PREVALENCE OF HPV DNA IN CERVICAL SPECIMENS IN WOMEN WITH RENAL-TRANSPLANTS - A COMPARISON WITH DIALYSIS-DEPENDENT PATIENTS AND PATIENTS WITH RENAL IMPAIRMENT
Ck. Fairley et al., PREVALENCE OF HPV DNA IN CERVICAL SPECIMENS IN WOMEN WITH RENAL-TRANSPLANTS - A COMPARISON WITH DIALYSIS-DEPENDENT PATIENTS AND PATIENTS WITH RENAL IMPAIRMENT, Nephrology, dialysis, transplantation, 9(4), 1994, pp. 416-420
The aim of this study was to assess the prevalence of human papillomav
irus (HPV) DNA in women who had received a renal transplant and to com
pare this with two control groups. Women who had a functioning renal t
ransplant for greater than 6 months (n=69) were compared with women on
maintenance dialysis (n=89) and women with impaired renal function (c
reatinine 0.15-0.39 mmol/1) (n=22). Women were excluded if they had ha
d a hysterectomy, were older than 65 years, or were not yet sexually a
ctive. A questionnaire and cervical scrape were obtained from each par
ticipant. The cervical scrape was analysed for HPV DNA using PCR and t
he L1 consensus primers. The participation rate of transplant patients
, dialysis patients and those with impaired renal function ('normal' g
roup) was 69, 68, and 78% respectively. The characteristics of the thr
ee groups of women at enrollment were similar. No cytological abnormal
ities were present in the 'normal' population but 11 of 89 patients on
maintenance dialysis and nine of 69 transplant patients had cytologic
al abnormalities of atypia or greater (P=0.08 and P=0.07, for 'normal'
compared to dialysis and transplant groups respectively). One (4.5%)
of the 'normal' women had evidence of HPV DNA, while 18 (20%) of patie
nts on maintenance dialysis and 15 (22%) of transplant patients were p
ositive (P=0.07 and P=0.05, for 'normal' compared to dialysis and tran
splant groups respectively). This study suggests that not only transpl
ant recipients but also dialysis patients may have a higher prevalence
of risk factors (cytological abnormalities and HPV DNA) for the devel
opment of cervical cancer.