Evidence map›Paper›PMID 37032449›Full record

ArticleCancer2023

Prevalence of oral and blood oncogenic human papillomavirus biomarkers among an enriched screening population: Baseline results of the MOUTH study.

Gypsyamber D'Souza, Sakshi R Tewari, Tanya Troy, Tim Waterboer, Linda Struijk, Rachel Castillo, Hannah Wright, Michael Shen, Brett Miles, Mattias Johansson and 2 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03644563 (Impacting the Oral HPV Continuum), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% 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.

NCT03644563 active not recruitingnot on this map

Impacting the Oral HPV Continuum: MOUTH Study (Men and Women Offering Understanding of Throat HPV)

Typeobservational_patient_registrySponsorJohns Hopkins UniversityRan2017 to 2028Enrolled1,500ConditionsOropharyngeal Cancer, Human Papilloma Virus
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Human Papillomavirus: A Narrative Review for Dental Providers in Prevention and Care.International journal of environmental research and public health · 2025
    Review
  7. Article
  8. Article
  9. Oncogenic Oral Human Papillomavirus Clearance Patterns over 10 Years.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  10. Article
  11. Review
  12. Review
  13. 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

12 authors at 5 institutions in 4 countries.

Gypsyamber D'SouzaDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.
Sakshi R TewariDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0003-4078-6290
Tanya TroyDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.
Tim WaterboerDivision of Infections and Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Linda StruijkViroclinics-DDL Diagnostic Laboratory, Rijswijk, Netherlands.
Rachel CastilloDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.
Hannah WrightDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.
Michael ShenDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.
Brett MilesDepartment of Otolaryngology-Head and Neck Surgery, Northwell Health, New York, New York, USA.
Mattias JohanssonGenomic Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.
Hilary A RobbinsGenomic Epidemiology Branch, International Agency for Research on Cancer, Lyon, France.
Carole FakhryDepartment of Epidemiology, Johns Hopkins University, Baltimore, Maryland, USA.ORCID 0000-0002-5251-6178
Johns Hopkins University · USCentre international de recherche sur le cancer · FRDDL Diagnostic Laboratory · NLGerman Cancer Research Center · DENorthwell Health · US

Funding

Impacting the oral HPV continuum: prevention, screening, and early detectionR35DE026631 · NIDCR · JOHNS HOPKINS UNIVERSITY · PI D'SOUZA, GYPSYAMBER · 2016 to 2023
$8.4M
Biomarkers of human papillomavirus (HPV) infection and risk of two increasing cancersU01CA195603 · NCI · INTERNATIONAL AGENCY FOR RES ON CANCER · PI BRENNAN, PAUL JOSEPH · 2015 to 2018
$1.8M
NCI NIH HHS 5U01CA195603NCI NIH HHS U01 CA195603NIDCR NIH HHS R35 DE026631World Health Organization 001
6 · The paper itself

Abstract

backgroundHuman papillomavirus (HPV)-related oropharyngeal cancer screening is being explored in research studies, but strategies to identify an appropriate population are not established. The authors evaluated whether a screening population could be enriched for participants with oncogenic HPV biomarkers using risk factors for oral HPV.

methodsParticipants were enrolled at Johns Hopkins Hospitals and Mount Sinai Icahn School of Medicine. Eligible participants were either men aged 30 years or older who had two or more lifetime oral sex partners and a personal history of anogenital dysplasia/cancer or partners of patients who had HPV-related cancer. Oral rinse and serum samples were tested for oncogenic HPV DNA, RNA, and E6 or E7 antibodies, respectively. Participants with any biomarker were considered at-risk.

resultsOf 1108 individuals, 7.3% had any oncogenic oral HPV DNA, and 22.9% had serum antibodies for oncogenic HPV E6 or E7. Seventeen participants (1.5%) had both oral and blood biomarkers. HPV type 16 (HPV16) biomarkers were rarer, detected in 3.7% of participants, including 20 with oral HPV16 DNA and 22 with HPV16 E6 serum antibodies (n = 1 had both). In adjusted analysis, living with HIV (adjusted odds ratio, 2.65; 95% CI, 1.60-4.40) and older age (66-86 vs. 24-45 years; adjusted odds ratio, 1.70; 95% CI, 1.07-2.70) were significant predictors of being at risk. Compared with the general population, the prevalence of oral HPV16 (1.8% vs. 0.9%), any oncogenic oral HPV DNA (7.3% vs. 3.5%), and HPV16 E6 antibodies (2.2% vs. 0.3%) was significantly elevated.

conclusionsEnrichment by the eligibility criteria successfully identified a population with higher biomarker prevalence, including HPV16 biomarkers, that may be considered for screening trials. Most in this group are still expected to have a low risk of oropharyngeal cancer.

Indexed as

Oropharyngeal NeoplasmsPapillomavirus InfectionsBiomarkersHuman papillomavirus 16Human Papillomavirus VirusesHumansMaleMouthPrevalenceRisk FactorsBiomarkersantibodybiomarkerhuman papillomavirus (HPV)oral sexoropharyngeal cancer (OPC)screening

Identifiers

PMID37032449
PMCPMC10330354
OpenAlexW4362735812

What OpenQuestion holds

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Registered trials

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.