TY - JOUR
T1 - Human papillomavirus genotype-specific prevalence across the continuum of cervical neoplasia and cancer
AU - The New Mexico Hpv Pap Registry Steering Committee
AU - Joste, Nancy E.
AU - Ronnett, Brigitte M.
AU - Hunt, William C.
AU - Pearse, Amanda
AU - Langsfeld, Erika
AU - Leete, Thomas
AU - Jaramillo, Maryann
AU - Stoler, Mark H.
AU - Castle, Philip E.
AU - Wheeler, Cosette M.
AU - Kinney, Walter
AU - Norville, Scott
AU - Waxman, Alan
AU - Espey, David
AU - Ramos, Mary
AU - Jenison, Steven
AU - Schiffman, Mark
AU - Benard, Vicki
AU - Saslow, Debbie
AU - Kim, Jane J.
AU - Cuzick, Jack
AU - Pressley, Giovanna Rossi
AU - English, Kevin
N1 - Publisher Copyright:
© 2014 American Association for Cancer Research.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - Background: The New Mexico HPV Pap Registry was established to measure the impact of cervical cancer prevention strategies in the United States. Before widespread human papillomavirus (HPV) vaccine implementation, we established the baseline prevalence for a broad spectrum of HPV genotypes across the continuum of cervical intraepithelial neoplasia (CIN) and cancer. Methods: A population-based sample of 6,272 tissue specimens was tested for 37 HPV genotypes. The number of specimens tested within each diagnostic category was: 541 negative, 1,411 CIN grade 1 (CIN1), 2,226 CIN grade 2 (CIN2), and 2,094 CIN grade 3 (CIN3) or greater. Age-specific HPV prevalence was estimated within categories for HPV genotypes targeted by HPV vaccines. Results: The combined prevalence of HPV genotypes included in the quadrivalent and nonavalent vaccines increased from 15.3% and 29.3% in CIN1 to 58.4% and 83.7% in CIN3, respectively. Prevalence of HPV types included in both vaccines tended to decrease with increasing age for CIN1, CIN2, CIN3, and squamous cell carcinoma (SCC), most notably for CIN3 and SCC. The six most common HPV types in descending order of prevalence were HPV-16, -31, -52, -58, -33, and -39 for CIN3 and HPV-16, -18, -31, -45, -52, and -33 for invasive cancers. Conclusions: Health economic modeling of HPV vaccine impact should consider age-specific differences in HPV prevalence. Impact: Population-based HPV prevalence in CIN is not well described, but is requisite for longitudinal assessment of vaccine impact and to understand the effectiveness and performance of various cervical screening strategies in vaccinated and unvaccinated women.
AB - Background: The New Mexico HPV Pap Registry was established to measure the impact of cervical cancer prevention strategies in the United States. Before widespread human papillomavirus (HPV) vaccine implementation, we established the baseline prevalence for a broad spectrum of HPV genotypes across the continuum of cervical intraepithelial neoplasia (CIN) and cancer. Methods: A population-based sample of 6,272 tissue specimens was tested for 37 HPV genotypes. The number of specimens tested within each diagnostic category was: 541 negative, 1,411 CIN grade 1 (CIN1), 2,226 CIN grade 2 (CIN2), and 2,094 CIN grade 3 (CIN3) or greater. Age-specific HPV prevalence was estimated within categories for HPV genotypes targeted by HPV vaccines. Results: The combined prevalence of HPV genotypes included in the quadrivalent and nonavalent vaccines increased from 15.3% and 29.3% in CIN1 to 58.4% and 83.7% in CIN3, respectively. Prevalence of HPV types included in both vaccines tended to decrease with increasing age for CIN1, CIN2, CIN3, and squamous cell carcinoma (SCC), most notably for CIN3 and SCC. The six most common HPV types in descending order of prevalence were HPV-16, -31, -52, -58, -33, and -39 for CIN3 and HPV-16, -18, -31, -45, -52, and -33 for invasive cancers. Conclusions: Health economic modeling of HPV vaccine impact should consider age-specific differences in HPV prevalence. Impact: Population-based HPV prevalence in CIN is not well described, but is requisite for longitudinal assessment of vaccine impact and to understand the effectiveness and performance of various cervical screening strategies in vaccinated and unvaccinated women.
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U2 - 10.1158/1055-9965.EPI-14-0775
DO - 10.1158/1055-9965.EPI-14-0775
M3 - Article
C2 - 25363635
AN - SCOPUS:84921033623
SN - 1055-9965
VL - 24
SP - 230
EP - 240
JO - Cancer Epidemiology Biomarkers and Prevention
JF - Cancer Epidemiology Biomarkers and Prevention
IS - 1
ER -