Evidence map›Paper›PMID 32460747›Full record

SynthesisBMC public health2020

The quadrivalent HPV vaccine is protective against genital warts: a meta-analysis.

Anita Lukács, Zsuzsanna Máté, Nelli Farkas, Alexandra Mikó, Judit Tenk, Péter Hegyi, Balázs Németh, László Márk Czumbel, Sadaeng Wuttapon, István Kiss and 4 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Human papillomavirus prevalence among men who have sex with men in China: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    Pooled it
  2. Trial
  3. Safety and immunogenicity of anHuman vaccines & immunotherapeutics · 2022
    Trial
  4. HPV Vaccine Intent among Adult Women Receiving Care at Community Health Centers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2022
    Trial
  5. Review
  6. Article
  7. IAPSM's Position Paper on the Human Papilloma Virus (HPV) Vaccine for Adult Immunization in India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2024
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Study of serum level of kisspeptin and interferon-beta in genital wart patients.Indian journal of sexually transmitted diseases and AIDS
    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

14 authors at 3 institutions in 1 country.

Anita LukácsDepartment of Public Health, Faculty of Medicine, University of Szeged, Dóm tér 10, Szeged, 6720, Hungary. lukacs.anita@med.u-szeged.hu.ORCID http://orcid.org/0000-0002-0746-8920
Zsuzsanna MátéDepartment of Public Health, Faculty of Medicine, University of Szeged, Dóm tér 10, Szeged, 6720, Hungary.
Nelli FarkasInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Alexandra MikóInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Judit TenkInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Péter HegyiInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Balázs NémethDepartment of Public Health Medicine, Medical School, University of Pécs, Pécs, Hungary.
László Márk CzumbelDepartment of Oral Biology, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
Sadaeng WuttaponDepartment of Oral Biology, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
István KissDepartment of Public Health Medicine, Medical School, University of Pécs, Pécs, Hungary.
Zoltán GyöngyiDepartment of Public Health Medicine, Medical School, University of Pécs, Pécs, Hungary.
Gábor VargaDepartment of Oral Biology, Faculty of Dentistry, Semmelweis University, Budapest, Hungary.
Zoltán RumbusInstitute for Translational Medicine, Medical School, University of Pécs, Pécs, Hungary.
Andrea SzabóDepartment of Public Health, Faculty of Medicine, University of Szeged, Dóm tér 10, Szeged, 6720, Hungary.
University of Pecs · HUSemmelweis University · HUUniversity of Szeged · HU

Funding

Economic Development and Innovation Operative Programme Grant GINOP 2.3.2-15-2016-00048Human Resources Development Operational Programme Grant EFOP-3.6.2-16-2017-00006Human Resources Development Operational Programme Grant EFOP-3.6.3-VEKOP-16-2017-00009
6 · The paper itself

Abstract

backgroundThe quadrivalent human papillomavirus (HPV) vaccine has been assumed to give protection against genital warts (GW) as well as cervical cancer. Our main question was whether HPV vaccine has any effects on the prevention of GW reported in randomised controlled clinical trials (RCTs) and time-trend analyses.

methodsThis meta-analysis was performed according to the PRISMA guidelines using the PICO format. We searched in three electronic databases (PubMed, Embase, Cochrane Trials), and assessed heterogeneity using the Q-test and I-squared statistics, meta-regression was also performed. Odds ratios (OR) and their confidence intervals (CI) were calculated. The sensitivity was tested by leave-one-out method. We evaluated the presence of publication bias using the funnel plot graph and the Copas selection model. The strength of evidence was assessed using the GRADE approach.

resultsEight RCTs (per-protocol populations) and eight time-trend ecological studies were included in this meta-analysis. A significant reduction (pooled OR = 0.03, 95% CI: 0.01-0.09; I-squared = 53.6%) of GW in young women was recorded in RCTs, and in time-trend analyses both in young women (pooled OR = 0.36, CI 95% = 0.26-0.51; I-squared = 98.2%), and in young men (pooled OR = 0.69, 95% CI = 0.61-0.78; I-squared = 92.7%). In subgroup analysis, a significant reduction of the number of GW events was observed especially in women under 21 years (pooled OR = 0.33, 95% CI = 0.17-0.63). Leave-one-out analysis showed that similar results could be obtained after excluding one study, meta-regression did not show significant difference.

conclusionsProphylactic, quadrivalent HPV vaccination can prevent GW in healthy women and men, therefore, it should be included in routine immunization programme.

Indexed as

AdolescentAdultChildCondylomata AcuminataFemaleHumansImmunization ProgramsMalePapillomavirus InfectionsPapillomavirus VaccinesRandomized Controlled Trials as TopicUterine Cervical NeoplasmsVaccinationYoung AdultPapillomavirus VaccinesGenital wartHuman papillomavirusPreventionVaccination

Identifiers

PMID32460747
PMCPMC7254696
OpenAlexW3030504338

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.