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Randomized Controlled Trial
. 2011 Feb;20(2):287-96.
doi: 10.1158/1055-9965.EPI-10-0791.

Incident cervical HPV infections in young women: transition probabilities for CIN and infection clearance

Affiliations
Randomized Controlled Trial

Incident cervical HPV infections in young women: transition probabilities for CIN and infection clearance

Ralph P Insinga et al. Cancer Epidemiol Biomarkers Prev. 2011 Feb.

Abstract

Background: We describe transition probabilities for incident human papillomavirus (HPV) 16/18/31/33/35/45/52/58/59 infections and cervical intraepithelial neoplasia (CIN) 1 lesions VSports手机版. .

Methods: Women ages 16 to 23 years underwent cytology and cervical swab PCR testing for HPV at approximately 6-month intervals for up to 4 years in the placebo arm of an HPV vaccine trial. The cumulative proportion of incident HPV infections with diagnosed CIN, clearing (infection undetectable), or persisting without CIN, were estimated. V体育安卓版.

Results: Most incident infections cleared, without detection of CIN, ranging at 36 months from 66. 9% for HPV31 to 91. 1% for HPV59. There was little variation in the 36-month proportion of incident HPV16, 18, and 31 infections followed by a CIN1 lesion positive for the relevant HPV type (range 16. 7%-18. 6%), with lower risks for HPV59 (6. 4%) and HPV33 (2. 9%). Thirty-six-month transition probabilities for CIN2 ranged across types from 2 V体育ios版. 2% to 9. 1%; however, the number of events was generally too small for statistically significant differences to be seen across types for this endpoint, or CIN3. .

Conclusions: Some incident HPV types appear more likely to result in diagnosed CIN1 than others. The relative predominance of HPV16, vis-à-vis some other high-risk HPV types (e VSports最新版本. g. , HPV33) in prevalent CIN2/3, appears more directly associated with relatively greater frequency of incident HPV16 infections within the population, than a higher risk of infection progression to CIN2/3. .

Impact: Nearly all incident HPV infections either manifest as detectable CIN or become undetectable within 36 months. Some HPV types (e. g. , 16 and 33) appear to have similar risk of CIN2/3 despite widely varied incidence. V体育平台登录.

Trial registration: ClinicalTrials. gov NCT00092482 VSports注册入口. .

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