Evidence map›Paper›PMID 39833893›Full record

ArticleBMC women's health2025

Predicting the risk of high-grade precancerous cervical lesions based on high-risk HPV typing in Changsha China.

Yaling Xiao, Rangjiao Liu, Shaobo Wang, Yuxiang Wang, Weimin Miao, Meiwei Chen, Xiaowen Liu, Yan Chen, Yongchun Wen, Zhongping Deng and 3 more

Abstract read
In one paragraph

Article in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

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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

13 authors.

Yaling Xiao *Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control, Changsha, China.
Rangjiao Liu *Sanway Clinical Laboratory, Changsha, China.
Shaobo WangSanway Clinical Laboratory, Changsha, China.
Yuxiang WangSanway Clinical Laboratory, Changsha, China.
Weimin MiaoSansure Biotech Incorporation, Changsha, China.
Meiwei ChenSanway Clinical Laboratory, Changsha, China.
Xiaowen LiuHunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control, Changsha, China.
Yan ChenHunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control, Changsha, China.
Yongchun WenHunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control, Changsha, China.
Zhongping DengSansure Biotech Incorporation, Changsha, China.
Lizhong DaiSansure Biotech Incorporation, Changsha, China. lizhongd@sansure.com.cn.
Zenghui MaoHunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control, Changsha, China. 519286369@qq.com.
Jun HeHunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control, Changsha, China. hejun280@hunnu.edu.cn.

Funding

Clinical Medical Technology Demonstration Base for Genetic Research of Fetal Congenital Heart Disease in Hunan Province 2021SK4036Foreign Expert Project of Hunan Provincial Science and Technology Innovation 2022WZ1025Hunan Province Children's Safe Medication Clinical Medical Technology Demonstration Base 2023SK4083Research Plan Project of Changsha Health commission KJ-B2023093
6 · The paper itself

Abstract

backgroundPersistent infection with high-risk human papillomavirus (HPV) is a significant risk factor for cervical cancer. HPV typing and cytology are conducted in women of appropriate age to assess the risk of cervical lesions and to guide the need for further diagnostic procedures such as colposcopy, cervical biopsy, or treatment. This article explores methods to predict the risks of high-grade precancerous cervical lesions based on high-risk HPV typing.

methodsWe conducted a retrospective analysis of HPV typing data from 158,565 women, including 19,707 who underwent ThinPrep cytologic testing (TCT), 7,539 who had colposcopy examinations, and 4,762 who had biopsies. We evaluated the sensitivity, specificity, and risk parameters of high-grade lesions associated with high-risk HPV types.

results(1) The overall prevalence of HPV infection was 17.89%, with the most prevalent types being HPV52 (4.44%), HPV58 (2.10%), HPV53 (1.96%), HPV81 (1.85%), HPV42 (1.75%), and HPV16 (1.44%). (2) The sensitivity and specificity of detecting high-grade lesions in TCT, colposcopy, and biopsy, based on high-risk HPV typing, demonstrated a strong linear correlation with the infection rate of each type. (3) HPV16 was confirmed to have a higher risk of CIN2 + in biopsies using a self-defined risk parameter. (4) The top five HPV types with the highest PPVs and pathogenicity risks in biopsies were HPV45, HPV16, HPV58, HPV33, and HPV18.

conclusionIn Changsha, China, HPV52, HPV58, and HPV53 were the most prevalent and contributed significantly to high-grade lesions. After adjusting for infection rates, a self-defined risk parameter was proposed as a measure of the intrinsic risks of high-grade lesions associated with high-risk HPV types. Focused monitoring of prevalent high-risk HPV types such as HPV45, HPV16, HPV58, HPV33, and HPV18, which show the highest pathogenicity risks, is recommended in our region.

Indexed as

PapillomaviridaePapillomavirus InfectionsPrecancerous ConditionsUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultAgedBiopsyChinaColposcopyFemaleHumansMiddle AgedPrevalenceRetrospective StudiesRisk AssessmentBiopsyCervical lesionsColposcopyHPV typingPathogenicity riskTCT

Identifiers

PMID39833893
PMCPMC11749071

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Registered trials

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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.