Use of HPV testing for cervical screening in vaccinated women—Insights from the SHEVa (Scottish HPV Prevalence in Vaccinated Women) study Article Swipe
Ramya Bhatia
,
Kimberley Kavanagh
,
Heather Cubie
,
Itziar Serrano
,
Holli Wennington
,
Mark Hopkins
,
Jiafeng Pan
,
Kevin G. Pollock
,
Timothy Palmer
,
Kate Cuschieri
·
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1002/ijc.30030
YOU?
·
· 2016
· Open Access
·
· DOI: https://doi.org/10.1002/ijc.30030
The management of cervical disease is changing worldwide as a result of HPV vaccination and the increasing use of HPV testing for cervical screening. However, the impact of vaccination on the performance of HPV based screening strategies is unknown. The SHEVa (Scottish HPV Prevalence in Vaccinated women) projects are designed to gain insight into the impact of vaccination on the performance of clinically validated HPV assays. Samples collated from women attending for first cervical smear who had been vaccinated as part of a national “catch‐up” programme were tested with three clinically validated HPV assays (2 DNA and 1 RNA). Overall HR‐HPV and type specific positivity was assessed in total population and according to underlying cytology and compared to a demographically equivalent group of unvaccinated women. HPV prevalence was significantly lower in vaccinated women and was influenced by assay‐type, reducing by 23‐25% for the DNA based assays and 32% for the RNA assay ( p = 0.0008). All assays showed over 75% reduction of HPV16 and/or 18 ( p < 0.0001) whereas the prevalence of non 16/18 HR‐HPV was not significantly different in vaccinated vs unvaccinated women. In women with low grade abnormalities, the proportion associated with non 16/18 HR‐HPV was significantly higher in vaccinated women ( p < 0.0001). Clinically validated HPV assays are affected differentially when applied to vaccinated women, dependent on assay chemistry. The increased proportion of non HPV16/18 infections may have implications for clinical performance, consequently, longitudinal studies linking HPV status to disease outcomes in vaccinated women are warranted.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/ijc.30030
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijc.30030
- OA Status
- bronze
- Cited By
- 34
- References
- 21
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2286327028
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2286327028Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/ijc.30030Digital Object Identifier
- Title
-
Use of HPV testing for cervical screening in vaccinated women—Insights from the SHEVa (Scottish HPV Prevalence in Vaccinated Women) studyWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2016Year of publication
- Publication date
-
2016-02-04Full publication date if available
- Authors
-
Ramya Bhatia, Kimberley Kavanagh, Heather Cubie, Itziar Serrano, Holli Wennington, Mark Hopkins, Jiafeng Pan, Kevin G. Pollock, Timothy Palmer, Kate CuschieriList of authors in order
- Landing page
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https://doi.org/10.1002/ijc.30030Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijc.30030Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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bronzeOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/ijc.30030Direct OA link when available
- Concepts
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Medicine, Vaccination, Cervical screening, Cervical cancer, Internal medicine, Gynecology, Population, Obstetrics, Immunology, Cancer, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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34Total citation count in OpenAlex
- Citations by year (recent)
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2025: 3, 2024: 5, 2022: 4, 2021: 1, 2020: 5Per-year citation counts (last 5 years)
- References (count)
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21Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.clinically | 62, 90 |
| abstract_inverted_index.equivalent | 120 |
| abstract_inverted_index.increasing | 16 |
| abstract_inverted_index.infections | 231 |
| abstract_inverted_index.influenced | 135 |
| abstract_inverted_index.management | 1 |
| abstract_inverted_index.population | 109 |
| abstract_inverted_index.positivity | 104 |
| abstract_inverted_index.prevalence | 126, 172 |
| abstract_inverted_index.proportion | 193, 227 |
| abstract_inverted_index.screening. | 23 |
| abstract_inverted_index.strategies | 36 |
| abstract_inverted_index.underlying | 113 |
| abstract_inverted_index.vaccinated | 78, 131, 182, 203, 219, 248 |
| abstract_inverted_index.warranted. | 251 |
| abstract_inverted_index.performance | 31, 60 |
| abstract_inverted_index.vaccination | 13, 28, 57 |
| abstract_inverted_index.implications | 234 |
| abstract_inverted_index.longitudinal | 239 |
| abstract_inverted_index.performance, | 237 |
| abstract_inverted_index.unvaccinated | 123, 184 |
| abstract_inverted_index.assay‐type, | 137 |
| abstract_inverted_index.consequently, | 238 |
| abstract_inverted_index.significantly | 128, 179, 200 |
| abstract_inverted_index.abnormalities, | 191 |
| abstract_inverted_index.differentially | 215 |
| abstract_inverted_index.demographically | 119 |
| abstract_inverted_index.“catch‐up” | 84 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5077845396 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 10 |
| corresponding_institution_ids | https://openalex.org/I98677209 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7099999785423279 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.93466225 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |