Evidence map›Paper›PMID 37529935›Full record

SynthesisHuman vaccines & immunotherapeutics2023

Human papillomavirus vaccine effectiveness by age at vaccination: A systematic review.

Mallory K Ellingson, Hassan Sheikha, Kate Nyhan, Carlos R Oliveira, Linda M Niccolai

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Human vaccines & immunotherapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 4 pooled it
22.5field-weighted citation impact, top 1% 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

84 citing papers in PubMed, 4 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
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  16. Article
  17. Is It Time to Reassess the Target Age of Human Papillomavirus Vaccination Globally?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  18. Article
  19. Article
  20. Awareness is inadequate among high school children about the hepatitis B virus infection in India.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article

24 more citing papers are in PubMed but not listed here.

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

5 authors at 1 institution in 1 country.

Mallory K EllingsonDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, USA.ORCID 0000-0003-2729-0661
Hassan SheikhaDepartment of Pediatrics, Yale School of Medicine, Yale University, New Haven, USA.
Kate NyhanHarvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, USA.
Carlos R OliveiraDepartment of Pediatrics, Yale School of Medicine, Yale University, New Haven, USA.
Linda M NiccolaiDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, Yale University, New Haven, USA.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Effectiveness of HPV Vaccine by Age at Immunization as Used in Clinical PracticeR01AI123204 · NIAID · YALE UNIVERSITY · PI NICCOLAI, LINDA M · 2017 to 2020
$1.8M
Clinical Epidemiology of Pediatric COVID-19 and MIS-CK23AI159518 · NIAID · YALE UNIVERSITY · PI OLIVEIRA, CARLOS RAFAEL · 2021 to 2024
$729k
Identifying the multi-level factors influencing provider recommendations of adolescent vaccines: A mixed methods studyF31AI167626 · NIAID · YALE UNIVERSITY · PI ELLINGSON, MALLORY · 2022 to 2023
$94k
NCATS NIH HHS UL1 TR001863NIAID NIH HHS F31 AI167626NIAID NIH HHS K23 AI159518NIAID NIH HHS R01 AI123204
6 · The paper itself

Abstract

Human papillomavirus (HPV) vaccines work by preventing infections prior to natural exposure. Thus, it is likely more effective at younger ages, and it is important to understand how effectiveness might be diminished when administered at older ages. We conducted a systematic review of HPV vaccine effectiveness studies published between 2007 and 2022 that included an analysis of effectiveness against vaccine-type HPV infections, anogenital warts, cervical abnormalities and cervical cancer by age at vaccine initiation or completion. Searching multiple databases, 21 studies were included and results were summarized descriptively. Seventeen studies found the highest vaccine effectiveness in the youngest age group. Vaccine effectiveness estimates for younger adolescents ages 9-14 years ranged from approximately 74% to 93% and from 12% to 90% for adolescents ages 15-18 years. These results demonstrate that the HPV vaccine is most effective against HPV-related disease outcomes when given at younger ages, emphasizing the importance of on-time vaccination.

Indexed as

Papillomavirus InfectionsPapillomavirus VaccinesUterine Cervical NeoplasmsAdolescentFemaleHuman Papillomavirus VirusesHumansVaccinationVaccine EfficacyPapillomavirus VaccinesHPVhuman papillomavirusVaccinevaccine effectiveness

Identifiers

PMID37529935
PMCPMC10399474
OpenAlexW4385475982

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.