Evidence map›Paper›PMID 33503866›Full record

ArticleVaccines2021

Surgical Treatment of Vulvar HSIL: Adjuvant HPV Vaccine Reduces Recurrent Disease.

Alessandro Ghelardi, Roberto Marrai, Giorgio Bogani, Francesco Sopracordevole, Paola Bay, Arianna Tonetti, Stefania Lombardi, Gloria Bertacca, Elmar A Joura

Open access · goldAbstract read
In one paragraph

Article in Vaccines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Guideline
  4. Pooled it
  5. Trial
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  20. HPV Vaccination: Polish-Language Facebook Discourse Analysis.International journal of environmental research and public health · 2022
    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

9 authors at 4 institutions in 2 countries.

Alessandro GhelardiAzienda USL Toscana Nord-Ovest, UOC Ostetricia e Ginecologia, Ospedale Apuane, Via Enrico Mattei, 21, 54100 Massa, Italy.ORCID 0000-0002-3686-1481
Roberto MarraiAzienda USL Toscana Nord-Ovest, UOC Ostetricia e Ginecologia, Ospedale Apuane, Via Enrico Mattei, 21, 54100 Massa, Italy.
Giorgio BoganiGynecological Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Via Giacomo Venezian, 1, 20133 Milano, Italy.ORCID 0000-0001-8373-8569
Francesco SopracordevoleCentro di Riferimento Oncologico, National Cancer Institute, Gynecological Oncology Unit, Via Franco Gallini, 2, 33081 Aviano, Italy.
Paola BayAzienda USL Toscana Nord-Ovest, UOC Ostetricia e Ginecologia, Ospedale Apuane, Via Enrico Mattei, 21, 54100 Massa, Italy.
Arianna TonettiAzienda USL Toscana Nord-Ovest, UOC Ostetricia e Ginecologia, Ospedale Apuane, Via Enrico Mattei, 21, 54100 Massa, Italy.
Stefania LombardiAzienda USL Toscana Nord Ovest, SSD Analisi Chimico Cliniche ed Immuno Allergologia, Ospedale Apuane, Via Enrico Mattei, 21, 54100 Massa, Italy.
Gloria BertaccaAzienda USL Toscana Nord Ovest, SSD Analisi Chimico Cliniche ed Immuno Allergologia, Ospedale Apuane, Via Enrico Mattei, 21, 54100 Massa, Italy.
Elmar A JouraDepartment of Gynecology and Obstetrics, Comprehensive Cancer Center, Medical University of Vienna, Austria Währinger Gürtel 18-20, 1090 Vienna, Austria.
Azienda Usl Toscana Centro · ITCentro di Riferimento Oncologico · ITComprehensive Cancer Center Vienna · ATFondazione IRCCS Istituto Nazionale dei Tumori · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data suggest that adjuvant human papillomavirus (HPV)-vaccination in women treated for cervical HPV diseases reduces recurrent disease. This study investigates adjuvant HPV-vaccination and the rate of recurrence in women undergoing surgery for vulvar high-grade squamous intraepithelial lesions (HSIL). From January 2013 to April 2020, we enrolled 149 women in a prospective case-control study. The control group (NV-group) was treated by standard surgery alone, while the study group received adjuvant vaccination soon after surgery (V-group). A follow-up was performed by vulvoscopy and HPV test. Statistical analysis was performed by Fisher's exact test. HSIL recurrence was observed in 24/76 (32%) patients in NV-group and in 8/42 patients (19%) of the vaccinated group. By analysing the recurrence rate related to the incident and reactivated latent HPV infection, we found a significant difference between (17/76) 22.3% in NV-group and (2/42) 4.8% in V-group (

Indexed as

adjuvant HPV vaccinationHPV vaccinationvulvar HSILvulvar HSIL treatment

Identifiers

PMID33503866
PMCPMC7911252
OpenAlexW3123992645

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.