Evidence map›Paper›PMID 41949383›Full record

ArticleJournal of medical virology2026

Concordance and Acceptability of Self- Vs. Clinician-Collected Anorectal Swabs for HPV Genotyping in Gay, Bisexual and Other Men Who Have Sex With Men in Metropolitan Barcelona.

Leila Ferrera, Héctor Martínez-Riveros, Miquel Saña, Sara Tous, Jaime Vega, Mónica Sanchez-Llamas, Guillem Sirera, Jorge Néstor García, Ana Esteban, Miquel Àngel Pavón and 3 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Journal of medical virology, 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

13 authors.

Leila FerreraCentre of Epidemiological Studies on Sexually Transmitted Infections and AIDS of Catalonia (CEEISCAT). The Ministry of Health, Government of Catalonia, Badalona, Spain.
Héctor Martínez-RiverosCentre of Epidemiological Studies on Sexually Transmitted Infections and AIDS of Catalonia (CEEISCAT). The Ministry of Health, Government of Catalonia, Badalona, Spain.
Miquel SañaCentre of Epidemiological Studies on Sexually Transmitted Infections and AIDS of Catalonia (CEEISCAT). The Ministry of Health, Government of Catalonia, Badalona, Spain.
Sara TousBiomedical Research Networking Center for Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0002-5423-7092
Jaime VegaHospital Universitari de Bellvitge, HIV and STD Unit (Infectious Disease Service), L'Hospitalet de Llobregat, Spain.
Mónica Sanchez-LlamasHospital Universitari de Bellvitge, HIV and STD Unit (Infectious Disease Service), L'Hospitalet de Llobregat, Spain.
Guillem SireraInfectious Diseases Department, Fight AIDS Foundation, Hospital Germans Trias Pujol, Badalona, Spain.
Jorge Néstor GarcíaVall d'Hebron-Drassanes STI and HIV Unit, Hospital Universitario Vall d'Hebron, Barcelona, Spain.
Ana EstebanInfections and Cancer Laboratory, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO)- IDIBELL, L'Hospitalet de Llobregat, Spain.
Miquel Àngel PavónBiomedical Research Networking Center for Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.
Laia AlemanyBiomedical Research Networking Center for Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.
Cristina AgustíCentre of Epidemiological Studies on Sexually Transmitted Infections and AIDS of Catalonia (CEEISCAT). The Ministry of Health, Government of Catalonia, Badalona, Spain.ORCID https://orcid.org/0000-0002-5259-2242
Sònia PaytubiBiomedical Research Networking Center for Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain.

Funding

FEDER funds/European Regional Development Fund (ERDF) CIBERESP CB06/02/0073Merck Sharp & Dohme LLC (MSD) (IISP101906)Secretariat for Universities and Research of the Ministry of Business and Knowledge of the Government of Catalonia 2021SGR01354
6 · The paper itself

Abstract

Squamous cell carcinoma of the anus (SCCA), caused by high-risk human papillomavirus (HR-HPV) genotypes, is a growing concern among gay, bisexual, and other men who have sex with men and transgender individuals, particularly those living with HIV. Early detection of precursor lesions is crucial, yet current screening methods face barriers in access and acceptability. Anal self-sampling has emerged as a promising patient-centered alternative. This study evaluates the diagnostic accuracy and feasibility of self-collected anal swabs for HPV genotyping compared to clinician-collected swabs among the target population. A cross-sectional, multicenter study was conducted in the metropolitan area of Barcelona, enrolling 151 participants. Participants provided self- and clinician-collected anal samples, obtained sequentially. Extended genotyping was performed to detect 28 individual HPV genotypes. Diagnostic performance was evaluated using clinician-collected samples as the reference standard, and concordance was assessed using McNemar's test and Cohen's κ statistic. Feasibility was measured via a questionnaire. Participants had a median age of 43 years, and 53.0% were living with HIV. Overall, HPV was detected in 89.9% of self- and 92.6% of clinician-collected samples. Agreement was high 96.0%, with a κ value of 0.75 (95% CI: 0.55-0.94). No significant differences were found between methods (p = 0.22). Sensitivity was 96.4% (95% CI: 91.8-98.4), and specificity 90.9% (95% CI: 62.3-98.4), with similar accuracy for HR-HPV and HPV16 types. Most participants rated self-sampling acceptable and feasible. Anal self-sampling shows high accuracy and strong feasibility, supporting its use as a viable and user-friendly strategy to enhance HPV screening in key populations at risk for SCCA.

Indexed as

Anal CanalHuman Papillomavirus VirusesPapillomavirus InfectionsPatient Acceptance of Health CareSpecimen HandlingAdultAnus NeoplasmsCross-Sectional StudiesGenotypeGenotyping TechniquesHomosexuality, MaleHumansMaleMiddle AgedSexual and Gender MinoritiesSpainFeasibilityGBMSM and transgender individualsHPV genotypingself‐samplingself‐sampling acceptabilitysquamous cell carcinoma of the anus

Identifiers

PMID41949383
PMCPMC13060369

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.