1. Human papillomavirus infection and non-oropharyngeal head and neck cancers: an umbrella review of meta-analysis.
- Author
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Petrelli, Fausto, Cin, Elisa Dal, Ghidini, Antonio, Carioli, Daniela, Falasca, Vincenzo, De Stefani, Agostina, Moleri, Giovanna, Ardito, Raffaele, Luciani, Andrea, Nardone, Massimiliano, and Capriotti, Vincenzo
- Subjects
HUMAN papillomavirus ,HEAD & neck cancer ,PAPILLOMAVIRUS diseases ,NASOPHARYNX cancer ,SQUAMOUS cell carcinoma - Abstract
Objective: The causative and prognostic roles of human papillomavirus (HPV) in non-oropharyngeal squamous cell carcinoma of the head and neck are uncertain. This umbrella review assessed the strength and quality of evidence and graded the evidence derived from published meta-analyses on this subject. Data sources: MEDLINE, Embase, and the Cochrane Library were searched. Meta-analyses of observational studies and randomized trials were included. Review methods: Evidence of association was graded according to the established criteria: strong, highly suggestive, suggestive, weak, or not significant. Results: 15 meta-analyses were evaluated. The association with HPV was highly suggestive of oral (OR = 2.40, [1.87–3.07], P < 0.00001) and nasopharyngeal cancers (OR = 17.82 [11.20–28.35], P < 0.00001). Improved survival emerged only in hypopharyngeal carcinoma and was confirmed in studies in which only p16 + cancers were considered. Conclusion: HPV infection may increase the risk of oral cavity and nasopharyngeal cancer. However, the prognosis was not influenced, except in hypopharyngeal carcinoma. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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