Evidence map›Paper›PMID 40014651›Full record

ArticleMMWR. Morbidity and mortality weekly report2025

Trends in Cervical Precancers Identified Through Population-Based Surveillance - Human Papillomavirus Vaccine Impact Monitoring Project, Five Sites, United States, 2008-2022.

Julia W Gargano, Ruth Stefanos, Rebecca M Dahl, Jessica L Castilho, Erica A Bostick, Linda M Niccolai, Ina U Park, Sheelah Blankenship, Monica M Brackney, Kameny Chan and 10 more

Abstract read
In one paragraph

Article in MMWR. Morbidity and mortality weekly report, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Application and Impact of Quality Assurance Dashboards in Cytology Laboratories-The CytoLog Application.Cytopathology : official journal of the British Society for Clinical Cytology · 2026
    Article
  5. Understanding HPV Vaccine Uptake Among American Indian and Alaska Native College Students: A Scoping Review.International journal of environmental research and public health · 2026
    Article
  6. The Cancer That Could Disappear.Clinical journal of oncology nursing · 2026
    Article
  7. Review
  8. Review
  9. Decreases in Human Papillomavirus Vaccine Types 16 and 18 in Cervical Precancers: HPV-IMPACT, 2008 to 2019.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Search for Equus caballus papillomavirus type 2 in tissues of asymptomatic horses in southern brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2026
    Article
  14. Female liver transplant recipients are at increased risk of developing cervical cancer: A global multicenter study.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

20 authors.

Julia W Gargano
Ruth Stefanos
Rebecca M Dahl
Jessica L Castilho
Erica A Bostick
Linda M Niccolai
Ina U Park
Sheelah Blankenship
Monica M Brackney
Kameny Chan
Emily L Delikat
Sara Ehlers
Kimberly Gonzalez Barrera
RaeAnne Kurtz
James I Meek
Erin Whitney
Marissa Vigar
Elizabeth R Unger
Lauri E Markowitz
HPV-IMPACT Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2006, human papillomavirus (HPV) vaccine was first recommended in the United States to prevent cancers and other diseases caused by HPV; vaccination coverage increased steadily through 2021, and increasing numbers of young women had received HPV vaccine as children or adolescents. Since 2008, CDC has monitored incidence of precancerous lesions (cervical intraepithelial neoplasia [CIN] grades 2-3 and adenocarcinoma in situ [AIS], collectively CIN2+), which are detected through cervical cancer screening and can be used as an intermediate outcome for monitoring vaccination impact, via the five-site Human Papillomavirus Vaccine Impact Monitoring Project. This analysis describes trends in incidence of CIN2+ and CIN3+ (i.e., CIN grade 3 and AIS) lesions during 2008-2022. Among women aged 20-24 years who were screened for cervical cancer, rates during 2008-2022 decreased for CIN2+ by 79%, and for CIN3+ by 80%. In the same period, CIN3+ rates among screened women aged 25-29 years decreased by 37%. These data are consistent with considerable impact of HPV vaccination for preventing cervical precancers among women in the age groups most likely to have been vaccinated, and support existing recommendations to vaccinate children at the routinely recommended ages as a cancer prevention measure.

Indexed as

Papillomavirus VaccinesPopulation SurveillancePrecancerous ConditionsUterine Cervical DysplasiaUterine Cervical NeoplasmsAdolescentAdultEarly Detection of CancerFemaleHumansIncidenceMiddle AgedPapillomavirus InfectionsUnited StatesYoung AdultPapillomavirus Vaccines

Identifiers

PMID40014651
PMCPMC11867585

What OpenQuestion holds

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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.