Evidence map›Paper›PMID 35252846›Full record

ArticleGynecology and pelvic medicine2020

The vaginal microbiota, high-risk human papillomavirus infection, and cervical cytology: results from a population-based study.

Kimberly S McKee, Kayla A Carter, Christine Bassis, Vincent B Young, Barbara Reed, Diane M Harper, Mack T Ruffin, Jason D Bell

Abstract read
In one paragraph

Article in Gynecology and pelvic medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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.

Kimberly S McKeeDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Kayla A CarterSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Christine BassisDepartment of Internal Medicine/Division of Infectious Diseases, University of Michigan, Ann Arbor, MI, USA.
Vincent B YoungDepartment of Internal Medicine/Division of Infectious Diseases, University of Michigan, Ann Arbor, MI, USA.
Barbara ReedDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Diane M HarperDepartment of Family Medicine, University of Michigan, Ann Arbor, MI, USA.
Mack T RuffinDepartment of Family and Community Medicine, Penn State Health, Milton S. Hershey Medical Center, Hershey, PA, USA.
Jason D BellDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, USA.

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
The Ohio State University Center for clinical and Translational ScienceUL1TR001070 · NCATS · OHIO STATE UNIVERSITY · PI JACKSON, REBECCA D · 2013 to 2017
$22.6M
TRAINING AND CAREER DEVELOPMENTP50CA105632 · NCI · OHIO STATE UNIVERSITY · PI PASKETT, ELECTRA D. · 2003 to 2016
$17.2M
NCATS NIH HHS UL1 TR001070NCI NIH HHS P30 CA016058NCI NIH HHS P30 CA046592NCI NIH HHS P50 CA105632
6 · The paper itself

Abstract

backgroundThe relationship between the vaginal microbiota, high-risk human papillomavirus infection, and abnormal cervical cytology has not been well characterized. Our objective was to characterize the vaginal microbiota in a stratified random sample of women from a population-based study in Appalachia.

methodsWe analyzed a random sample of 308 women in the Community Access, Resources and Education: Project 3 study across 16 clinics in Ohio and West Virginia. Using Illumina MiSeq sequencing of 16S rRNA gene amplicons, we characterized the vaginal microbiota among (I) 109 women randomly chosen with abnormal cervical cytology (i.e., the majority were atypical squamous cells of undetermined significance (n=55) and low-grade squamous intraepithelial lesions (n=45) while n=6 were high-grade squamous intraepithelial lesions and n=3 were atypical glandular cells); (II) 110 high-risk human papillomavirus infection only without cytologic abnormality; and (III) 89 women from a stratified random sample without cytologic abnormalities (negative for intraepithelial lesion or malignancy or any human papillomavirus infection). Among the women with abnormal cervical cytology (n=109), 80 had human papillomavirus infection, the majority of which were positive for a high-risk type (n=61).

resultsNearly all of the women were non-Hispanic White (94.5%), and the mean age was 26 (IQR=21-39) years. Women with abnormal cervical cytology or who were HPV+ were more likely to have a diverse vaginal microbiota characterized by higher

conclusionsCompared to women without cytologic abnormalities, the vaginal microbiota of women with abnormal cervical cytology or who were high-risk HPV+ were characterized by a diverse community with increased relative abundance of

Indexed as

cervical cytologyhigh-risk human papillomavirus infectionVaginal microbiota

Identifiers

PMID35252846
PMCPMC8896808

What OpenQuestion holds

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Registered trials

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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.