Evidence map›Paper›PMID 38672691›Full record

ReviewCancers2024

Imiquimod Is Effective in Reducing Cervical Intraepithelial Neoplasia: A Systematic Review and Meta-Analysis.

Balázs Hamar, Brigitta Teutsch, Eszter Hoffmann, Péter Hegyi, Andrea Harnos, Péter Nyirády, Zsombor Hunka, Nándor Ács, Ferenc Bánhidy, Zsolt Melczer

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

10 authors at 2 institutions in 1 country.

Balázs HamarCentre for Translational Medicine, Semmelweis University, 1088 Budapest, Hungary.ORCID 0000-0003-1996-6035
Brigitta TeutschCentre for Translational Medicine, Semmelweis University, 1088 Budapest, Hungary.ORCID 0000-0002-9530-7886
Eszter HoffmannCentre for Translational Medicine, Semmelweis University, 1088 Budapest, Hungary.
Péter HegyiCentre for Translational Medicine, Semmelweis University, 1088 Budapest, Hungary.
Andrea HarnosDepartment of Biostatistics, University of Veterinary Medicine, 1078 Budapest, Hungary.
Péter NyirádyDepartment of Obstetrics and Gynecology, Semmelweis University, 1088 Budapest, Hungary.
Zsombor HunkaDepartment of Obstetrics and Gynecology, Semmelweis University, 1088 Budapest, Hungary.ORCID 0000-0003-1824-2254
Nándor ÁcsCentre for Translational Medicine, Semmelweis University, 1088 Budapest, Hungary.ORCID 0000-0002-1919-1869
Ferenc BánhidyCentre for Translational Medicine, Semmelweis University, 1088 Budapest, Hungary.
Zsolt MelczerCentre for Translational Medicine, Semmelweis University, 1088 Budapest, Hungary.ORCID 0000-0002-5287-8064
Semmelweis University · HUUniversity of Veterinary Medicine · HU

Funding

Funding was provided by the ÚNKP-22-3 New National Excellence Program of the Ministry for Innovation and Technology from the source of the National Research, Development and Innovation Fund (to BT - ÚNKP-22-3-I-PTE-1693). BT - ÚNKP-22-3-I-PTE-1693
6 · The paper itself

Abstract

introductionTopical Imiquimod is an immune response modifier approved for the off-label use of vulvar intraepithelial neoplasia. We conducted this systematic review and meta-analysis to investigate the efficacy and safety of Imiquimod in treating cervical intraepithelial neoplasia (CIN) and human papillomavirus (HPV)-positive patients.

methodsThe study was prospectively registered (CRD420222870) and involved a comprehensive systematic search of five medical databases on 10 October 2022. We included articles that assessed the use of Imiquimod in cervical dysplasia and HPV-positive patients. Pooled proportions, risk ratios (RRs), and corresponding 95% confidence intervals (CIs) were calculated using a random effects model to generate summary estimates. Statistical heterogeneity was assessed using

resultsEight articles reported on 398 patients who received Imiquimod out of 672 patients. Among CIN-2-3 patients, we observed a pooled regression rate of 61% (CI: 0.46-0.75;

conclusionsOur findings indicate that topical Imiquimod is safe and effective in reducing cervical intraepithelial neoplasia and promoting HPV clearance. However, it was found to be inferior compared to conization. Imiquimod could be considered a potential medication for high-grade CIN patients and should be incorporated into guidelines for treating cervical dysplasia.

Indexed as

cervical cancergynecologic cancer risk reductionHPVImiquimod

Identifiers

PMID38672691
PMCPMC11048968
OpenAlexW4394999136

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.