Epidemiology of HPV 16 and Cervical Cancer in Finland and the Potential Impact of Vaccination Mathematical Modelling Analyses 英文参考文献.docVIP
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Epidemiology of HPV 16 and Cervical Cancer in Finland and the Potential Impact of Vaccination Mathematical Modelling Analyses 英文参考文献
o
PL SMEDICINE
EpidemiologyofHPV16andCervicalCancer
inFinlandandthePotentialImpactof
Vaccination:MathematicalModellingAnalyses
Ruanne V.Barnabas1,2*,Pa¨iviLaukkanen3,4,Pentti Koskela3,Osmo Kontula5,Matti Lehtinen3,6,Geoff P.Garnett2
1CancerEpidemiologyUnit,UniversityofOxford,Oxford,UnitedKingdom,2DepartmentofInfectiousDiseaseEpidemiology,ImperialCollege,London,UnitedKingdom,
3 National Public Health Institute, Helsinki and Oulu, Finland, 4 Finnish Cancer Registry, Institute for Statistical and Epidemiological Cancer Research, Helsinki, Finland,
5FamilyFederationofFinland,Helsinki,Finland,6SchoolofPublicHealth,UniversityofTampere,Tampere,Finland
Funding:RVBandGPGthankthe
NuffieldTrustandRoyalSocietyfor
funding,respectively.Thefunders
hadnoroleinstudydesign,data
collectionandanalysis,decisionto
publish,orpreparationofthe
manuscript.
ABSTRACT
Background
Candidate human papillomavirus (HPV) vaccines have demonstrated almost 90%-100%
efficacyinpreventingpersistent,type-specificHPVinfectionover18moinclinicaltrials.Ifthese
vaccines go on to demonstrate prevention of precancerous lesions in phase III clinical trials,
they will be licensed for public use in the near future. How these vaccines will be used in
countrieswithnationalcervicalcancerscreeningprogrammesisanimportantquestion.
CompetingInterests:GPGandRVB
areconsultantsforSanofi-Pasteur
MSD.
AcademicEditor:EduardoFranco,
McGillUniversity,Canada
MethodsandFindings
Citation:BarnabasRV,LaukkanenP,
KoskelaP,KontulaO,LehtinenM,et
al.(2006)EpidemiologyofHPV16
andcervicalcancerinFinlandand
thepotentialimpactofvaccination:
Mathematicalmodellinganalyses.
PLoSMed3(5):e138.
WedevelopedatransmissionmodelofHPV16infectionandprogressiontocervicalcancer
andcalibratedittoFinnishHPV16seroprevalenceovertime.Themodelwasusedtoestimate
thetransmissionprobabilityofthevirus,tolookattheeffectofchangesinpatternsofsexual
behaviourandsmokingonage-specifictrendsincancerincidence,andtoexploretheimpact
ofHPV16vaccination.Weestimatedahighper-p
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