Evidence map›Paper›PMID 38247106›Full record

SynthesisCancer medicine2024

A systematic literature review of the human papillomavirus prevalence in locally and regionally advanced and recurrent/metastatic head and neck cancers through the last decade: The "ALARM" study.

Sofia Agelaki, Ioannis Boukovinas, Ilias Athanasiadis, Georgios Trimis, Ioannis Dimitriadis, Lazaros Poughias, Edith Morais, Ugne Sabale, Goran Bencina, Charalampos Athanasopoulos

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

10 authors at 7 institutions in 4 countries.

Sofia AgelakiLaboratory of Translational Oncology, School of Medicine, University of Crete, Herakleion, Greece.
Ioannis BoukovinasBioclinic Thessaloniki Medical Oncology Unit, Thessaloniki, Greece.
Ilias AthanasiadisDepartment of Medical Oncology, Mitera Hospital, Athens, Greece.
Georgios TrimisMSD, Medical Affairs, Athens, Greece.
Ioannis DimitriadisMSD, Medical Affairs, Athens, Greece.
Lazaros PoughiasMSD, Medical Affairs, Athens, Greece.
Edith MoraisMSD, Center for Observational and Real-World Evidence (CORE), Lyon, France.
Ugne SabaleMSD, Center for Observational and Real-World Evidence (CORE), Stockholm, Sweden.
Goran BencinaMSD, Center for Observational and Real-World Evidence (CORE), Madrid, Spain.
Charalampos AthanasopoulosMSD, Medical Affairs, Athens, Greece.ORCID 0009-0002-5840-5564
Athens Medical Center · GRBioClinica (United States) · USDiagnostics for the Real World (United States) · USMitera Hospital · GRMSD (Spain) · ESMSD (Sweden) · SEUniversity of Crete · GR

Funding

Merck Sharp & Dohme LLC, a subsidiary of Merck & Co, Inc., Rahway, NJ, USA
6 · The paper itself

Abstract

aimsThe aim of this systematic literature review was to provide updated information on human papillomavirus (HPV) prevalence in locally and regionally advanced (LA) and recurrent/metastatic (RM) head and neck cancer (HNC) worldwide.

methodsElectronic searches were conducted on clinicaltrials.gov, MEDLINE/PubMed, Embase, and ASCO/ESMO journals of congresses for interventional studies (IS; Phase I-III trials) as well as MEDLINE and Embase for non-interventional studies (NIS) of LA/RM HNC published between January 01, 2010 and December 31, 2020. Criteria for study selection included: availability of HPV prevalence data for LA/RM HNC patients, patient enrollment from January 01, 2010 onward, and oropharyngeal cancer (OPC) included among HNC types. HPV prevalence per study was calculated as proportion of HPV+ over total number of enrolled patients. For overall HPV prevalence across studies, mean of reported HPV prevalence rates across studies and pooled estimate (sum of all HPV+ patients over sum of all patients enrolled) were assessed.

resultsEighty-one studies (62 IS; 19 NIS) were included, representing 9607 LA/RM HNC cases, with an overall mean (pooled) HPV prevalence of 32.6% (25.1%). HPV prevalence was 44.7% (44.0%) in LA and 24.3% (18.6%) in RM. Among 2714 LA/RM OPC patients from 52 studies with available data, mean (pooled) value was 55.8% (50.7%). The majority of data were derived from Northern America and Europe, with overall HPV prevalence of 46.0% (42.1%) and 24.7% (25.3%) across studies conducted exclusively in these geographic regions, respectively (Northern Europe: 31.9% [63.1%]). A "p16-based" assay was the most frequently reported HPV detection methodology (58.0%).

conclusionOver the last decade, at least one quarter of LA/RM HNC and half of OPC cases studied in IS and NIS were HPV+. This alarming burden is consistent with a potential implication of HPV in the pathogenesis of at least a subgroup of HNC, underscoring the relevance of HPV testing and prophylaxis to HNC prevention and management.

Indexed as

Head and Neck NeoplasmsHuman Papillomavirus VirusesOropharyngeal NeoplasmsPapillomavirus InfectionsHumansNeoplasm Recurrence, LocalPapillomaviridaePrevalencecancer preventioncancer risk factorsepidemiology and preventionhead and neck cancerviral oncology

Identifiers

PMID38247106
PMCPMC10905345
OpenAlexW4391109224

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.