Evidence map›Paper›PMID 38400073›Full record

ArticleViruses2024

Association between Human Papillomavirus 16 Viral Load in Pregnancy and Preterm Birth.

Pranamika Khayargoli, Marie-Hélène Mayrand, Joseph Niyibizi, François Audibert, Louise Laporte, Julie Lacaille, Ana Maria Carceller, Jacques Lacroix, Émilie Comète, François Coutlée and 2 more

Abstract read
In one paragraph

Article in Viruses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Observational
  5. 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

12 authors.

Pranamika KhayargoliDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.ORCID 0009-0003-3110-3256
Marie-Hélène MayrandDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.
Joseph NiyibiziDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.
François AudibertDepartment of Obstetrics and Gynecology, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, QC H3T 1C5, Canada.ORCID 0000-0002-2697-3826
Louise LaporteCentre de Recherche du Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, QC H3T 1C5, Canada.
Julie LacailleCentre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, QC H2X 0A9, Canada.
Ana Maria CarcellerDepartment of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, QC H3T 1C5, Canada.
Jacques LacroixDepartment of Pediatrics, Centre Hospitalier Universitaire Sainte-Justine, Université de Montréal, Montreal, QC H3T 1C5, Canada.
Émilie ComèteCentre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, QC H2X 0A9, Canada.
François CoutléeDépartement de Microbiologie, Infectiologie et Immunologie, Université de Montréal, Montreal, QC H3T 1J4, Canada.
Helen TrottierDepartment of Social and Preventive Medicine, Université de Montréal, Montreal, QC H3N 1X9, Canada.ORCID 0000-0003-3293-7837
HERITAGE Study Group

Funding

CIHR MOP-93564 and MOP-136833
6 · The paper itself

Abstract

Recent evidence shows increased preterm birth risk with human papillomavirus-16 (HPV16) infection during pregnancy. This study aimed to measure the association between HPV16 viral load during pregnancy and preterm birth. We used data from participants in the HERITAGE study. The Linear Array assay was used for HPV DNA testing on vaginal samples collected during the first and third trimesters of pregnancy. The HPV16 viral load was measured with a real-time polymerase chain reaction. We used logistic regression to measure the associations between HPV16 viral load during pregnancy and preterm birth (defined as birth before 37 weeks of gestation). The adjusted odd ratios (aORs) and the 95% confidence intervals [CIs] were estimated with inverse probability treatment weighting of the propensity score. This study included 48 participants who tested positive for HPV16 during the first trimester of pregnancy. The aOR for the association between first-trimester HPV16 viral load (higher viral load categorized with a cutoff of 0.5 copy/cell) was 13.04 [95% CI: 1.58-107.57]). Similar associations were found using different cutoffs for the categorization of viral load during the first and third trimesters. Our findings suggest a strong association between a high HPV16 viral load during pregnancy and preterm birth, demonstrating a biological gradient that reinforces the biological plausibility of a causal association.

Indexed as

Papillomavirus InfectionsPremature BirthDNA, ViralFemaleHuman papillomavirus 16HumansInfant, NewbornPregnancyReal-Time Polymerase Chain ReactionViral LoadDNA, ViralHPV16human papillomavirus (HPV)pregnancypreterm birthviral load

Identifiers

PMID38400073
PMCPMC10892609

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.