Evidence map›Paper›PMID 40234747›Full record

ArticleBMC infectious diseases2025

High Concordance between Vaginal Samples and Cervical Samples of Human Papillomavirus in Women Living with HIV in Rwanda.

Schifra Uwamungu, Maria Andersson, Bethelehem Nigussie Zewdie, Claude Mambo Muvunyi, Emile Bienvenu, Bengt Hasséus, Daniel Giglio

Abstract read
In one paragraph

Article in BMC infectious diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

7 authors.

Schifra Uwamungu *Department of Pharmacology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Maria Andersson *Department of Infectious Diseases, Institute of Biomedicine, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Bethelehem Nigussie ZewdieDepartment of Pathology, Armauer Hansen Research Institute, P.O. Box 1005, Addis Ababa, Ethiopia.
Claude Mambo MuvunyiDepartment of Clinical Biology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Emile BienvenuRwanda Food and Drugs Authority, Kigali, Rwanda.
Bengt HasséusDepartment of Oral Medicine and Pathology, Institute of Odontology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
Daniel GiglioDepartment of Pharmacology, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden. daniel.giglio@pharm.gu.se.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic infection by human papillomavirus (HPV) is necessary for the development of almost all cervical cancers. The study assessed the prevalence of vaginal and cervical HPV infections in women living with HIV (WLWH) in Rwanda and assessed the performance of vaginal HPV screening to detect cervical HPV infections.

methodsHIV-positive women (N = 413) attending the HIV clinic at the University Teaching Hospital of Kigali, Kigali, Rwanda, were interviewed and vaginal and cervical swab samples for HPV testing and a pap smear sample were taken. RT-PCR was performed to detect twelve high-risk (HR)-HPVs (HPV16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, and 59 and two low-risk (LR)-HPVs (HPV6 and 11) and conventional cytology was performed.

resultsVaginal HR-HPV/LR-HPV infections occurred in 39.2%/4.4% of women, while cervical HR-HPV/LR-HPV infections occurred in 38.3%/4.8% of women. HPV58 (14.3%/13.5%), HPV52 (12.5%/12.4%), HPV51 (12.9%/11.7%) and HPV16 (9.9%/11.3%) were the most prevalent HPV infections in the vagina/cervix and one third of HPV-positive women were infected with more than one HPV type. Normal cytology was less common in women with cervical HR-HPV infections compared to HPV-negative women (75.8% and 87.9%, respectively, p = 0.032). The type-specific HPV agreement for all HPV types between vaginal and cervical samples was 98.4% (kappa: 0.82 ± 0.02; p < 0.0001). Screening for vaginal HPVs gave a sensitivity of 83.5% (confidence interval: 78.4-87.7), specificity of 99.1% (98.8-99.3%), positive predictive value of 81.6% (77.0-85.5%) and negative predictive value of 99.2% (99.0-99.4%) for cervical HPV infections.

conclusionsHR-HPVs are common in WLWH in Rwanda. Vaginal HPV testing may potentially be used to simplify cervical cancer screening in the future in Rwanda.

Indexed as

Cervix UteriHIV InfectionsPapillomaviridaePapillomavirus InfectionsVaginaAdultFemaleHuman Papillomavirus VirusesHumansMiddle AgedPapanicolaou TestPrevalenceRwandaVaginal SmearsYoung AdultCervical cancerHIVHuman papillomavirusRwandaScreeningSelf-sampling

Identifiers

PMID40234747
PMCPMC12001398

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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.