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HPV-FASTER: broadening the scope for prevention of HPV-related cancer.

Identifieur interne : 001D31 ( PubMed/Checkpoint ); précédent : 001D30; suivant : 001D32

HPV-FASTER: broadening the scope for prevention of HPV-related cancer.

Auteurs : F Xavier Bosch [Espagne] ; Claudia Robles [Espagne] ; Mireia Díaz [Espagne] ; Marc Arbyn [Belgique] ; Iacopo Baussano [France] ; Christine Clavel [France] ; Guglielmo Ronco [Italie] ; Joakim Dillner [Suède] ; Matti Lehtinen [Finlande] ; Karl-Ulrich Petry [Allemagne] ; Mario Poljak [Slovénie] ; Susanne K. Kjaer [Danemark] ; Chris J L M. Meijer [Pays-Bas] ; Suzanne M. Garland [Australie] ; Jorge Salmer N [Mexique] ; Xavier Castellsagué [Espagne] ; Laia Bruni [Espagne] ; Silvia De Sanjosé [Espagne] ; Jack Cuzick [Royaume-Uni]

Source :

RBID : pubmed:26323382

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English descriptors

Abstract

Human papillomavirus (HPV)-related screening technologies and HPV vaccination offer enormous potential for cancer prevention, notably prevention of cervical cancer. The effectiveness of these approaches is, however, suboptimal owing to limited implementation of screening programmes and restricted indications for HPV vaccination. Trials of HPV vaccination in women aged up to 55 years have shown almost 90% protection from cervical precancer caused by HPV16/18 among HPV16/18-DNA-negative women. We propose extending routine vaccination programmes to women of up to 30 years of age (and to the 45-50-year age groups in some settings), paired with at least one HPV-screening test at age 30 years or older. Expanding the indications for HPV vaccination and much greater use of HPV testing in screening programmes has the potential to accelerate the decline in cervical cancer incidence. Such a combined protocol would represent an attractive approach for many health-care systems, in particular, countries in Central and Eastern Europe, Latin America, Asia, and some more-developed parts of Africa. The role of vaccination in women aged >30 years and the optimal number of HPV-screening tests required in vaccinated women remain important research issues. Cost-effectiveness models will help determine the optimal combination of HPV vaccination and screening in public health programmes, and to estimate the effects of such approaches in different populations.

DOI: 10.1038/nrclinonc.2015.146
PubMed: 26323382


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<name sortKey="De Sanjose, Silvia" sort="De Sanjose, Silvia" uniqKey="De Sanjose S" first="Silvia" last="De Sanjosé">Silvia De Sanjosé</name>
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<nlm:affiliation>Unit of Cancer Epidemiology, Scientific Institute of Public Health, Brussels, Belgium.</nlm:affiliation>
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<name sortKey="Clavel, Christine" sort="Clavel, Christine" uniqKey="Clavel C" first="Christine" last="Clavel">Christine Clavel</name>
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<nlm:affiliation>Centre Hospitalier Universitaire (CHU) Reims, Université de Reims Champagne-Ardenne and Institut National de la Santé et de la Recherche Médicale UMR-S 903, Reims, France.</nlm:affiliation>
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<name sortKey="Ronco, Guglielmo" sort="Ronco, Guglielmo" uniqKey="Ronco G" first="Guglielmo" last="Ronco">Guglielmo Ronco</name>
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<nlm:affiliation>Unit of Cancer Epidemiology, Centre for Cancer Prevention (CPO), Torino, Italy.</nlm:affiliation>
<country xml:lang="fr">Italie</country>
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<settlement type="city">Turin</settlement>
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<name sortKey="Dillner, Joakim" sort="Dillner, Joakim" uniqKey="Dillner J" first="Joakim" last="Dillner">Joakim Dillner</name>
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<nlm:affiliation>Departments of Laboratory Medicine, Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation>
<country xml:lang="fr">Suède</country>
<wicri:regionArea>Departments of Laboratory Medicine, Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm</wicri:regionArea>
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<name sortKey="Lehtinen, Matti" sort="Lehtinen, Matti" uniqKey="Lehtinen M" first="Matti" last="Lehtinen">Matti Lehtinen</name>
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<nlm:affiliation>University of Tampere, School of Health Sciences, Tampere, Finland.</nlm:affiliation>
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<term>Human papillomavirus 18 (immunology)</term>
<term>Humans</term>
<term>Mass Screening (methods)</term>
<term>Middle Aged</term>
<term>Papillomavirus Infections (complications)</term>
<term>Papillomavirus Infections (prevention & control)</term>
<term>Papillomavirus Vaccines (therapeutic use)</term>
<term>Sensitivity and Specificity</term>
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<div type="abstract" xml:lang="en">Human papillomavirus (HPV)-related screening technologies and HPV vaccination offer enormous potential for cancer prevention, notably prevention of cervical cancer. The effectiveness of these approaches is, however, suboptimal owing to limited implementation of screening programmes and restricted indications for HPV vaccination. Trials of HPV vaccination in women aged up to 55 years have shown almost 90% protection from cervical precancer caused by HPV16/18 among HPV16/18-DNA-negative women. We propose extending routine vaccination programmes to women of up to 30 years of age (and to the 45-50-year age groups in some settings), paired with at least one HPV-screening test at age 30 years or older. Expanding the indications for HPV vaccination and much greater use of HPV testing in screening programmes has the potential to accelerate the decline in cervical cancer incidence. Such a combined protocol would represent an attractive approach for many health-care systems, in particular, countries in Central and Eastern Europe, Latin America, Asia, and some more-developed parts of Africa. The role of vaccination in women aged >30 years and the optimal number of HPV-screening tests required in vaccinated women remain important research issues. Cost-effectiveness models will help determine the optimal combination of HPV vaccination and screening in public health programmes, and to estimate the effects of such approaches in different populations.</div>
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<AbstractText>Human papillomavirus (HPV)-related screening technologies and HPV vaccination offer enormous potential for cancer prevention, notably prevention of cervical cancer. The effectiveness of these approaches is, however, suboptimal owing to limited implementation of screening programmes and restricted indications for HPV vaccination. Trials of HPV vaccination in women aged up to 55 years have shown almost 90% protection from cervical precancer caused by HPV16/18 among HPV16/18-DNA-negative women. We propose extending routine vaccination programmes to women of up to 30 years of age (and to the 45-50-year age groups in some settings), paired with at least one HPV-screening test at age 30 years or older. Expanding the indications for HPV vaccination and much greater use of HPV testing in screening programmes has the potential to accelerate the decline in cervical cancer incidence. Such a combined protocol would represent an attractive approach for many health-care systems, in particular, countries in Central and Eastern Europe, Latin America, Asia, and some more-developed parts of Africa. The role of vaccination in women aged >30 years and the optimal number of HPV-screening tests required in vaccinated women remain important research issues. Cost-effectiveness models will help determine the optimal combination of HPV vaccination and screening in public health programmes, and to estimate the effects of such approaches in different populations.</AbstractText>
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