Evidence map›Paper›PMID 30067738›Full record

ArticlePloS one2018

Effectiveness of physically ablative and pharmacological treatments for anal condyloma in HIV-infected men.

Sandra Vela, Sebastian Videla, Arelly Ornelas, Boris Revollo, Bonaventura Clotet, Guillem Sirera, Marta Piñol, Francesc García-Cuyás

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Guideline
  2. Review
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  5. Article
  6. Risk of developing high-grade squamous intraepithelial lesions or anal cancer after anal condylomata treatment in people living with HIV.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024
    Article
  7. Review
  8. Article
  9. 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

8 authors at 4 institutions in 1 country.

Sandra VelaDepartment of Surgery, University Hospital Germans Trias i Pujol, Badalona, Catalonia, Spain.
Sebastian VidelaLluita Contra La SIDA Foundation, University Hospital Germans Trias i Pujol, Badalona, Catalonia, Spain.ORCID 0000-0001-5049-1379
Arelly OrnelasLluita Contra La SIDA Foundation, University Hospital Germans Trias i Pujol, Badalona, Catalonia, Spain.
Boris RevolloLluita Contra La SIDA Foundation, University Hospital Germans Trias i Pujol, Badalona, Catalonia, Spain.
Bonaventura ClotetLluita Contra La SIDA Foundation, University Hospital Germans Trias i Pujol, Badalona, Catalonia, Spain.
Guillem SireraLluita Contra La SIDA Foundation, University Hospital Germans Trias i Pujol, Badalona, Catalonia, Spain.
Marta PiñolDepartment of Surgery, University Hospital Germans Trias i Pujol, Badalona, Catalonia, Spain.
Francesc García-CuyásDepartment of Surgery, University Hospital Germans Trias i Pujol, Badalona, Catalonia, Spain.
Hospital Universitari Germans Trias i Pujol · ESBellvitge University Hospital · ESFundació Lluita contra les Infeccions · ESIrsiCaixa · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited information on the effectiveness of available treatments for anal condyloma acuminata in HIV-1-infected men.

aimTo provide data on the effectiveness of electrosurgical excision, infrared coagulation and pharmacological (imiquimod) treatments for anal condyloma acuminata (peri-anal and/or intra-anal) in HIV-1-infected men based on authors' practice.

methodsSingle-center, retrospective descriptive analysis of HIV-1-infected men, 18 years or older treated for anal condyloma acuminata. Standard treatments were offered: electrosurgery excision, infrared coagulation and topical imiquimod. Effectiveness was evaluated by the recurrence rate at 1 year after treatment. Recurrence was defined as any anal condyloma acuminata diagnosed after 3 months of condyloma-free survival post-treatment. Anal cytology and human-papillomavirus-infection (HPV) was assessed.

resultsBetween January 2005 and May 2009, 101 men were treated for anal condyloma acuminata: 65 (64%) with electrosurgery, 27 (27%) with infrared coagulation and 9 (9%) with imiquimod. At 1 year after treatment, the cumulative recurrence rate was 8% (4/65, 95%CI: 2-15%) with electrosurgery excision, 11% (3/27, 95%CI: 4-28%) with infrared coagulation and 11% (1/9, 95%CI: 2-44%) with imiquimod treatment. No predictive factors were associated with recurrence. Anal HPV-6 or HPV-11 was detectable in 98 (97%) patients and all had high-risk HPV genotypes, and 89 (88%) patients had abnormal anal canal cytology. Limitations: this was a retrospective descriptive analysis; limited to a single center; it cannot know if the recurrence is related to new infection.

conclusionRecurrence of anal condyloma after any treatment was common. Abnormal anal cytology and high-risk HPV-infection were highly prevalent in this population, therefore at high-risk of anal cancer, and warrants careful follow-up.

Indexed as

ElectrosurgeryAdjuvants, ImmunologicAdolescentAdultAnti-Retroviral AgentsAnus DiseasesCondylomata AcuminataGenotypeHIV InfectionsHomosexuality, MaleHuman papillomavirus 11Human papillomavirus 6HumansImiquimodInfrared RaysMaleAdjuvants, ImmunologicAnti-Retroviral AgentsImiquimod

Identifiers

PMID30067738
PMCPMC6070186
OpenAlexW2885301932

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.