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      Is Open Access

      Human papillomavirus vaccination uptake in low-and middle-income countries: a meta-analysis.

      1 , 2 , 3 , 4 , 3 , 5 , 6
      EClinicalMedicine
      Elsevier BV
      2vHPV, bivalent HPV vaccine, 4vHPV, quadrivalent HPV vaccine, 9vHPV, 9-valent HPV vaccine, CENTRAL, cochrane central register of controlled trials, CI, confidence interval, CIN2+, cervical intra-epithelial neoplasia grade II, Cervical cancer elimination, EMBASE, excerpta medica dataBASE, GNI, gross national income, HPV vaccine, HPV, human papillomavirus, LMICs, Low- and middle-income countries, Low-and middle-income countries, MSM, men having sex with men, Meta-analysis, RR, relative risk, STROBE, strengthening the reporting of observational studies in epidemiology, Systematic review, US, United States, Vaccine uptake, WHO, World Health Organization

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          Abstract

          The proportion of incident cases of HPV-attributable cancers is highest in the low- and middle-income countries (LMICs) but many are yet to initiate HPV vaccination programs. This meta-analysis was performed to assess the uptake of HPV vaccination in LMICs at the beginning of the global strategy to eliminate cervical cancer and describes the gaps and challenges.

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          Most cited references68

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          Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement.

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            Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement.

            In the course of performing systematic reviews on the prevalence of low back and neck pain, we required a tool to assess the risk of study bias. Our objectives were to (1) modify an existing checklist and (2) test the final tool for interrater agreement. The final tool consists of 10 items addressing four domains of bias plus a summary risk of bias assessment. Two researchers tested the interrater agreement of the tool by independently assessing 54 randomly selected studies. Interrater agreement overall and for each individual item was assessed using the proportion of agreement and Kappa statistic. Raters found the tool easy to use, and there was high interrater agreement: overall agreement was 91% and the Kappa statistic was 0.82 (95% confidence interval: 0.76, 0.86). Agreement was almost perfect for the individual items on the tool and moderate for the summary assessment. We have addressed a research gap by modifying and testing a tool to assess risk of study bias. Further research may be useful for assessing the applicability of the tool across different conditions. Copyright © 2012 Elsevier Inc. All rights reserved.
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              • Record: found
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              Is Open Access

              Global burden of cancer attributable to infections in 2018: a worldwide incidence analysis

              Infectious pathogens are strong and modifiable causes of cancer. The aim of this study was to improve estimates of the global and regional burden of infection-attributable cancers to inform research priorities and facilitate prevention efforts.
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                Author and article information

                Journal
                EClinicalMedicine
                EClinicalMedicine
                Elsevier BV
                2589-5370
                2589-5370
                Apr 2021
                : 34
                Affiliations
                [1 ] Department of Internal Medicine, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan.
                [2 ] Kidu Mobile Medical Unit, His Majesty's People's Project, Thimphu, Bhutan.
                [3 ] Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
                [4 ] Department of Obstetrics and Gynaecology, Central Regional Referral Hospital, Gelegphu, Bhutan.
                [5 ] Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
                [6 ] Bumrungrad International Hospital, Bangkok, Thailand.
                Article
                S2589-5370(21)00116-4
                10.1016/j.eclinm.2021.100836
                8102703
                33997733
                d8b811f2-7ec6-4728-8261-aa7e56b17517
                History

                Vaccine uptake,2vHPV, bivalent HPV vaccine,4vHPV, quadrivalent HPV vaccine,9vHPV, 9-valent HPV vaccine,CENTRAL, cochrane central register of controlled trials,CI, confidence interval,CIN2+, cervical intra-epithelial neoplasia grade II,Cervical cancer elimination,EMBASE, excerpta medica dataBASE,GNI, gross national income,HPV vaccine,HPV, human papillomavirus,LMICs, Low- and middle-income countries,Low-and middle-income countries,MSM, men having sex with men,Meta-analysis,RR, relative risk,STROBE, strengthening the reporting of observational studies in epidemiology,Systematic review,US, United States,WHO, World Health Organization

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