Evidence map›Paper›PMID 31292602›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Prevalence of and Risk Factors for Anal High-grade Squamous Intraepithelial Lesions in Women Living with Human Immunodeficiency Virus.

Elizabeth A Stier, Shelly Y Lensing, Teresa M Darragh, Ashish A Deshmukh, Mark H Einstein, Joel M Palefsky, Naomi Jay, J Michael Berry-Lawhorn, Timothy Wilkin, Dorothy J Wiley and 9 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Radiation therapy in anal high-grade squamous intraepithelial lesions-a pattern of care analysis in German-speaking countries.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
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  8. Clinical Predictors and Outcomes of Invasive Anal Cancer for People With HIV in an Inception Cohort.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
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  9. Review
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  14. A Cross-Sectional Study of the Prevalence of Anal Dysplasia among Women with High-Grade Cervical, Vaginal, and Vulvar Dysplasia or Cancer: The PANDA Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2022
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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

19 authors at 16 institutions in 4 countries.

Elizabeth A StierObstetrics and Gynecology, Boston University School of Medicine, Massachusetts.
Shelly Y LensingDepartment of Biostatistics, University of Arkansas for Medical Sciences, Little Rock.
Teresa M DarraghDepartment of Pathology, Mount Zion Medical Center, University of California, San Francisco (UCSF).
Ashish A DeshmukhDepartment of Management Policy and Community Health, School of Public Health, University of Texas Health Science Center at Houston.
Mark H EinsteinDepartment of Obstetrics/Gynecology and Women's Health, Rutgers-New Jersey Medical School, Newark.
Joel M PalefskyDepartment of Medicine, UCSF.
Naomi JayAnal Neoplasia Clinic, Research, and Education Center, San Francisco, California.
J Michael Berry-LawhornAnal Neoplasia Clinic, Research, and Education Center, San Francisco, California.
Timothy WilkinClinical Trials Unit, Department of Medicine, Cornell University, New York, New York.
Dorothy J WileySchool of Nursing, University of California, Los Angeles.
Luis F BarrosoDepartment of Internal Medicine, Infectious Diseases, Wake Forest University Health Sciences, Winston-Salem, North Carolina.
Ross D CranstonUniversity of Vic, Hospital Germans Trias i Pujol, Badalona, Spain.
Rebecca LevineDepartment of Surgery, Montefiore Medical Center, Bronx, New York.
Humberto M GuiotDepartment of Medicine and Department of Microbiology and Medical Zoology, University of Puerto Rico School of Medicine, San Juan.
Audrey L FrenchDivision of Infectious Diseases, CORE Center/Stroger Hospital of Cook County, Chicago, Illinois.
Deborah CitronDepartment of Pathology, Baylor College of Medicine, Houston, Texas.
M Katayoon RezaeiDepartment of Pathology, George Washington University, Washington, District of Columbia.
Stephen E GoldstoneIcahn School of Medicine at Mount Sinai, New York, New York.
Elizabeth ChiaoSection of Infectious Diseases, Department of Medicine, Baylor College of Medicine.
Baylor College of Medicine · USBoston University · USCornell University · USGeorge Washington University · USIcahn School of Medicine at Mount Sinai · USJohn H. Stroger, Jr. Hospital of Cook County · USMontefiore Medical Center · USRutgers, The State University of New Jersey · USThe University of Texas Health Science Center at Houston · USUniversidad Católica de Santa Fe · ARUniversitat de Vic - Universitat Central de Catalunya · ESUniversity of Arkansas for Medical Sciences · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Puerto Rico, Medical Sciences Campus · PRWake Forest University · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Consortium for Advancing Management and Prevention of Cancer in People with HIVUM1CA121947 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Joseph A. Sparano · 2015 to 2026
$253.7M
Disparities in COVID Disease Severity and Outcomes in New York CityUL1TR002384 · NCATS · WEILL MEDICAL COLL OF CORNELL UNIV · PI JULIANNE L IMPERATO-MCGINLEY · 2017 to 2026
$86.2M
The Effectiveness of Screening HIV-Infected Women for Anal Cancer PrecursorsR01CA163103 · NCI · BAYLOR COLLEGE OF MEDICINE · PI CHIAO, ELIZABETH Y. · 2011 to 2015
$2.8M
NCATS NIH HHS UL1 TR002384NCI NIH HHS P30 CA016672NCI NIH HHS R01 CA163103NCI NIH HHS UM1 CA121947
6 · The paper itself

Abstract

backgroundWomen living with human immunodeficiency virus (WLHIV) have disproportionately high rates of squamous cell carcinoma of the anus compared with the general population of women. Anal high-grade squamous intraepithelial lesions (HSILs) precede anal cancer, and accurate studies of HSIL prevalence among WLHIV in the United States are lacking.

methodsThe AIDS Malignancy Consortium 084 study was a multicenter national trial to evaluate the prevalence of and risk factors for anal HSIL in a US cohort. Eligible participants were WLHIV aged ≥18 years with no history of anal HSIL. Study participants had an examination including collection of cervical/vaginal and anal specimens, followed by high-resolution anoscopy with biopsy.

resultsWe enrolled 256 women with evaluable anal pathology. The mean age was 49.4 years, 64% women were non-Hispanic black, 67% were former or current smokers, and 56% reported ever having anal sex with a man. The median CD4 T-cell count was 664 cells/μL. The prevalence of anal histologic HSIL (hHSIL) was 27% (95% confidence interval [CI], 22%-33%). There was a strong concordance (240/254) between local and consensus pathologists for hHSIL vs less than hHSIL (κ = 0.86 [95% CI, .79-.93]). Current CD4 count of ≤200 cells/μL was the strongest predictor of consensus anal hHSIL diagnosis (adjusted odds ratio [aOR], 10.34 [95% CI, 3.47-30.87]). History of anoreceptive intercourse was also associated with hHSIL (aOR, 2.44 [95% CI, 1.22-4.76]).

conclusionsThe prevalence of anal hHSIL in WLHIV in the United States was 27% in this study where all participants received high-resolution anoscopy and biopsy.

Indexed as

Anus NeoplasmsHIV InfectionsPapillomavirus InfectionsAnal CanalFemaleHIVHumansMaleMiddle AgedPrevalenceRisk FactorsSquamous Intraepithelial LesionsepidemiologyHIVHPVHSILwomen’s health

Identifiers

PMID31292602
PMCPMC7146000
OpenAlexW2962025434

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.