The impact of human papillomavirus type on colposcopy performance in women offered HPV immunisation in a catch‐up vaccine programme: a two‐centre observational study
Article Swipe
Aime Munro
,
Colin S. Gillespie
,
Seonaidh Cotton
,
Camille Busby‐Earle
,
Kimberley Kavanagh
,
Kate Cuschieri
,
Heather Cubie
,
C. Robertson
,
Lisa Smart
,
Kevin G. Pollock
,
Catherine Moore
,
Timothy Palmer
,
Margaret Cruickshank
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1111/1471-0528.14563
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1111/1471-0528.14563
Objective To determine whether human papillomavirus ( HPV ) immunisation has affected the prevalence of HPV genotypes and colposcopic features of cervical intraepithelial neoplasia ( CIN ) in young women referred for colposcopy. Design A two‐centre observational study including vaccinated and unvaccinated women. Setting Colposcopy clinics serving two health regions in Scotland, UK . Population A total of 361 women aged 20–25 years attending colposcopy following an abnormal cervical cytology result at routine cervical screening. Methods Cervical samples were obtained from women for HPV DNA genotyping and mRNA E6/E7 expression of HPV 16, 18, 31, 33, and 45. Demographic data, cytology, and histology results and colposcopic features were recorded. Chi‐square analysis was conducted to identify associations between vaccine status, HPV genotypes, and colposcopic features. Main outcome measures Colposcopic features, HPV genotypes, mRNA expression, and cervical histology. Results The prevalence of HPV 16 was significantly lower in the vaccinated group (8.6%) compared with the unvaccinated group (46.7%) ( P = 0.001). The number of cases of CIN 2+ was significantly lower in women who had been vaccinated ( P = 0.006). The HPV vaccine did not have a statistically significant effect on commonly recognised colposcopic features, but there was a slight reduction in the positive predictive value ( PPV ) of colposcopy for CIN 2+, from 74% (unvaccinated) to 66.7% (vaccinated). Conclusions In this group of young women with abnormal cytology referred to colposcopy, HPV vaccination via a catch‐up programme reduced the prevalence of CIN 2+ and HPV 16 infection. The reduced PPV of colposcopy for the detection of CIN 2+ in women who have been vaccinated is at the lower acceptable level of the UK national cervical screening programme guidelines. Tweetable abstract Reduction of hr HPV positivity and CIN in immunised women consistent with lower PPV of colposcopy for CIN 2+.
Related Topics
Concepts
Colposcopy
Medicine
Cervical intraepithelial neoplasia
Cytology
Gynecology
Obstetrics
Genotyping
Cervical screening
Cervical cancer
Observational study
HPV infection
Vaccination
Human papillomavirus
Population
Genotype
Internal medicine
Virology
Cancer
Pathology
Biology
Gene
Biochemistry
Environmental health
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1111/1471-0528.14563
- https://obgyn.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1471-0528.14563
- OA Status
- bronze
- Cited By
- 20
- References
- 19
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2576238216
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W2576238216Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1111/1471-0528.14563Digital Object Identifier
- Title
-
The impact of human papillomavirus type on colposcopy performance in women offered
HPV immunisation in a catch‐up vaccine programme: a two‐centre observational studyWork title - Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2017Year of publication
- Publication date
-
2017-01-19Full publication date if available
- Authors
-
Aime Munro, Colin S. Gillespie, Seonaidh Cotton, Camille Busby‐Earle, Kimberley Kavanagh, Kate Cuschieri, Heather Cubie, C. Robertson, Lisa Smart, Kevin G. Pollock, Catherine Moore, Timothy Palmer, Margaret CruickshankList of authors in order
- Landing page
-
https://doi.org/10.1111/1471-0528.14563Publisher landing page
- PDF URL
-
https://obgyn.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1471-0528.14563Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://obgyn.onlinelibrary.wiley.com/doi/pdfdirect/10.1111/1471-0528.14563Direct OA link when available
- Concepts
-
Colposcopy, Medicine, Cervical intraepithelial neoplasia, Cytology, Gynecology, Obstetrics, Genotyping, Cervical screening, Cervical cancer, Observational study, HPV infection, Vaccination, Human papillomavirus, Population, Genotype, Internal medicine, Virology, Cancer, Pathology, Biology, Gene, Biochemistry, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
20Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4, 2024: 1, 2023: 1, 2022: 2, 2021: 3Per-year citation counts (last 5 years)
- References (count)
-
19Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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