Evidence map›Paper›PMID 29453769›Full record

Trial reportInternational journal of cancer2018

Human papilloma virus genotyping for the cross-sectional and longitudinal probability of developing cervical intraepithelial neoplasia grade 2 or more.

Annarosa Del Mistro, Rachael Adcock, Francesca Carozzi, Anna Gillio-Tos, Laura De Marco, Salvatore Girlando, Raffaella Rizzolo, Helena Frayle, Morena Trevisan, Cristina Sani and 5 more

Open access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in International journal of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

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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

15 authors at 6 institutions in 3 countries.

Annarosa Del MistroVeneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Rachael AdcockCentre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK.
Francesca CarozziInstitute for Cancer Study and Prevention (ISPO), Florence, Italy.
Anna Gillio-TosCancer Epidemiology-CERMS, University of Turin, Italy.
Laura De MarcoCancer Epidemiology-CERMS, University of Turin, Italy.
Salvatore GirlandoPathology Unit, S. Chiara Hospital, Trento, Italy.
Raffaella RizzoloCenter for Cancer Epidemiology and Prevention (CPO), Turin, Italy.
Helena FrayleVeneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Morena TrevisanCancer Epidemiology-CERMS, University of Turin, Italy.
Cristina SaniInstitute for Cancer Study and Prevention (ISPO), Florence, Italy.
Elena BurroniInstitute for Cancer Study and Prevention (ISPO), Florence, Italy.
Paolo Giorgi RossiEpidemiology Unit, AUSL Reggio Emilia, IRCCS, Reggio Emilia, Italy.
Jack CuzickCentre for Cancer Prevention, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London, UK.
Guglielmo RoncoCenter for Cancer Epidemiology and Prevention (CPO), Turin, Italy.ORCID 0000-0003-3016-1131
New Technologies for Cervical CancerWorking Group
Piedmont Reference Center for Epidemiology and Cancer Prevention · ITPrevention Institute · USIstituto Oncologico Veneto · ITQueen Mary University of London · GBAzienda Sanitaria Unità Locale di Reggio Emilia · ITOspedale Santa Chiara · IT

Funding

Cancer Research UK 16891
6 · The paper itself

Abstract

Human papilloma virus (HPV) testing is more sensitive but less specific than cytology. We evaluated stand-alone genotyping as a possible triage method. During a multicentre randomised controlled trial comparing HPV testing to conventional cytology, HPV-positive women were referred to colposcopy and followed up if no high-grade lesion was detected. HPV-positive samples were genotyped by GP5+/GP6+ primed polymerase chain reaction followed by reverse line blot. Genotypes were hierarchically ordered by positive predictive value (PPV) for CIN grade 2 or more (CIN2+), and grouped by cluster analysis into three groups (A, B and C in decreasing order). Receiver operating characteristic curves were computed. Among 2,255 HPV-positive women with genotyping, 239 CIN2+ (including 113 CIN3+) were detected at baseline or during a 3-year follow-up. HPV33 had the highest PPV with CIN2+ and CIN3+ as the endpoint and when considering lesions detected at baseline or also during follow-up. HPV16 and HPV35 were the second and third, respectively. Cross-sectional sensitivity for CIN2+ at baseline was 67.3% (95% CI 59.7-74.2), 91.8% (95% CI 86.6-95.5) and 94.7% (95% CI 90.2-97.6), respectively, when considering as "positive" any of the HPV types in group A (33, 16 and 35), A or B (31, 52, 18, 59 and 58) and A or B or C (39, 51, 56, 45 and 68). The corresponding cross-sectional PPVs for CIN2+ were 15.8% 95% (CI 13.2-18.7), 12.0% (95% CI 10.3-13.9) and 9.6% (95% CI 8.2-11.1), respectively. HPV33, 16 and 35 confer a high probability of CIN2+ but this rapidly decreases when adding other genotypes.

Indexed as

AdultColposcopyCross-Sectional StudiesCytodiagnosisDNA, ViralEarly Detection of CancerFemaleGenotypeHumansLongitudinal StudiesMiddle AgedNeoplasm GradingPapillomaviridaePapillomavirus InfectionsSensitivity and SpecificityUterine Cervical DysplasiaDNA, Viralcervical screeninggenotypingHPVtriage

Identifiers

PMID29453769
PMCPMC6099271
OpenAlexW2791542833

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.