Evidence map›Paper›PMID 30792242›Full record

ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2019

Trends in Human Papillomavirus Vaccine Types 16 and 18 in Cervical Precancers, 2008-2014.

Nancy M McClung, Julia W Gargano, Nancy M Bennett, Linda M Niccolai, Nasreen Abdullah, Marie R Griffin, Ina U Park, Angela A Cleveland, Troy D Querec, Elizabeth R Unger and 2 more

Abstract read
In one paragraph

Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Decreases in Human Papillomavirus Vaccine Types 16 and 18 in Cervical Precancers: HPV-IMPACT, 2008 to 2019.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
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  5. Strong Herd Effects of Human Papillomavirus Vaccination.The Journal of infectious diseases · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Nancy M McClungNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia. mti6@cdc.gov.
Julia W GarganoNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Nancy M BennettUniversity of Rochester School of Medicine and Dentistry, Rochester, New York.
Linda M NiccolaiYale School of Public Health, New Haven, Connecticut.
Nasreen AbdullahOregon Health Authority Public Health Division, Portland, Oregon.
Marie R GriffinVanderbilt University Medical Center, Nashville, Tennesse.
Ina U ParkSchool of Medicine, University of California at San Francisco, San Francisco, California.
Angela A ClevelandNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0003-1375-8964
Troy D QuerecNational Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Elizabeth R UngerNational Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.ORCID 0000-0002-2925-5635
Lauri E Markowitz
HPV-IMPACT Working Group

Funding

The University of Rochester's Clinical and Translational Science InstituteUL1TR000042 · NCATS · UNIVERSITY OF ROCHESTER · PI BENNETT, NANCY M, KIEBURTZ, KARL D. · 2012 to 2015
$14.4M
ACL HHS U54CK000482ACL HHS U54CK000484Intramural CDC HHS CC999999NCEZID CDC HHS U54 CK000482NCEZID CDC HHS U54 CK000484
6 · The paper itself

Abstract

backgroundThe impact of human papillomavirus (HPV) vaccination has been observed in the United States through declining cervical precancer incidence in young women. To further evaluate vaccine impact, we described trends in HPV vaccine types 16/18 in cervical precancers, 2008-2014.

methodsWe analyzed data from a 5-site, population-based surveillance system. Archived specimens from women age 18-39 years diagnosed with cervical intraepithelial neoplasia grades 2-3 or adenocarcinoma

resultsIn 10,206 cases, the proportion and estimated number of cases of HPV16/18-positive CIN2+ declined from 52.7% (1,235 cases) in 2008 to 44.1% (819 cases) in 2014 (

conclusionsFrom 2008-2014, the proportion of HPV16/18-positive CIN2+ declined, with the greatest declines in vaccinated women; declines in unvaccinated women suggest herd protection. IMPACT: The declining proportion of HPV16/18-positive CIN2+ provides additional evidence of vaccine impact in the United States.

Indexed as

Adenocarcinoma in SituAdolescentAdultFemaleFollow-Up StudiesHuman papillomavirus 16Human papillomavirus 18HumansIncidencePapillomavirus InfectionsPapillomavirus VaccinesPrecancerous ConditionsPrognosisTime FactorsUnited StatesUterine Cervical DysplasiaPapillomavirus Vaccines

Identifiers

PMID30792242
PMCPMC6526945

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.