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Cancer registries and monitoring the impact of prophylactic human papillomavirus vaccines: the potential role.

Abstract
The recent US Food and Drug Administration licensure of a prophylactic vaccine against oncogenic human papillomavirus (HPV) types 16 and 18, the first of its kind, poses unique challenges in postmarketing vaccine surveillance, especially in measuring vaccine effectiveness against biologic endpoints of HPV infection. Historically, the national system of population-based cancer registries in the US has provided high-quality data on cancer incidence and mortality for the most important biologic endpoints, namely, anogenital cancers and some oral cavity/oropharyngeal cancers. There also has been some data collection on cancer precursors; however, this activity has been inconsistent and of lower priority. Because effectiveness against HPV-associated cancers will not be measurable for several decades, strengthening and possibly expanding the capacity of registries to collect precancer data, which are earlier manifestations of infection, must be considered. Collecting type-specific data on HPV-associated precancers and cancers. While keeping in mind the current limitations of registry operations, they discuss resources that may be needed to implement and sustain these types of activities.
AuthorsMona Saraiya, Marc T Goodman, S Deblina Datta, Vivien W Chen, Phyllis A Wingo
JournalCancer (Cancer) Vol. 113 Issue 10 Suppl Pg. 3047-57 (Nov 15 2008) ISSN: 0008-543X [Print] United States
PMID18980287 (Publication Type: Journal Article, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Papillomavirus Vaccines
Topics
  • Female
  • Genital Diseases, Female (virology)
  • Health Planning Guidelines
  • Health Resources
  • Humans
  • Incidence
  • Papillomavirus Infections (epidemiology, prevention & control)
  • Papillomavirus Vaccines
  • Precancerous Conditions (diagnosis, epidemiology)
  • Product Surveillance, Postmarketing
  • Registries
  • United States (epidemiology)
  • Uterine Cervical Neoplasms (epidemiology, prevention & control)

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