Evidence map›Paper›PMID 32685652›Full record

ReviewGynecologic oncology reports2020

Topical therapies for the treatment of cervical intraepithelial neoplasia (CIN) 2-3: A narrative review.

Nerlyne Desravines, Kate Miele, Rebecca Carlson, Carla Chibwesha, Lisa Rahangdale

Open access · goldAbstract readReview
In one paragraph

Review in Gynecologic oncology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 61 citations in OpenAlex.

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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

5 authors at 1 institution in 2 countries.

Nerlyne DesravinesUniversity of North Carolina School of Medicine, Department of Obstetrics and Gynecology, Chapel Hill, NC, USA.
Kate MieleUniversity of North Carolina School of Medicine, Department of Obstetrics and Gynecology, Chapel Hill, NC, USA.
Rebecca CarlsonUniversity of North Carolina Health Sciences Library, Chapel Hill, NC, USA.
Carla ChibweshaUniversity of North Carolina School of Medicine, Department of Obstetrics and Gynecology, Chapel Hill, NC, USA.
Lisa RahangdaleUniversity of North Carolina School of Medicine, Department of Obstetrics and Gynecology, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current management of Cervical Intraepithelial Neoplasia (CIN), caused by high-risk human papillomavirus (hr-HPV), is based on surveillance and surgical therapy. Procedures carry potential risks such as preterm birth, and access remains limited throughout the world. However, there are no medical therapies recommended to promote the clearance of hr-HPV infection or CIN. Ultimately, even if less efficacious than excision procedures, medical therapies have the potential to decrease cervical cancer by eliminating barriers to treatment, such as access to treatment, or serving as an adjunct to surgical treatment in both high- and low-resource settings. This review describes current research on topical therapies with the potential for self-application for the treatment of HPV or CIN. Therapies included are immune-modulators, anti-proliferative medications, antivirals, hormones, and herbal/alternative therapies. Randomized trials of immune-modulating (imiquimod), anti-proliferative (5-fluorouracil), and anti-viral (cidofovir) therapies have had the most promising results. However, no option has sufficient clinical trial evidence to be recommended as treatment for CIN 2-3 and surgery remains the standard of care. The research described in this review serves as a guide for the development of future trials in the burgeoning arena of topical therapies for CIN 2-3.

Indexed as

Cervical dysplasiaCervical intraepithelial neoplasia (CIN) 2/3Dysplasia treatment reviewExcision alternativesMedical managementTopical therapy

Identifiers

PMID32685652
PMCPMC7356206
OpenAlexW3039034836

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.