Evidence map›Paper›PMID 37773080›Full record

ArticleInfectious agents and cancer2023

Do women with high-risk HPV E6/E7 mRNA test positivity and NILM cytology need colposcopy?

Ying Liu, Xiu Jin, Yingying Gong, Yingying Ma, Beibei Du, Linqing Yang, Yunfei Wang, Weipei Zhu

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Article in Infectious agents and cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ying LiuDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Xiu JinDepartment of Gynecology, Affiliated Hospital of Jining Medical University, Shandong, 272000, China.
Yingying GongDepartment of Gynecology, Affiliated Hospital of Jining Medical University, Shandong, 272000, China.
Yingying MaDepartment of Gynecology, Affiliated Hospital of Jining Medical University, Shandong, 272000, China.
Beibei DuDepartment of Gynecology, Affiliated Hospital of Jining Medical University, Shandong, 272000, China.
Linqing YangDepartment of Gynecology, Affiliated Hospital of Jining Medical University, Shandong, 272000, China.
Yunfei WangDepartment of Gynecology, Affiliated Hospital of Jining Medical University, Shandong, 272000, China. wangyunfei@mail.jnmc.edu.cn.
Weipei ZhuDepartment of Obstetrics and Gynecology, The Second Affiliated Hospital of Soochow University, Suzhou, 215000, China. zwp6507@163.com.

Funding

Research Fund for Academician Lin He New Medicine JYHL2018FMS07,JYHL2022FMS01Shandong Provincial Traditional Chinese Medicine Science and Technology Development Project M-2022242the Key R&D Program of Jining 2020YXNS026,2021YXNS085,2022YXNS007the National Natural Science Foundation of China 81502255
6 · The paper itself

Abstract

purposeThis study aimed to assess the value of an HPV E6/E7 mRNA assay and HPV 16 18/45 genotype assay combined with age stratification for triaging women negative for intraepithelial lesions or malignancy (NILM) cytology.

methodsFrom January 2017 to December 2021, a total of 162,309 eligible women underwent cervical cancer screening at the Affiliated Hospital of Jining Medical University, China. Excluding those with negative HPV E6/E7 mRNA, abnormal and unsatisfactory cytology, and those who failed to undergo colposcopy, 6,845 women were ultimately included in our study. We analysed the triage guidance for different subtypes of HPV in the presence of NILM cytology.

resultsAmong 162,309 women, 19,834 (12.2%) were positive for HPV E6/E7 mRNA. Of the 6,845 women included in the study, 1,941 (28.4%), 561 (8.2%), 55 (0.8%) and 4,288 (62.6%) tested positive for HPV 16, HPV 18/45, HPV16/18/45 or other HR-HPV genotypes, respectively. The proportions of LSIL+ (including LSIL, HSIL and ICC) and HSIL+ (including HSIL and ICC) pathological results in the HPV 16/18/45 + group were 57% and 34.1%, respectively, higher than 36.3% and 11% in the other HR-HPV + group (χ

conclusionThe rate of histopathological abnormalities was still high for the other HR-HPV subtypes with NILM cytology, although the rate of histopathological abnormalities was much higher for the HPV 16/18/45 positive subtypes. Therefore, colposcopy should be performed in women with HPV E6/E7 mRNA positivity and NILM cytology, regardless of age and HPV genotype.

Indexed as

Cervical screeningGenotypingHPV E6/E7 mRNANILM

Identifiers

PMID37773080
PMCPMC10542237

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