South Africa.
Jennifer S SmithDepartment of Epidemiology, University of North Carolina, Gillings School of Global Public Health, Chapel Hill.
Patricia KegorilweRight to Care, Johannesburg, South Africa.
Cynthia S FirnhaberRight to Care, Johannesburg, South Africa.
Anna-Lise WilliamsonInstitute of Infectious Disease and Molecular Medicine and Division of Medical Virology, Department of Pathology, University of Cape Town, Cape Town, South Africa.

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
NIAID NIH HHS P30 AI050410
6 · The paper itself

Abstract

objectivesThis study investigated anal high-risk HPV (HR-HPV) prevalence in HIV-infected women using the Cepheid Xpert HPV assay and compares its performance with that of Hybrid Capture-2 (hc2).

methodsA total of 199 HIV-infected women were recruited from Helen Joseph Hospital, Johannesburg. Stored ThinPrep anal swabs that had previously been tested using hc2 were tested for HPV using Xpert.

resultsThe HR-HPV prevalence by Xpert was 40.8% and similar to hc2 (41.8%) with overall agreement of 86.7%; Cohen's kappa 0.73 (95% CI 0.63-0.82). High grade squamous intraepithelial lesions (HSIL) was associated with increasing number of multiple HPV infection (P < .001). Xpert and hc2 were similarly sensitive (77.4% and 77.4%, respectively) and specific (66.1% and 64.8% respectively) for HSIL detection. HPV16 (OR: 14.0, 95% CI: 3.9-48.0, P < .0001), HPV39/68/56/66 (OR: 4.1, 95% CI: 1.4-12, P = .01) and HPV51/59 (OR: 2.8, 95% CI: 1.1-7.6, P = .04) were independently associated with anal HSIL.

conclusionsXpert HPV typing is a promising anal screening test in HIV-infected women that performs similarly to hc2.

Indexed as

AdultCoinfectionFemaleHIV InfectionsHuman Papillomavirus DNA TestsHumansMiddle AgedMolecular Diagnostic TechniquesPapillomaviridaePapillomavirus InfectionsPrevalenceSensitivity and SpecificitySouth AfricaSquamous Intraepithelial Lesions of the CervixAnal cancerhc2HPVWomenXpert

Identifiers

PMID28898982
PMCPMC5848307

What OpenQuestion holds

Textmetadata
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.