Evidence map›Paper›PMID 35922825›Full record

ArticleInfectious agents and cancer2022

Incidence of oncogenic HPV and HPV-related dysplasia five years after a negative HPV test by self-sampling in elderly women.

Ruth S Hermansson, Matts Olovsson, Inger Gustavsson, Ulf Gyllensten, Olga Lindkvist, Julia Hedlund Lindberg, Gabriella Lillsunde-Larsson, Annika K Lindström

Open access · goldAbstract read
In one paragraph

Article in Infectious agents and cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Cervical cancer screening strategies in women 65 years and older in the human papillomavirus era: A systematic review and meta-analysis of human papillomavirus-based testing and self-sampling approaches.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Pooled it
  2. bioRxiv : the preprint server for biology · 2025
    Article
  3. Review
  4. 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

8 authors at 2 institutions in 1 country.

Ruth S HermanssonDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden. Ruth.Hermansson@kbh.uu.se.ORCID http://orcid.org/0000-0002-6549-9311
Matts OlovssonDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Inger GustavssonDepartment of Immunology, Genetics, and Pathology, Uppsala University, Uppsala, Sweden.
Ulf GyllenstenDepartment of Immunology, Genetics, and Pathology, Uppsala University, Uppsala, Sweden.
Olga LindkvistDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Julia Hedlund LindbergDepartment of Immunology, Genetics, and Pathology, Uppsala University, Uppsala, Sweden.
Gabriella Lillsunde-LarssonDepartment of Laboratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Annika K LindströmDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Uppsala University · SEÖrebro University · SE

Funding

Lions Research fund Uppsala grant number 56131. 56131.the Regional Research Council Uppsala -Orebro, grant number RFR-931226 RFR-931226
6 · The paper itself

Abstract

purposeCervical cancer prevention for older women can be challenging since there are no specific guidelines for this group. This study aimed to determine the incidence of oncogenic HPV and HPV-related dysplasia in elderly women 5 years after being HPV negative.

methodsInvited women participated five years earlier in a study where self-sampling for HPV testing was applied, at this time, they were all HPV negative. The women were now, five years later invited to perform self-sampling for HPV testing. Women with a positive result performed a repeat HPV test. Those with a positive repeat HPV test were examined by colposcopy, biopsy and cytology.

resultsOf the 804 invited women, 634 (76.9%) agreed to participate in the study and a self-sampling kit was sent to them. Of these, 99.6% (632/634) sent a sample to the HPV laboratory. The participation rate in each age group was 93.3% at age 65, 74.0% at age 70, 80.7% at age 75 and 64.6% at age 80. Overall 18 women (2.8%, 95% CI 3.2 to 6.0) were HPV positive in the first test and 8 (1.3%, 95% CI 0.6 to 2.6) in the second test. Sampling for the second test was done on average 5.4 months after the first test. Fifty per cent (4/8) of the women with a positive repeat test had dysplasia in histology.

conclusionThe incidence of HPV in previously HPV-negative elderly women was low. Among women who were HPV positive in a repeat test, there was a high prevalence of low grade dysplasia.

Indexed as

Cervical intraepithelial neoplasiaCervixElderlyHPVSelf-sampling

Identifiers

PMID35922825
PMCPMC9351123
OpenAlexW4289550280

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.