Rome consensus conference - statement; Human Papilloma Virus diseases in males 英文参考文献.docVIP
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Rome consensus conference - statement; Human Papilloma Virus diseases in males 英文参考文献
Lenzietal.BMCPublicHealth2013,13:117
/1471-2458/13/117
CORRESPONDENCE
OpenAccess
Romeconsensusconference-statement;human
papillomavirusdiseasesinmales
AndreaLenzi1*,VincenzoMirone2,VincenzoGentile3,RiccardoBartoletti4,VincenzoFicarra5,CarloForesta6,
LucianoMariani7,SandraMazzoli8,SaverioGParisi9,AntonioPerino10,MauroPicardo11andCarlaMariaZotti12
Abstract
Background:HumanPapillomavirus(HPV)isaveryresistant,ubiquitousvirusthatcansurviveintheenvironment
withoutahost.ThedecisiontoanalyseHPV-relateddiseasesinmaleswasduetothebroaddisseminationofthe
virus,and,aboveall,bytheneedtostresstheimportanceofprimaryandsecondarypreventionmeasures(currently
availableforwomenexclusively).TheobjectiveoftheConsensusConferencewastomakeevidence-based
recommendationsthatweredesignedtofacilitatetheadoptionofastandardapproachinclinicalpracticeinItaly.
Methods:TheSponsoringPanelputaseriesofquestionstothemembersoftheScientificCommitteewho
preparedasummaryofthecurrentlyavailableinformation,relevantforeachquestion,afterthereviewandgrading
oftheexistingscientificliterature.ThesummarieswerepresentedtoaJury,alsocalledmultidisciplinaryConsensus
Panel,whodraftedaseriesofrecommendations.
Results:TheprevalenceofHPVinmalesrangesbetween1.3–72.9%.Theprevalencecurveinmalesismuchhigher
thanthatinfemalesanddoesnottendtodeclinewithage.Womenappeartohaveahigherprobabilityof
acquiringHPVgenotypesassociatedwithahighoncogenicrisk,whereasinmalestheprobabilityofacquiring
low-orhigh-riskgenotypesissimilar.TheHPV-relateddiseasesthataffectmalesareanogenitalwartsandcancers
ofthepenis,anusandoropharynx.ThequadrivalentvaccineagainstHPVhasprovedtobeeffectiveinpreventing
externalgenitallesionsinmalesaged16–26yearsin90.4%(95%CI:69.2–98.1)ofcases.Ithasalsoprovedtobe
effectiveinpreventingprecancerousanallesionsin77.5%(95%CI:39.6–93.3)ofcasesinaper-protocolanalysisand
in91.7%(95%CI:44.6–99.8)ofcasesinapost-hocanalysis.Earlyecologicalstudiesdemonstratereductionof
genitalwartsinvaccinatedfemalesandsomeherdimmunityinmaleswhenvac
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