Evidence map›Paper›PMID 32059635›Full record

ArticleBMC infectious diseases2020

Comorbidities associated with HPV infection among people living with HIV-1 in the southeastern US: a retrospective clinical cohort study.

Yuanfan Ye, Greer A Burkholder, Howard W Wiener, Russell Griffin, Stella Aslibekyan, Karen Fry, Ashraf Khan, Sadeep Shrestha

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. HIV and Sexual Dysfunction in Men.Journal of clinical medicine · 2021
    Review
  8. Article
  9. Article
  10. Review
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

8 authors at 3 institutions in 1 country.

Yuanfan YeDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35242, USA.
Greer A BurkholderDivision of Infectious Diseases, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, 35242, USA.
Howard W WienerDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35242, USA.
Russell GriffinDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35242, USA.
Stella AslibekyanDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35242, USA.
Karen FryDivision of Infectious Diseases, School of Medicine, University of Alabama at Birmingham, Birmingham, AL, 35242, USA.
Ashraf KhanDisease Control, Jefferson County Department of Health, Birmingham, AL, 35233, USA.
Sadeep ShresthaDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, 35242, USA. sshrestha@uab.edu.ORCID http://orcid.org/0000-0002-7002-357X
Alabama Department of Public Health · USUniversity of Alabama at Birmingham · USJefferson County Department of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe southeastern US is an epicenter for incident HIV in the US with high prevalence of human papillomavirus (HPV) co-infections. However, epidemiologies of HPV-associated clinical conditions (CC) among people living with HIV-1 infection (PLWH) are not fully known.

methodsElectronic medical records (EMR) of PLWH attending one of the leading HIV clinics in the southeastern US between 2006 and 2018 were reviewed and analyzed. The retrospective study was nested within the University of Alabama at Birmingham HIV clinical cohort, which has electronically collected over 7000 PLWH's clinical and sociobehavioral data since 1999. Incidence rates of HPV-related CC including anogenital warts, penile, anal, cervical, and vaginal/vulvar low- and high-grade squamous intraepithelial lesions (LSIL and HSIL) were estimated per 10,000 person years. Joinpoint regressions were performed to examine temporal changes in the trends of incident CC. All rates and trends were stratified by gender and race.

resultsOf the 4484 PLWH included in the study (3429 men, 1031 women, and 24 transgender), we observed 1038 patients with HPV-related CC. The median nadir CD4 count (cells/uL) was higher in the HPV-condition free group than the case groups (P < 0.0001). Anogenital warts, anal LSIL, HSIL, and cancer were more likely to be diagnosed among HIV-infected men than women. White men presented more frequently with anal LSIL and anal and penile cancers than black men (P < 0.03). White women were also more likely to be diagnosed with cervical HSIL (P = 0.023) and cancer (P = 0.037) than black women.

conclusionsThere were significant differences between gender and race with incidence of HPV-related CC among HIV patients. EMR-based studies provide insights on understudied HPV-related anogenital conditions in PLWH; however, large-scale studies in other regions are needed to generalize current findings and draw public health attention to co-infection induced non-AIDS defining comorbidities among PLWH.

Indexed as

AdultAnal CanalBlack or African AmericanCD4 Lymphocyte CountCohort StudiesComorbidityCondylomata AcuminataFemaleHIV InfectionsHumansIncidenceMaleMiddle AgedPapillomavirus InfectionsPrevalenceRetrospective StudiesCancerHIVHPVHSILLSIL

Identifiers

PMID32059635
PMCPMC7023731
OpenAlexW3006158327

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.