Evidence map›Paper›PMID 30980692›Full record

ArticleInternational journal of cancer2020

Cervical adenocarcinoma in situ: Human papillomavirus types and incidence trends in five states, 2008-2015.

Angela A Cleveland, Julia W Gargano, Ina U Park, Marie R Griffin, Linda M Niccolai, Melissa Powell, Nancy M Bennett, Kayla Saadeh, Manideepthi Pemmaraju, Kyle Higgins and 7 more

Open access · greenAbstract read
In one paragraph

Article in International journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Guideline
  2. 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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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

17 authors at 7 institutions in 1 country.

Angela A ClevelandCenters for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0003-1375-8964
Julia W GarganoCenters for Disease Control and Prevention, Atlanta, GA, USA.
Ina U ParkDepartment of Family and Community Medicine, School of Medicine, University of California San Francisco, San Francisco, CA, USA.
Marie R GriffinVanderbilt University Medical Center, Nashville, TN, USA.
Linda M NiccolaiYale School of Public Health, New Haven, CT, USA.
Melissa PowellOregon Department of Human Services, Portland, OR, USA.
Nancy M BennettUniversity of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Kayla SaadehCalifornia Emerging Infections Program, Oakland, CA, USA.
Manideepthi PemmarajuVanderbilt University Medical Center, Nashville, TN, USA.
Kyle HigginsYale School of Public Health, New Haven, CT, USA.
Sara EhlersOregon Department of Human Services, Portland, OR, USA.
Mary ScahillUniversity of Rochester School of Medicine and Dentistry, Rochester, NY, USA.
Michelle L Johnson JonesCenters for Disease Control and Prevention, Atlanta, GA, USA.
Troy QuerecCenters for Disease Control and Prevention, Atlanta, GA, USA.
Lauri E MarkowitzCenters for Disease Control and Prevention, Atlanta, GA, USA.
Elizabeth R UngerCenters for Disease Control and Prevention, Atlanta, GA, USA.ORCID 0000-0002-2925-5635
HPV-IMPACT Working Group
Centers for Disease Control and Prevention · USOregon Department of Human Services · USUniversity of Rochester · USVanderbilt University Medical Center · USYale University · USEmerging Concepts (United States) · USUniversity of California, San Francisco · US

Funding

ACL HHS U54CK000482ACL HHS U54CK000484CDC HHS U50CK000482 [California]CDC HHS U50CK000484 [Oregon]CDC HHS U50CK000486 [New York]CDC HHS U50CK000488 [Connecticut]CDC HHS U50CK000491 [Tennessee]Intramural CDC HHS CC999999NCEZID CDC HHS U54 CK000482NCEZID CDC HHS U54 CK000484
6 · The paper itself

Abstract

Primary prevention through the use of human papillomavirus (HPV) vaccination is expected to impact both cervical intraepithelial neoplasia (CIN) and adenocarcinoma in situ (AIS). While CIN is well described, less is known about the epidemiology of AIS, a rare cervical precancer. We identified AIS and CIN grade 3 (CIN3) cases through population-based surveillance, and analyzed data on HPV types and incidence trends overall, and among women screened for cervical cancer. From 2008 to 2015, 470 AIS and 6,587 CIN3 cases were identified. The median age of women with AIS was older than those with CIN3 (35 vs. 31 years; p < 0.01). HPV16 was the most frequently detected type in both AIS and CIN3 (57% in AIS; 58% in CIN3), whereas HPV18 was the second most common type in AIS and less common in CIN3 (38% vs. 5%; p < 0.01). AIS lesions were more likely than CIN3 lesions to be positive for high-risk types targeted by the bivalent and quadrivalent vaccines (HPV16/18, 92% vs. 63%; p < 0.01), and 9-valent vaccine (HPV16/18/31/33/45/52/58, 95% vs. 87%; p < 0.01). AIS incidence rates decreased significantly in the 21-24 year age group (annual percent change [APC] overall: -22.1%, 95% CI: -33.9 to -8.2; APC among screened: -16.1%, 95% CI: -28.8 to -1.2), but did not decrease significantly in any older age group. This report on the largest number of genotyped AIS cases to date suggests an important opportunity for vaccine prevention of AIS, and is the first to document a decline in AIS incidence rates among young women during the vaccine era.

Indexed as

Adenocarcinoma in SituAdolescentAdultAge FactorsDNA, ViralFemaleHuman papillomavirus 16Human papillomavirus 18HumansIncidenceMass ScreeningPapillomavirus InfectionsPapillomavirus VaccinesPrecancerous ConditionsUterine Cervical DysplasiaUterine Cervical NeoplasmsDNA, ViralPapillomavirus Vaccinesadenocarcinoma in situAIScervical cancercervical intraepithelial lesionsHPV

Identifiers

PMID30980692
PMCPMC9112013
OpenAlexW2936244236

What OpenQuestion holds

Textmetadata
LicenceTDM
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.