Evidence map›Paper›PMID 30616555›Full record

SynthesisBMC women's health2019

HPV vaccine in the treatment of usual type vulval and vaginal intraepithelial neoplasia: a systematic review.

Stacey Bryan, Cynthia Barbara, Jane Thomas, Adeola Olaitan

Abstract readSystematic Review
In one paragraph

Synthesis in BMC women's health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
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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

4 authors.

Stacey BryanResearch Fellow, Institute for Women's Health, Gynaecology Cancer Research Centre, 1st Floor Maple House, 149 Tottenham Court Road, London, W1T 7NF, UK. sjbryan@doctors.org.uk.ORCID 0000-0002-7680-1096
Cynthia BarbaraUniversity College London Hospitals, 2nd Floor North, 250 Euston Road, London, NW1 2PG, UK.
Jane ThomasUniversity College London Hospitals, 2nd Floor North, 250 Euston Road, London, NW1 2PG, UK.
Adeola OlaitanUniversity College London Hospitals, 2nd Floor North, 250 Euston Road, London, NW1 2PG, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHPV DNA is found in almost 80% of VIN/VaIN. Current management is inadequate, with high recurrence rates. Our objective was to review the literature regarding the role of HPV vaccine in secondary prevention and treatment of VIN/VaIN.

methodsDatabase searches included Ovid Medline, Embase, Web of Science, The Cochrane Library and Clinicaltrials.gov . Search terms included HPV vaccine AND therapeutic vaccine* AND VIN OR VAIN, published in English with no defined date limit. Searches were carried out with a UCL librarian in March 2018. We included any type of study design using any form of HPV vaccine in the treatment of women with a histologically confirmed diagnosis of VIN/VaIN. We excluded studies of other lower genital tract disease, vulval/vaginal carcinoma and prophylactic use of vaccines. The outcome measures were lesion response to vaccination, symptom improvement, immune response and HPV clearance.

resultsWe identified 93 articles, 7 studies met our inclusion criteria; these were uncontrolled case series. There were no RCTs or systematic reviews identified. Reduction in lesion size was reported by all 7 studies, symptom relief by 5, HPV clearance by 6, histological regression by 5, and immune response by 6.

conclusionsThis review finds the evidence relating to the use of HPV vaccine in the treatment of women with VIN/VaIN is of very low quality and insufficient to guide practice. Further longitudinal studies are needed to assess its use in prevention of progression to cancer.

Indexed as

AdultAntineoplastic AgentsCarcinoma in SituDisease ProgressionFemaleHumansMiddle AgedPapillomavirus VaccinesTreatment OutcomeVaginal NeoplasmsVulvar NeoplasmsAntineoplastic AgentsPapillomavirus VaccinesHPV vaccineTherapeutic vaccineVAINVINVulval disordersVulvar intraepithelial neoplasia

Identifiers

PMID30616555
PMCPMC6323700

What OpenQuestion holds

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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.