Evidence map›Paper›PMID 34591928›Full record

SynthesisPloS one2021

Prevalence of HER2 overexpression and amplification in cervical cancer: A systematic review and meta-analysis.

Boris Itkin, Agustin Garcia, Samanta Straminsky, Eduardo Daniel Adelchanow, Matias Pereyra, Gabriela Acosta Haab, Ariel Bardach

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 11% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Evaluation of HER2 and Nectin-4 Expression in Primary Vaginal Cancers.International journal of molecular sciences · 2026
    Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Research Progress of HER2 in Cervical Carcinoma.Cancer management and research · 2026
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Advances in cervical cancer: current insights and future directions.Cancer communications (London, England) · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Contemporary Review of Adenocarcinoma of the Cervix.Current treatment options in oncology · 2024
    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 3 institutions in 1 country.

Boris ItkinDepartment of Oncology, Juan A Fernández Hospital, Buenos Aires, Argentina.ORCID 0000-0001-8837-8427
Agustin GarciaDepartment of Oncology, María Curie Hospital, Buenos Aires, Argentina.ORCID 0000-0003-1451-0848
Samanta StraminskyDepartment of Oncology, Juan A Fernández Hospital, Buenos Aires, Argentina.
Eduardo Daniel AdelchanowDepartment of Oncology, Hospital Nacional Profesor Alejandro Posadas, Morón, Argentina.ORCID 0000-0001-5471-0874
Matias PereyraDepartment of Pathology, Juan A Fernández Hospital, Buenos Aires, Argentina.
Gabriela Acosta HaabDepartment of Pathology, María Curie Hospital, Buenos Aires, Argentina.
Ariel BardachCenter for Research in Epidemiology and Public Health, Institute for Clinical Effectiveness and Health Policy (IECS)-National Scientific and Technical Research Council-Argentina, Buenos Aires, Argentina.
Hospital Fernández · ARHospital Posadas · ARInstituto de Efectividad Clínica y Sanitaria · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The reported rates of HER2 positivity in cervical cancer (CC) range from 0% to 87%. The importance of HER2 as an actionable target in CC would depend on HER2 positivity prevalence. Our aim was to provide precise estimates of HER2 overexpression and amplification in CC, globally and by relevant subgroups. We conducted a PRISMA compliant meta-analytic systematic review. We searched Medline, EMBASE, Cochrane database, and grey literature for articles reporting the proportion of HER2 positivity in CC. Studies assessing HER2 status by immunohistochemistry or in situ hybridization in invasive disease were eligible. We performed descriptive analyses of all 65 included studies. Out of these, we selected 26 studies that used standardized American Society of Clinical Oncology / College of American Pathologists (ASCO/CAP) Guidelines compliant methodology. We conducted several meta-analyses of proportions to estimate the pooled prevalence of HER2 positivity and subgroup analyses using geographic region, histology, tumor stage, primary antibody brand, study size, and publication year as moderators. The estimated pooled prevalence of HER2 overexpression was 5.7% (CI 95%: 1.5% to 11.7%) I2 = 87% in ASCO/CAP compliant studies and 27.0%, (CI 95%: 19.9% to 34.8%) I2 = 96% in ASCO/CAP non-compliant ones, p < 0.001. The estimated pooled prevalence of HER2 amplification was 1.2% (CI 95%: 0.0% to 5.8%) I2 = 0% and 24.9% (CI 95%: 12.6% to 39.6%) I2 = 86%, respectively, p = 0.004. No other factor was significantly associated with HER2 positivity rates. Our results suggest that a small, but still meaningful proportion of CC is expected to be HER2-positive. High heterogeneity was the main limitation of the study. Variations in previously reported HER2 positivity rates are mainly related to methodological issues.

Indexed as

Gene AmplificationGene Expression Regulation, NeoplasticErb-b2 Receptor Tyrosine KinasesFemaleHumansUterine Cervical NeoplasmsERBB2 protein, humanErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID34591928
PMCPMC8483403
OpenAlexW3134885049

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.