Evidence map›Paper›PMID 31912676›Full record

SynthesisJournal of gynecologic oncology2020

Human papillomavirus (HPV) DNA detection in uterine cervix cancer after radiation indicating recurrence: a systematic review and meta-analysis.

Sasidharanpillai Sabeena, Santhosh Kuriakose, Binesh Damodaran, Nagaraja Ravishankar, Govindakarnavar Arunkumar

Open access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of gynecologic oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Prophylactic HPV vaccination in HPV-related gynecologic cancers: European Society of Gynecological Oncology (ESGO) prevention committee opinion.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Guideline
  2. Pooled it
  3. Clinical trial comparing the use of OrcellexJournal of gynecologic oncology · 2025
    Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Prognostic factors for post-recurrence survival among patients with locally advanced cervical cancer who underwent definitive concurrent chemoradiation.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Article
  11. Article
  12. Article
  13. Article
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

5 authors at 3 institutions in 1 country.

Sasidharanpillai SabeenaManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, India. sabeenauthradam@gmail.com.ORCID https://orcid.org/0000-0002-2099-9312
Santhosh KuriakoseGyneconcology Division, Department of Obstetrics and Gynecology, Government Medical College, Kozhikode, India.ORCID https://orcid.org/0000-0001-7876-6813
Binesh DamodaranDepartment of Radiation Oncology, Government Medical College, Kozhikode, India.ORCID https://orcid.org/0000-0003-4334-819X
Nagaraja RavishankarDepartment of Statistics, Manipal Academy of Higher Education, Manipal, India.ORCID https://orcid.org/0000-0002-9533-039X
Govindakarnavar ArunkumarManipal Institute of Virology, Manipal Academy of Higher Education, Manipal, India.ORCID https://orcid.org/0000-0002-3114-0415
Manipal Academy of Higher Education · INGovernment College Kodanchery · INGovernment Medical College · IN

Funding

Indian Council of Medical Research No.5/8/7/15/2010/ECD-I
6 · The paper itself

Abstract

objectiveThe causal association of human papillomavirus (HPV) in uterine cervical cancer was well established and this oncogenic virus was reported to be a biomarker for overall recurrence and central pelvic recurrence. The objective of the present systematic review and meta-analysis was to assess the role of HPV DNA testing in early detection of recurrence among cervical cancer survivors after radiotherapy.

methodsWe performed a systematic review and meta-analysis by means of searching electronic databases for published articles between January 1984 and June 2018, on the basis of standard systematic review guidelines prescribed by major agencies namely Cochrane Collaboration (https://www.cochrane.org) and Campbell Collaboration (https://www.campbellcollaboration.org). The meta-analysis component was further modified appropriately for the synthesis of sensitivity and specificity results.

resultsA total of 1,055 cervical cancer cases who had received pelvic radiation with or without chemotherapy from ten cohort studies were evaluated. The overall pooled sensitivity and specificity of HPV DNA testing was 0.84 (95% confidence interval [CI]= 0.66-0.94) and 0.35 (95% CI=0.20-0.54) respectively. The positive likelihood ratio was 1.3 (95% CI=1.0-1.7) and the negative likelihood ratio was 0.45 (95% CI=0.18-1.10) with an estimated diagnostic odds ratio of 3 (95% CI=1-9).

conclusionThe screening for HPV DNA testing during follow-up facilitates early detection of recurrence after radiotherapy.

Indexed as

Human Papillomavirus DNA TestsCervix UteriDNA, ViralEarly Detection of CancerFemaleHumansNeoplasm Recurrence, LocalPapillomaviridaePapillomavirus InfectionsSensitivity and SpecificityUterine Cervical NeoplasmsDNA, ViralHuman PapillomavirusRadiotherapy, Uterine Cervical CancerRecurrence

Identifiers

PMID31912676
PMCPMC7044009
OpenAlexW2982568859

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.