RT Journal Article T1 Cervical determinants of anal HPV infection and high-grade anal lesions in women: a collaborative pooled analysis. A1 Lin, Chunqing A1 Slama, Jiri A1 Gonzalez, Paula A1 Goodman, Marc T A1 Xia, Ningshao A1 Kreimer, Aimée R A1 Wu, Ting A1 Hessol, Nancy A A1 Shvetsov, Yurii A1 Ortiz, Ana P A1 Grinsztejn, Beatriz A1 Moscicki, Anna-Barbara A1 Heard, Isabelle A1 Del Refugio González Losa, María A1 Kojic, Erna M A1 Schim van der Loeff, Maarten F A1 Wei, Feixue A1 Longatto-Filho, Adhemar A1 Mbulawa, Zizipho A A1 Palefsky, Joel M A1 Sohn, Annette H A1 Hernandez, Brenda Y A1 Robison, Katina A1 Simpson, Steve A1 Conley, Lois J A1 de Pokomandy, Alexandra A1 van der Sande, Marianne A B A1 Dube Mandishora, Racheal S A1 Volpini, Lays P B A1 Pierangeli, Alessandra A1 Romero, Byron A1 Wilkin, Timothy A1 Franceschi, Silvia A1 Hidalgo-Tenorio, Carmen A1 Ramautarsing, Reshmie A A1 Park, Ina U A1 Tso, Fernanda K A1 Godbole, Sheela A1 D'Hauwers, Kathleen W M A1 Sehnal, Borek A1 Menezes, Lynette J A1 Heráclio, Sandra A A1 Clifford, Gary M AB Cervical cancer screening might contribute to the prevention of anal cancer in women. We aimed to investigate if routine cervical cancer screening results-namely high-risk human papillomavirus (HPV) infection and cytohistopathology-predict anal HPV16 infection, anal high-grade squamous intraepithelial lesions (HSIL) and, hence, anal cancer. We did a systematic review of MEDLINE, Embase, and the Cochrane library for studies of cervical determinants of anal HPV and HSIL published up to Aug 31, 2018. We centrally reanalysed individual-level data from 13 427 women with paired cervical and anal samples from 36 studies. We compared anal high-risk HPV prevalence by HIV status, cervical high-risk HPV, cervical cytohistopathology, age, and their combinations, using prevalence ratios (PR) and 95% CIs. Among 3255 women with anal cytohistopathology results, PRs were similarly calculated for all anal HSIL and HPV16-positive anal HSIL. Cervical and anal HPV infections were highly correlated. In HIV-negative women, anal HPV16 prevalence was 41% (447/1097) in cervical HPV16-positive versus 2% (214/8663) in cervical HPV16-negative women (PR 16·5, 95% CI 14·2-19·2, p HPV-based cervical cancer screening programmes might help to stratify anal cancer risk, irrespective of HIV status. For targeted secondary anal cancer prevention in high-risk groups, HIV-negative women with cervical HPV16, especially those older than 45 years, have a similar anal cancer risk profile to that of HIV-positive women. International Agency for Research on Cancer. YR 2019 FD 2019-06-13 LK http://hdl.handle.net/10668/14122 UL http://hdl.handle.net/10668/14122 LA en DS RISalud RD May 9, 2025