Evidence map›Paper›PMID 36990828›Full record

ArticleVaccine2023

Health care provider knowledge around shared clinical decision-making regarding HPV vaccination of adults aged 27-45 years in the United States.

Courtney A Gidengil, Andrew M Parker, Lauri E Markowitz, Amber M Gedlinske, Natoshia M Askelson, Christine A Petersen, Elissa Meites, Megan C Lindley, Aaron M Scherer

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Testing an HPV Vaccine Decision Aid for 27- to 45-Year-Old Adults in the United States: A Randomized Trial.Medical decision making : an international journal of the Society for Medical Decision Making · 2025
    Trial
  2. Article
  3. Article
  4. Clinician Perspectives on the Implementation of a Web-Based Tool to Support Shared Decision-Making for Mid-Adult HPV Vaccination.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. 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

9 authors at 3 institutions in 1 country.

Courtney A GidengilRAND Corporation, Boston, MA, United States. Electronic address: gidengil@rand.org.
Andrew M ParkerRAND Corporation, Pittsburgh, PA, United States.
Lauri E MarkowitzDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Amber M GedlinskeUniversity of Iowa, Iowa City, IA, United States.
Natoshia M AskelsonUniversity of Iowa, Iowa City, IA, United States.
Christine A PetersenUniversity of Iowa, Iowa City, IA, United States.
Elissa MeitesDivision of Viral Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Megan C LindleyImmunization Services Division, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Aaron M SchererUniversity of Iowa, Iowa City, IA, United States.
University of Iowa · USCenters for Disease Control and Prevention · USRAND Corporation · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
RFA-IP20-005: Informing Immunization Strategies Through Rapid, Repeated Computer-Assisted Self-Interviewing Instruments and Online Panels of Physicians and the PublicU01IP001144 · IP · UNIVERSITY OF IOWA · PI GIDENGIL, COURTNEY, PARKER, ANDREW · 2020 to 2024
$2.9M
ACL HHS U01IP001144Intramural CDC HHS CC999999NCI NIH HHS P30 CA086862NCIRD CDC HHS U01 IP001144
6 · The paper itself

Abstract

backgroundThe Advisory Committee on Immunization Practices (ACIP) recommends shared clinical decision-making (SCDM) regarding HPV vaccination for adults aged 27-45 years who are not adequately vaccinated. The objective of this survey was to understand physician knowledge, attitudes, and practices regarding HPV vaccination in this age group.

methodsAn online survey was administered in June 2021 to physicians who reported practicing internal medicine, family medicine, or obstetrics and gynecology (targeted N = 250 in each practice specialty), selected randomly from potentially eligible physicians from a panel of 2 million U.S. health care providers.

resultsIn total, 753 physicians participated in the survey: 33.3% practiced internal medicine, 33.1% practiced family medicine, and 33.6% practiced obstetrics/gynecology; 62.5% were male and mean physician age was 52.7 years. Despite the COVID-19 pandemic, at least a third of participating physicians in each practice specialty reported having more HPV vaccine SCDM discussions with patients aged 27-45 years in the past 12 months. While a majority of physicians (79.7%) reported being aware of the SCDM recommendation for adults in this age group, only half of physicians answered an objective knowledge question about SCDM recommendations correctly.

conclusionsFindings suggest that there are physician knowledge gaps related to SCDM for HPV vaccination. To improve access to HPV vaccination for people most likely to benefit, increasing availability and use of decision aids to support SCDM discussions might help healthcare providers and patients jointly make the most informed decisions about HPV vaccination.

Indexed as

COVID-19Papillomavirus InfectionsPapillomavirus VaccinesAdultFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansMalePandemicsPregnancyUnited StatesVaccinationPapillomavirus VaccinesAdult vaccinesHPV vaccinesHuman papillomavirus vaccineShared clinical decision-making

Identifiers

PMID36990828
PMCPMC10337214
OpenAlexW4360992644

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.