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Review
. 2022 Jul 20;12(7):1759.
doi: 10.3390/diagnostics12071759.

Prevalence of Human Papilloma Virus Infection in Bladder Cancer: A Systematic Review

Affiliations
Review

Prevalence of Human Papilloma Virus Infection in Bladder Cancer: A Systematic Review

Narcisa Muresu et al. Diagnostics (Basel). .

Abstract

The etiology of bladder cancer is known to be associated with behavioral and environmental factors. Moreover, several studies suggested a potential role of HPV infection in the pathogenesis with controversial results. A systematic review was conducted to assess the role of HPV. A total of 46 articles that reported the prevalence of HPV infection in squamous (SCC), urothelial (UC), and transitional cell carcinomas (TCC) were selected. A pooled prevalence of 19% was found, with a significant difference in SCC that was mainly driven by HPV-16. Moreover, infection prevalence in case-control studies showed a higher risk of bladder cancer in HPV-positive cases (OR: 7.84; p-value < 0.00001). The results may suggest an etiologic role of HPV in bladder cancer. HPV vaccine administration in both sexes could be key to prevent the infection caused by high-risk genotypes.

Keywords: HPV; HPV detection; bladder cancer; human papillomavirus; transitional cell carcinoma; urothelial carcinoma.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
PRISMA 2020 flow diagram for new systematic reviews, which included searches of databases and registers only.
Figure 2
Figure 2
Forest plot of HPV pooled prevalence in bladder cancer. Adapted from [14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59].
Figure 3
Figure 3
Forest plot of overall odds ratio in case-control studies. Adapted from [14,19,20,32,37,42,47,49,50,53,54].

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