Considerations on the clinical application of the human papillomavirus vaccine in Spain

Cortés, Javier; Martinón-Torres, Federico; Cajal, José Manuel Ramón y; Ferret, Gabriel; Gil, Á.

doi:10.4161/hv.7.5.14817

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…Three years later, in 2011, the impact of that document hadn´t been as successful as it was to thought it should have been. Because of persistent doubts about the usefulness of the recommendations on vaccination against HPV, its effectiveness and risk [17] a new consensus document focused on HPV vaccination was published in 2011 [18]. …”

Section: Discussionmentioning

confidence: 99%

Cross-sectional study about primary health care professionals views on the inclusion of the vaccine against human papillomavirus in the vaccine schedules

Oliver-Pérez

Violeta

Campo

et al. 2015

Infect Agents Cancer

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BackgroundAlthough the inclusion of the HPV vaccine has been registered in Spain since 2007, vaccination rates are lower than expected. The patients wish to be vaccinated is heavily influenced by information they have received from many source. The Knowledge of primary health care professionals affects the information provided to patients and is fundamental in the decision making. The aim of this study is to assess the opinions of primary health care professionals on the vaccine against HPV and their knowledge about HPV infection and its links to with gynecological and oropharyngeal cancer.MethodsCross-sectional study. A 19-item survey was drawn up. It included questions on basic aspects of HPV infection and marketed vaccines, personal opinion about the inclusion in the immunization schedules and their level of prescription and recommendation to patients in their clinical practice. From October 2013 to December 2013, 607 surveys were distributed among 20 primary health centers affiliated to the University Hospital 12 de Octubre. The results were analyzed using SPSS statistical package.ResultsOne hundred sixty four successfully completed surveys were obtained for analysis. 89 % of the professionals knew about the relationship between HPV infection and cervical cancer, 57.3 % did not know any of the serotypes against which vaccines are targeted; 40.4 % believed that there is insufficient data to support the commercialization of the vaccines. Of these, 65.7 % argue that there is no data of its long-term effectiveness, 13.4 % that there is no data as to its side effects, 13.4 % believed that the cost effectiveness is not worthwhile.ConclusionsThere is a strong controversy among health professionals regarding the marketing and inclusion of HPV vaccine in immunization schedules. However, the knowledge of the primary care health professionals on key aspects of infection and vaccine protection are insufficient. The training of professionals in vaccination, cervical pathology and HPV infection should be improved to provide objective information on the use as this vaccine for patients.

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Section: Discussionmentioning

confidence: 99%

Cross-sectional study about primary health care professionals views on the inclusion of the vaccine against human papillomavirus in the vaccine schedules

Oliver-Pérez

Violeta

Campo

et al. 2015

Infect Agents Cancer

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“…13,[15][16][17][18][19] Deterrent factors influencing personal decision-making in relation to HPV vaccination have been identified and analyzed and have highlighted, in particular, concerns surrounding vaccine effectiveness and an over-perception of the risk of side effects. [20][21][22] In the analysis of current opposition trends to systematic vaccination, arguments pertaining to the subjective and/or emotional realms allowing for a greater possibility of manipulation, rather than those of scientific evidence, were found. ReseARcH PAPeR 3 times or more.…”

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confidence: 99%

Dr Google

Pías‐Peleteiro

Cortés-Bordoy

Martinón-Torres

2013

Human Vaccines & Immunotherapeutics

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IntroductionThe Internet currently stands out as an emerging information provider for the general public, in all subject areas including health. It continues to expand at a rapid rate, both in registered data volume and in web users.1 Increased Internet accessibility as well as the autonomy granted to the user in targeted searches have facilitated the use of the Internet tool and have opened up a new dimension in the chain of information transfer and medical advice. 2,3 Traditional sources of medical advice and health education, largely linked to the figure of the specialized physician, may be displaced and even challenged by this new communication agent, the boundaries of which are not set or controlled by the medical experts themselves. A survey conducted in seven European countries showed that the Internet follows doctors very closely as the second most important source of information for women in those countries, on topics related to the human papillomavirus (HPV) and its vaccine. 4 HPV vaccination has positive indications that have been widely demonstrated in target groups and supported by high quality tests, contained in each vaccine's specification sheet. [5][6][7][8][9][10] Most European countries actively recommend vaccination and include these vaccines in their systematic vaccination programs. 11,12 In Spain the Objectives:To assess and analyze the information and recommendations provided by Google Web search™ (Google) in relation to web searches on the HPV vaccine, indications for females and males and possible adverse effects.Results: In the comprehensive analysis of results, 72.2% of websites offer information favorable to HPV vaccination, with varying degrees of content detail, vs. 27.8% with highly dissuasive content in relation to HPV vaccination. The most frequent type of site is the blog or forum. The information found is frequently incomplete, poorly structured, and often lacking in updates, bibliography and adequate citations, as well as sound credibility criteria (scientific association accreditation and/or trust mark system).Materials and Methods: Descriptive cross-sectional study of the results of 14 web searches. comprehensive analysis of results based on general recommendation given (favorable/dissuasive), as well as compliance with pre-established criteria, namely design, content and credibility. sub-analysis of results according to site category: general information, blog/forum and press. Conclusions: Google, as a tool which users employ to locate medical information and advice, is not specialized in providing information that is necessarily rigorous or valid from a scientific perspective. search results and ranking based on Google's generalized algorithms can lead users to poorly grounded opinions and statements, which may impact HPV vaccination perception and subsequent decision making. Dr GoogleWhat about the human papillomavirus vaccine?Leticia Pías-Peleteiro, Keywords: human papillomavirus, HPV, HPV vaccination, Google, internet cohort for systematic vaccination includes girls bet...

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“…Cutáneotrópicos: epitelio escamoso VPHs 1,4,5,8,41,48,60,63 y 65 Mucosotrópicos: epitelio mucoso VPHs 6,11,13,16,18,26,30,31,33,34,35,39,42,45,51,52,53,54,55,56,58,59,64,66,67,68,69,70,73 Sin embargo, se observaron casos de afectación de ambos epitelios por el mismo virus HPV, por lo que se clasificaron posteriormente en función de su capacidad para producir verrugas en piel (HPV 1) o en el área anogenital (HPV 6, 16 y 18), pero también existían casos de HPV que ocasionaban lesiones en ambas localizaciones.…”

Section: Iii33-clasificación Del Hpvunclassified

Virus del Papiloma Humano (HPV) y lesiones displásticas del cuello uterino: estudio epidemiológico tras tratamiento quirúrgico = Human papillomavirus (HPV) and precancerous lesions of the cervix: epidemiologyc study after conization surgery

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Considerations on the clinical application of the human papillomavirus vaccine in Spain

Cited by 6 publications

References 20 publications

Cross-sectional study about primary health care professionals views on the inclusion of the vaccine against human papillomavirus in the vaccine schedules

Cross-sectional study about primary health care professionals views on the inclusion of the vaccine against human papillomavirus in the vaccine schedules

Dr Google

Virus del Papiloma Humano (HPV) y lesiones displásticas del cuello uterino: estudio epidemiológico tras tratamiento quirúrgico = Human papillomavirus (HPV) and precancerous lesions of the cervix: epidemiologyc study after conization surgery

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