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Table 1 HPV prevalence, fraction attributable to genotypes targeted by the 4-valent and nonavalent vaccines and potential absolute and relative benefit of the 9-valent vaccine compared to the 4-valent for each type of lesion

From: Epidemiologic and economic burden of HPV diseases in Spain: implication of additional 5 types from the 9-valent vaccine

Lesion [sources]

HPV prevalence

HPV 6/11/16/18 attributable fraction among HPV+ cases

HPV 6/11/16/18/31/33/45/52/58 attributable fraction among HPV+ cases

HPV 31/33/45/52/58 absolute (relative) attributable fraction among HPV+ cases

Genital warts [2]

100%

90%

90%

0% (0%)

CIN 2/3 [2]

100%

45.5%

82.3%

36.8% (80.9%)

VIN2/3 [8]

86.9%

80.9%

93.9%

13.0% (16.1%)

VaIN 2/3 [9]

98.0%

65.7%

79.0%

13.3% (20.2%)

AIN 2/3 [22]

95.7%

80.5%

87.8%

7.3% (9.1%)

PIN 2/3 [10]

89.1%

81.0%

91.9%

10.9% (13.4%)

Cervical cancer [21]

100%

72.4%(a)

88.3%(a)

15.9% (21.9%)(a)

Vulvar cancer [8]

18.3% (b)

78.0%

91.6%

13.6% (17.4%)

Vaginal cancer [9]

71.0%

64.0%(a)

84.2%(a)

20.2% (31.6%)(a)

Anal cancer [22]

87.6%

84.3%(a)

92.3%(a)

8.0% (9.5%)(a)

Penile cancer [10]

32.2%

70.2%(a)

79.4%(a)

9.2% (13.1%)(a)

Oral cavity [23]

7.4%

72.0%(a)

80.6%(a)

8.6% (11.9%)(a)

Nasopharynx [23]

7,9%

75.0%(a)

87.5%(a)

12.5% (16.7%)(a)

Oropharynx cancer [23]

24.9%

85.2%(a)

89.7%(a)

4.5% (5.3%)(a)

Hypopharynx cancer [23]

3.9%

80.0%(a)

100%(a)

20.0% (25.0%)(a)

Pharynx cancer [23]

21.4%

66.7%(a)

66.7%(a)

0% (0%)(a)

Larynx cancer [23]

5.7%

57.6%(a)

74.6%(a)

17.0% (29.5%)(a)

  1. AIN: anal intraepithelial neoplasia; CIN: cervical intraepithelial neoplasia; HPV: human papillomavirus; PIN: penile intraepithelial neoplasia; VaIN: vaginal intraepithelial neoplasia; VIN: vulvar intraepithelial neoplasia
  2. (a) Genotypes 6 and 11 not included; (b) HPV attributable fraction estimated based on HPV DNA and p16 positivity