Evidence map›Paper›PMID 41593617›Full record

ArticleBMC women's health2026

Role of COVID-19 in the persistence of cervical high-risk human papillomavirus: a non-randomized retrospective study.

Mustafa Şahin, Ayşe Buran, Tufan Arslanca, Yeşim Özkaya Uçar, Okan Aytekin, Mehmet Ünsal, Fatih Kılıç, Hakan Raşit Yalçın, Ahmet Taner Turan

Abstract read
In one paragraph

Article in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Mustafa ŞahinDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye. mustafasahin1163@gmail.com.ORCID 0000-0002-2126-6479
Ayşe BuranDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye.
Tufan ArslancaDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye.
Yeşim Özkaya UçarDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye.
Okan AytekinDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye.
Mehmet ÜnsalDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye.
Fatih KılıçDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye.
Hakan Raşit YalçınDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye.
Ahmet Taner TuranDepartment of Gynecological Oncology Surgery, Ankara Bilkent City Hospital, Üniversiteler Mahallesi, 1604. Cd. No: 9, Ankara, Çankaya, 06800, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 related immune dysregulation including impaired interferon signaling, reduced cytotoxic T-cell activity, and sustained inflammatory imbalance may contribute not only to delayed screening but also to true biological persistence of high-risk HPV (HR-HPV). This study investigated whether prior COVID-19 infection influences cervical HR-HPV persistence and associated cytological abnormalities.

methodsIn this retrospective study, 738 h-HPV positive women without baseline high-grade lesions or immunocompromising conditions were included. The study group comprised 372 women with PCR confirmed symptomatic COVID-19, while those without confirmed infection served as controls. Patients with prior excisional cervical procedures, other STDs, pregnancy, or incomplete follow-up data were excluded. HR-HPV DNA and cervical cytology were assessed at standardized follow-ups at at mean intervals of approximately 10 and 19 months, and persistence rates were compared.

resultsCervical HR-HPV persistence was significantly higher in COVID-19 positive patients at both follow-up visits (p = 0.007 and p = 0.021). Persistence of HPV 16 was also significantly higher in the COVID-19 positive group (p = 0.021), whereas HPV 18 persistence did not differ between groups (p = 0.851). Cervical cytology and colposcopy findings were comparable between groups at both visits (p = 0.873, p = 0.606, and p = 0.927, p = 0.751). Importantly, after adjusting for potential confounders including age, smoking status, baseline cytology, and COVID-19 vaccination, a history of COVID-19 infection remained a significant independent risk factor for HR-HPV persistence (aOR: 1.81, p < 0.001).

conclusionPrior COVID-19 infection was associated with increased HR-HPV persistence, particularly HPV 16. If confirmed by larger prospective studies, these findings may warrant intensified follow-up protocols for women with concurrent HR-HPV positivity and a history of COVID-19 infection. Prospective immunologic studies are additionally required to clarify how COVID-19 related immune alterations may influence HPV clearance.

Indexed as

Cervix UteriCOVID-19Human Papillomavirus VirusesPapillomavirus InfectionsPersistent InfectionUterine Cervical NeoplasmsAdultDNA, ViralFemaleHumansMiddle AgedRetrospective StudiesSARS-CoV-2DNA, ViralCervical cancer screeningCOVID-19HR-HPV persistenceHuman papillomavirusSARS-CoV-2

Identifiers

PMID41593617
PMCPMC12918565

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.