Evidence map›Paper›PMID 33074738›Full record

ArticleJCO global oncology2020

Health Outcomes at 1 Year After Thermal Ablation for Cervical Precancer Among Human Papillomavirus- and Visual Inspection With Acetic Acid-Positive Women in Honduras.

Rose C Slavkovsky, Pooja Bansil, Manuel A Sandoval, Jacqueline Figueroa, Doris M Rodriguez, Jose Saul Lobo, Jose A Jeronimo, Silvia de Sanjosé

Open access · goldAbstract read
In one paragraph

Article in JCO global oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.0field-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

7 citing papers in PubMed, 11 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

8 authors at 4 institutions in 2 countries.

Rose C SlavkovskyPATH, Seattle, WA.ORCID 0000-0001-5619-2484
Pooja BansilPATH, Seattle, WA.ORCID 0000-0002-2531-3391
Manuel A SandovalAsociación Hondureña de Planificación de Familia (ASHONPLAFA), Tegucigalpa, Honduras.
Jacqueline FigueroaSecretaría de Salud de Honduras, Tegucigalpa, Honduras.ORCID 0000-0002-0574-3351
Doris M RodriguezAsociación Hondureña de Planificación de Familia (ASHONPLAFA), Tegucigalpa, Honduras.
Jose Saul LoboAsociación Hondureña de Planificación de Familia (ASHONPLAFA), Tegucigalpa, Honduras.ORCID 0000-0002-3061-907X
Jose A JeronimoNational Cancer Institute, Bethesda, MD.
Silvia de SanjoséPATH, Seattle, WA.ORCID 0000-0002-5909-676X
Honduras Foundation for Agricultural Research · HNProgram for Appropriate Technology in Health · USNational Cancer Institute · USSecretaria de Salud · HN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aims to assess the detection of cervical intraepithelial lesions grades 2 and 3 (CIN2-3) at 1 year after treatment with thermal ablation among human papillomavirus (HPV)-positive and visual inspection with acetic acid (VIA)-positive women.

methodsAll women screened and triaged for cervical cancer at four government health facilities in Honduras who were eligible for ablative treatment were enrolled and treated with thermal ablation. Women with confirmed CIN2-3 and a subset of women with CIN1/normal diagnoses at baseline were evaluated at 12 months. Follow-up procedures included HPV testing (

resultsAmong the 319 women treated with thermal ablation, baseline histologic diagnoses were available for 317. Two (0.6%) had invasive cancer, 36 (11.4%) had CIN3, 40 (12.6%) had CIN2, and 239 (75.4%) had CIN1/normal histology. Among the 127 women eligible for follow-up, 118 (92.9%) completed all study procedures at 1 year. Overall, 98 (83.1%) had no evidence of CIN2-3 or persistent low-grade infection, 13 (11.2%) had CIN1/atypical squamous cells of undetermined significance, six (5.1%) had CIN2/high-grade squamous intraepithelial lesion, and 1 (0.8%) had a persistent CIN3. No adverse events associated with thermal ablation at 1 year were registered.

conclusionA high proportion of women had no evidence of CIN2-3 at 1 year after thermal ablation treatment. Thermal ablation is an alternative to cryotherapy that may facilitate greater treatment coverage and prevent unnecessary deaths from cervical cancer.

Indexed as

AlphapapillomavirusPapillomavirus InfectionsAcetic AcidFemaleHondurasHumansOutcome Assessment, Health CarePapanicolaou TestPapillomaviridaeAcetic Acid

Identifiers

PMID33074738
PMCPMC7605374
OpenAlexW3092878517

What OpenQuestion holds

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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.