Evidence map›Paper›PMID 31438877›Full record

Observational studyBMC infectious diseases2019

Persistence of cervical high-risk human papillomavirus in women living with HIV in Denmark - the SHADE.

Kristina Thorsteinsson, Steen Ladelund, Merete Storgaard, Terese L Katzenstein, Isik Somuncu Johansen, Gitte Pedersen, Frederikke Falkencrone Rönsholt, Lars Nørregård Nielsen, Lisbeth Nilas, Maria Franzmann and 3 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  6. 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

13 authors at 7 institutions in 1 country.

Kristina ThorsteinssonDepartment of Infectious Diseases, Hvidovre Hospital, Kettegaards Allé 30, 2650, Hvidovre, Denmark. kristina.thorsteinsson@gmail.com.ORCID http://orcid.org/0000-0002-4855-7049
Steen LadelundClinical Research Center, Copenhagen University Hospital, Hvidovre, Denmark.
Merete StorgaardDepartment of Infectious Diseases, Aarhus University Hospital, Skejby, Denmark.
Terese L KatzensteinDepartment of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Isik Somuncu JohansenDepartment of Infectious Diseases, Odense University Hospital, Odense, Denmark.
Gitte PedersenDepartment of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark.
Frederikke Falkencrone RönsholtDepartment of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Lars Nørregård NielsenDepartment of Infectious Diseases, Nordsjællands Hospital, Hillerød, Denmark.
Lisbeth NilasInstitute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Maria FranzmannMolecular Pathology Laboratory, Department of Pathology, Copenhagen University Hospital, Hvidovre, Denmark.
Niels ObelDepartment of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Anne-Mette LebechDepartment of Infectious Diseases, Hvidovre Hospital, Kettegaards Allé 30, 2650, Hvidovre, Denmark.
Jesper BondeMolecular Pathology Laboratory, Department of Pathology, Copenhagen University Hospital, Hvidovre, Denmark.
Copenhagen University Hospital · DKUniversity of Copenhagen · DKHvidovre Hospital · DKAalborg University Hospital · DKAarhus University Hospital · DKNordsjællands Hospital · DKOdense University Hospital · DK

Funding

The Aragon Foundation Not applicableThe Danish Cancer Society and the AIDS Foundation Not applicableThe Foundation of Aase and Ejnar Danielsens Not applicableThe Foundation of Anna and Preben Simonsen Not applicable
6 · The paper itself

Abstract

backgroundWomen living with HIV (WLWH) have high rates of persistent high-risk human papillomavirus (hrHPV) infections and cervical cancer. We aimed to assess the distribution of hrHPV genotypes, risk factors of type-specific hrHPV persistence, and high-grade squamous intraepithelial lesions or worse (≥HSIL) in WLWH in Denmark.

methodsFrom the prospective Study on HIV, cervical Abnormalities and infections in women in Denmark (SHADE) we identified WLWH with a positive hrHPV test during the study period; 2011-2014. HIV demographics were retrieved from the Danish HIV Cohort Study and pathology results from the The Danish Pathology Data Bank. Logistic regression was used to identify risk factors associated with persistent hrHPV infection (positivity of the same hrHPV type in two samples one-two years after the first hrHPV positive date) and ≥ HSIL.

resultsOf 71 WLWH, 31 (43.7%) had persistent hrHPV infection. Predominant hrHPV genotypes were HPV58, 52, 51, and 35 and most frequently observed persistent genotypes were HPV52, 33 and 31. CD4 < 350 cells/μL predicted genotype-specific hrHPV persistence (adjusted OR 4.36 (95%CI: 1.18-16.04)) and ≥ HSIL was predicted by prior AIDS (adjusted OR 8.55 (95% CI 1.21-60.28)).

conclusionsThis prospective cohort study of well-treated WLWH in Denmark found a high rate of persistent hrHPV infections with predominantly non-16/18 hrHPV genotypes. CD4 count < 350 cells/μL predicted hrHPV persistence, while prior AIDS predicted ≥HSIL.

Indexed as

AdultCD4 Lymphocyte CountCervix UteriCohort StudiesDenmarkFemaleGenotypeHIVHIV InfectionsHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsRegistriesRisk FactorsSquamous Intraepithelial Lesions of the CervixCervical cancerHigh-risk HPVHPV genotype distributionHPV persistenceImmunodeficiencyWomen living with HIV

Identifiers

PMID31438877
PMCPMC6706931
OpenAlexW2969679912

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.