The causal link between human papillomavirus and invasive cervical cancer: a population-based case-control study in Colombia and Spain
To evaluate the association between human papillomavirus (HPV) and cervical cancer, we performed a population-based case-control study in Columbia and Spain, the former country having an incidence rate of cervical cancer about 8 times higher than the latter. It included 436 cases of histologically c...
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| Published in: | International journal of cancer Vol. 52; no. 5; p. 743 |
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| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
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United States
11-11-1992
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| Abstract | To evaluate the association between human papillomavirus (HPV) and cervical cancer, we performed a population-based case-control study in Columbia and Spain, the former country having an incidence rate of cervical cancer about 8 times higher than the latter. It included 436 cases of histologically confirmed invasive cervical cancer and 387 randomly selected population controls. Information on demographic variables, sexual behaviour and other risk factors was obtained by interview. HPV-DNA was measured in cervical-swab specimens with 3 hybridization assays: ViraPap, Southern hybridization (SH) and polymerase chain reaction (PCR). The presence of HPV-DNA and detection of types 16, 18, 31, 33 and 35 were strongly associated with cervical cancer in each country regardless of the assay used. For both countries combined the adjusted odds ratios and 95% confidence intervals were: ViraPap OR = 25.9 (10.0-66.7); SH OR = 6.8 (3.4-13.4); and PCR OR = 28.8 (15.7-52.6). HPV-16 was the most common type detected in both cases and controls. Our results indicate that there is a very strong association between HPV 16, 18, 31, 33 and 35 and invasive cervical cancer and that this association is probably causal. |
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| AbstractList | To evaluate the association between human papillomavirus (HPV) and cervical cancer, we performed a population-based case-control study in Columbia and Spain, the former country having an incidence rate of cervical cancer about 8 times higher than the latter. It included 436 cases of histologically confirmed invasive cervical cancer and 387 randomly selected population controls. Information on demographic variables, sexual behaviour and other risk factors was obtained by interview. HPV-DNA was measured in cervical-swab specimens with 3 hybridization assays: ViraPap, Southern hybridization (SH) and polymerase chain reaction (PCR). The presence of HPV-DNA and detection of types 16, 18, 31, 33 and 35 were strongly associated with cervical cancer in each country regardless of the assay used. For both countries combined the adjusted odds ratios and 95% confidence intervals were: ViraPap OR = 25.9 (10.0-66.7); SH OR = 6.8 (3.4-13.4); and PCR OR = 28.8 (15.7-52.6). HPV-16 was the most common type detected in both cases and controls. Our results indicate that there is a very strong association between HPV 16, 18, 31, 33 and 35 and invasive cervical cancer and that this association is probably causal. |
| Author | Tafur, L Muñoz, N Bosch, F X Izarzugaza, I Gili, M de Sanjosé, S Martos, C Navarro, C Ascunce, N Viladiu, P |
| Author_xml | – sequence: 1 givenname: N surname: Muñoz fullname: Muñoz, N organization: Unit of Field and Intervention Studies, International Agency for Research on Cancer, Lyon, France – sequence: 2 givenname: F X surname: Bosch fullname: Bosch, F X – sequence: 3 givenname: S surname: de Sanjosé fullname: de Sanjosé, S – sequence: 4 givenname: L surname: Tafur fullname: Tafur, L – sequence: 5 givenname: I surname: Izarzugaza fullname: Izarzugaza, I – sequence: 6 givenname: M surname: Gili fullname: Gili, M – sequence: 7 givenname: P surname: Viladiu fullname: Viladiu, P – sequence: 8 givenname: C surname: Navarro fullname: Navarro, C – sequence: 9 givenname: C surname: Martos fullname: Martos, C – sequence: 10 givenname: N surname: Ascunce fullname: Ascunce, N |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/1330933$$D View this record in MEDLINE/PubMed |
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| PublicationTitle | International journal of cancer |
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| Snippet | To evaluate the association between human papillomavirus (HPV) and cervical cancer, we performed a population-based case-control study in Columbia and Spain,... |
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| SubjectTerms | Carcinoma, Squamous Cell - etiology Carcinoma, Squamous Cell - microbiology Case-Control Studies Colombia DNA, Viral - analysis Female Humans Papillomaviridae - genetics Papillomaviridae - pathogenicity Polymerase Chain Reaction Spain Tumor Virus Infections - complications Uterine Cervical Neoplasms - etiology Uterine Cervical Neoplasms - microbiology |
| Title | The causal link between human papillomavirus and invasive cervical cancer: a population-based case-control study in Colombia and Spain |
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