The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.
Persistent Human Papillomavirus Infection as a Predictor of Cervical Intraepithelial Neoplasia
Abstract
Context Human papillomavirus (HPV) infection is believed to be the central cause of cervical cancer, although most of the epidemiological evidence has come from retrospective, case-control studies, which do not provide information on the dynamics of cumulative or persistent exposure to HPV infection. Objective To assess the risks of cervical neoplasia related to prior persistent HPV infections. Design and setting Longitudinal study of the natural history of HPV infection and cervical neoplasia in women residing in the city of São Paulo, Brazil, which was conducted between November 1993 and March 1997 and involved repeated measurements of HPV and lesions with follow-up until June 2000. Participants A total of 1611 women with no cytological lesions at enrollment and HPV test results available from the first 2 visits. Main outcome measure Cervical specimens taken for Papanicolaou cytology and HPV testing every 4 months in the first year and twice yearly thereafter. Incident cervical cancer precursor lesions ascertained by expert review of all cytology smears. Results The incidence rate of squamous intraepithelial lesions (SILs) was 0.73 per 1000 women-months (95% confidence interval [CI], 0.5-0.9) among women free of HPV at the 2 initial visits and 8.68 (95% CI, 2.3-15.1) among women with HPV type 16 or 18 infections persisting over both visits. Relative to those negative for HPV oncogenic types at both initial visits, the relative risk (RR) of incident SIL was 10.19 (95% CI, 5.…
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“Full HPV genotyping is also useful clinically to identify patients with persisting, type-specific high-risk HPV infections which are known to confer a higher risk of cancer progression than incident infections by the same high-risk type (11).”
From Comparison of Seegene Anyplex II HPV28 with the PGMY-CHUV Assay for Human Papillomavirus Genotyping (2014) · cites this paper as [11]
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Papillomaviruses and cancer: from basic studies to clinical application
Hausen, H. Z. (2002) · Nature reviews. Cancer · doi:10.1038/nrc798 · Cited by 4,031
The causal relation between human papillomavirus and cervical cancer
Bosch, F. X., Lorincz, A. T., Munoz, N., Meijer, C. J. L. M., & Shah, K. V. (2002) · Journal of Clinical Pathology · doi:10.1136/jcp.55.4.244 · Cited by 3,587
Gynecologists (2009) · Cited by 1,035
The epidemiology of human papillomavirus infections
Baseman, J. G., & Koutsky, L. A. (2005) · Journal of Clinical Virology · doi:10.1016/j.jcv.2004.12.008 · Cited by 957
2006 consensus guidelines for the management of women with abnormal cervical cancer screening tests
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Metadata
- Authors
- Schlecht, N. F.
- Affiliations
- McGill University (CA)
- Corresponding author
- Schlecht, Nicolas F.
- ORCID
- Schlecht, Nicolas F.
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2001-12-26
- Volume
- 286
- Issue
- 24
- Pages
- 3106
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W2161489192
- Cited by
- 590
- References
- 22
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 15 · 2023: 12 · 2022: 10 · 2021: 10 · 2020: 15 · 2019: 16 · 2018: 12 · 2017: 13 · 2016: 21 · 2015: 28 · 2014: 28 · 2013: 18 · 2012: 27
- FWCI
- 20.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (MA13647)
- National Cancer Institute (CA70269, R01CA070269)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- human papillomavirus, persistent HPV infection, cervical intraepithelial neoplasia, squamous intraepithelial lesions, HPV 16/18, cervical precancerous lesions, natural history of HPV infection, high-risk HPV genotypes, cervical cancer risk
- MeSH terms
- Adult, Uterine Cervical Dysplasia, Uterine Cervical Neoplasms, DNA, Viral, Female, Humans, Longitudinal Studies, Middle Aged, Risk Factors, Tumor Virus Infections, Vaginal Smears, Multivariate Analysis, Papillomaviridae, Papillomavirus Infections, Papanicolaou Test
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