Evidence map›Paper›PMID 33956402›Full record

SynthesisInternational forum of allergy & rhinology2021

HPV in the malignant transformation of sinonasal inverted papillomas: A meta-analysis.

Wesley H Stepp, Zainab Farzal, Adam J Kimple, Charles S Ebert, Brent A Senior, Adam M Zanation, Brian D Thorp

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in International forum of allergy & rhinology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
4.0field-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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Human Papilloma Virus Infection and Sinonasal Inverted Papilloma Recurrence: A Meta-Analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Global research on sinonasal inverted papilloma over the past two decades: a bibliometric analysis.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2024
    Article
  11. Human Papillomavirus Infection andJournal of personalized medicine · 2023
    Article
  12. Etiology of sinonasal inverted papilloma: An update.Laryngoscope investigative otolaryngology · 2022
    Review
  13. Article
  14. Human Papillomavirus-Related Carcinomas of the Sinonasal Tract.Current otorhinolaryngology reports · 2022
    Article
  15. Review
  16. Article
  17. 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

7 authors at 1 institution in 1 country.

Wesley H SteppDepartment of Otolaryngology, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0003-2213-1872
Zainab FarzalDepartment of Otolaryngology, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina, USA.
Adam J KimpleDepartment of Otolaryngology, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0003-1670-8401
Charles S EbertDepartment of Otolaryngology, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina, USA.
Brent A SeniorDepartment of Otolaryngology, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina, USA.
Adam M ZanationDepartment of Otolaryngology, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina, USA.
Brian D ThorpDepartment of Otolaryngology, School of Medicine, The University of North Carolina, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · US

Funding

Re-Entry Supplement: Investigation of Oral Microbial Enzymes for the Detection and Treatment of Periodontal DiseaseUL1TR002489 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BUSE, JOHN BERNARD, SHAHEEN, NICHOLAS J · 2018 to 2022
$48.6M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008719 · NIGMS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DARVILLE, TONI, DESHMUKH, MOHANISH P · 1999 to 2023
$15.1M
North Carolina Translational and Clinical Science Institute (NC TraCS) KL2KL2TR002490 · NCATS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI WEINBERGER, MORRIS · 2018 to 2022
$11.0M
NCATS NIH HHS KL2 TR002490NCATS NIH HHS UL1 TR002489NIGMS NIH HHS T32 GM008719
6 · The paper itself

Abstract

objectivesTo date, there is still a significant debate on the role of human papilloma virus (HPV) infection in transformation of inverted papillomas (IPs) to squamous cell carcinoma (SCC). This study was designed to determine if the presence of HPV in a sinonasal IP increases the risk of malignant transformation to IPSCC.

methodsFollowing Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 19 high-quality case-control and cohort studies with tissue-diagnosed IP or IPSCC and HPV diagnosis were analyzed. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using the Mantel-Haenszel method with correction for random effects. Subgroup, publication bias and a sensitivity analyses were also performed.

resultsNineteen studies with minimal bias met the inclusion criteria for quality and identified HPV infection in an IP. The pooled data revealed a strong association with progression to malignancy with an unweighted, pooled OR of 2.38 (CI

conclusionsThere appears to be a significant association between HPV infection and malignant transformation of IPs. While HPV testing is not currently the standard of care for IPs, these data suggest a link between the two and suggest further studies should be performed to identify a link between the virus and malignant transformation.

Indexed as

Carcinoma, Squamous CellNose NeoplasmsPapilloma, InvertedPapillomavirus InfectionsParanasal Sinus NeoplasmsHumanshead and neck cancerHPVhuman papilloma virusinverted papillomasinonasal tumorsskull base cancer

Identifiers

PMID33956402
PMCPMC9363156
OpenAlexW3159531391

What OpenQuestion holds

Textmetadata
LicenceTDM
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.