Cited by 51Cervical Cancer and HPV ResearchWomen's cancer prevention and managementEndometrial and Cervical Cancer Treatments

Age-specific occurrence of HPV16- and HPV18-related cervical cancer

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de Sanjose, Silvia, Wheeler, Cosette M., Quint, Wim G.V., Hunt, William C., Joste, Nancy E., Alemany, Laia, Xavier Bosch, F., Myers, Evan R. +1 more·2013·Cancer Epidemiology, Biomarkers & Prevention

Abstract

The age-specific occurrence of cervical cancer related to human papillomavirus (HPV) genotypes HPV16 and HPV18, the two targeted by current HPV vaccines, is not well described. We therefore used data from two large, tissue-based HPV genotyping studies of cervical cancer, one conducted in New Mexico (n = 744) and an International study restricted to cancers (n = 1,729) from Europe, North America, and Australia to represent those regions with widely available cervical cancer screening facilities. HPV results were categorized as HPV16- or HPV18-positive (HPV16/18) versus other HPV genotype. We observed a decreasing proportion of HPV16/18-positive cancers with increasing age in the International study (Ptrend < 0.001) and New Mexico study (Ptrend < 0.001). There was no heterogeneity in the relationship between age of diagnosis and the proportion of HPV16/18-positive cancers between studies (P = 0.8). Combining results from the two studies (n = 2,473), the percentages of HPV16/18-positive cases were 77.0% [95% confidence interval (CI): 75.1%–78.9%] for women less than 65 years old and 62.7% [95% confidence interval (CI): 58.4%–66.9%] for women aged 65 and older (P < 0.001). In women who are under the age of 25 and have been vaccinated before becoming sexually active, the cervical cancer incidence is expected to be approximately 3.5 per million by 2020. HPV vaccination against HPV16/18 may have a greater impact on cervical cancers in women under 65 than in women aged 65 and older. These data will inform the age-specific impact of HPV vaccination and its integration with cervical cancer screening activities. Cancer Epidemiol Biomarkers Prev; 22(7); 1313–8. ©2013 AACR.

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Authors
de Sanjose, S., Wheeler, C. M., Quint, W. G. V., Hunt, W. C., Joste, N. E., Alemany, L., Xavier Bosch, F., Myers, E. R., & Castle, P. E.
Affiliations
  • Authors' Affiliations: 1IDIBELL, Institut Catalàd'Oncologia-Catalan Institute of Oncology, L'Hospitalet de, Llobregat; 2CIBER en Epidemiología y Salud Pública, Barcelona, Spain; 3Departments of Pathology and Obstetrics and Gynecology, University of New Mexico Health Sciences Center, House of Prevention Epidemiology (HOPE), Albuquerque, New Mexico; 4Division of Clinical and Epidemiological Research, Department of Obstetrics and Gynecology, Duke University; 5Global Cancer Initiative, Chestertown, Maryland; and 6DDL Diagnostic Laboratory, Voorburg, the Netherlands
  • Duke University (US)
Corresponding author
Castle, Philip E.
Venue
Cancer Epidemiology, Biomarkers & Prevention
Published
2013-07-01
Volume
22
Issue
7
Pages
1313-1318
ISSN
  • 1055-9965 (ISSN-L)
  • 1538-7755
OpenAlex
W2146647422
Cited by
51
References
0
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 3 · 2021: 2 · 2020: 6 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 5 · 2015: 8 · 2014: 4 · 2013: 1
FWCI
4.38
Type
journal article
Language
en
Open access
Locations
  • Cancer Epidemiology Biomarkers & Prevention (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • U.S. Food and Drug Administration
  • National Institute of Allergy and Infectious Diseases (U19AI084081)
Topics
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
Keywords
cervical cancer, HPV16, HPV 18, human papillomavirus, age-specific incidence, HPV vaccination, HPV genotyping, cervical cancer screening, young women, New Mexico, international studies
MeSH terms
Adolescent, Adult, Age Factors, Aged, Uterine Cervical Neoplasms, Cross-Sectional Studies, Female, Humans, Middle Aged, New Mexico, Retrospective Studies, SEER Program, Papillomavirus Infections, Human papillomavirus 18, Human papillomavirus 16, Young Adult

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