Evidence map›Paper›PMID 36730877›Full record

SynthesisJCO global oncology2023

Human Papillomavirus-Associated Head and Neck Malignancies in Sub-Saharan Africa: A Systematic Review.

Samuel Okerosi, Lillian Wairimu Mokoh, Fidel Rubagumya, Brandon Asuman Niyibizi, Aslam Nkya, Katherine Van Loon, Geoffrey Buckle, Stephen Bent, Patrick Ha, Johannes J Fagan and 3 more

Abstract readSystematic Review
In one paragraph

Synthesis in JCO global oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

13 authors.

Samuel OkerosiENT, Kenyatta National Hospital, ENT Department, Nairobi, Kenya.ORCID 0000-0001-6365-0076
Lillian Wairimu MokohENT, Kenyatta University Teaching, Research and Referral Hospital, Nairobi, Kenya.
Fidel RubagumyaDepartment of Oncology, Rwanda Military Hospital, Kigali, Rwanda.ORCID 0000-0002-8129-5714
Brandon Asuman NiyibiziRwanda Cancer Relief, Kigali, Rwanda.ORCID 0000-0003-4041-709X
Aslam NkyaDepartment of Otorhinolaryngology, Muhimibili National Hospital, Dar es Salaam, Tanzania.
Katherine Van LoonDepartment of Medicine, University of California San Francisco, San Francisco, CA.ORCID 0000-0002-9705-4114
Geoffrey BuckleDepartment of Medicine, University of California San Francisco, San Francisco, CA.ORCID 0000-0001-7721-0397
Stephen BentDepartment of Medicine, University of California San Francisco, San Francisco, CA.
Patrick HaDepartment of Medicine, Division of Hematology and Oncology, University of California, San Francisco, CA.ORCID 0000-0003-0306-6147
Johannes J FaganDivision of Otolaryngology, University of Cape Town, Cape Town, South Africa.
Dianna NgDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0001-5410-2326
Joyce AswaniDepartment of Surgery, University of Nairobi, Nairobi, Kenya.
Mary Jue XuDepartment of Medicine, Division of Hematology and Oncology, University of California, San Francisco, CA.ORCID 0000-0002-4996-6362

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
A multi-faceted intervention to promote breast cancer hormone receptor testing in TanzaniaK08CA263299 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Dianna L. Ng · 2021 to 2026
$1.3M
NCI NIH HHS K08 CA263299NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeThe proportion of head and neck cancers (HNCs) with human papillomavirus (HPV) positivity in sub-Saharan Africa (SSA) is poorly characterized. Characterizing this has implications in staging, prognosis, resource allocation, and vaccination policies. This study aims to determine the proportion of HPV-associated HNC in SSA. MATERIALS AND

methodsThis systematic review included searches from PubMed, EMBASE, Web of Science, African Index Medicus, Google Scholar, and African Journals Online. All English publications reporting the proportion of HNC specimens from SSA patients who tested positive for HPV and/or p16 were included. Study quality was assessed using the National Institutes of Health Quality Assessment Tool for Case Series Studies.

resultsIn this systematic review of 31 studies and 3,850 patients, the overall p16 positivity was 13.6% (41 of 1,037 patients tested) with the highest proportion among oropharyngeal cancers (20.3%, 78 of 384 patients) and the overall HPV polymerase chain reaction positivity was 15.3% (542 of 3,548 samples tested) with the highest proportion among nasopharyngeal cancers (16.5%, 23 of 139 patients). Among the 369 HPV strains detected, the most common genotypes were HPV 16 (226 patients, 59.2%) and HPV 18 (78, 20.4%).

conclusionHPV was found to be associated with a significant proportion of HNC in SSA. The genotypes reported suggest that the nine-valent vaccine and gender-neutral vaccination policies should be considered. Given that these studies may not accurately capture prevalence nor causation of HPV in HNC subsites, additional research is needed to provide a more thorough epidemiologic understanding of HPV-associated HNC in SSA, including risk factors and clinical outcomes.

Indexed as

Head and Neck NeoplasmsPapillomavirus InfectionsHuman Papillomavirus VirusesHumansPapillomaviridaeRisk FactorsUnited States

Identifiers

PMID36730877
PMCPMC10166441

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.