Decreased Management of Genital Warts in Young Women in Australian General Practice Post Introduction of National HPV Vaccination Program: Results from a Nationally Representative Cross-Sectional General Practice Study
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{"title"=>"Decreased Management of genital warts in young women in Australian general practice post introduction of national HPV vaccination program: Results from a nationally representative cross-sectional general practice study", "type"=>"journal", "authors"=>[{"first_name"=>"Christopher", "last_name"=>"Harrison", "scopus_author_id"=>"7201709232"}, {"first_name"=>"Helena", "last_name"=>"Britt", "scopus_author_id"=>"7005056553"}, {"first_name"=>"Suzanne", "last_name"=>"Garland", "scopus_author_id"=>"7102220459"}, {"first_name"=>"Lynne", "last_name"=>"Conway", "scopus_author_id"=>"56372562900"}, {"first_name"=>"Alicia", "last_name"=>"Stein", "scopus_author_id"=>"35339849900"}, {"first_name"=>"Marie", "last_name"=>"Pirotta", "scopus_author_id"=>"6603812260"}, {"first_name"=>"Christopher", "last_name"=>"Fairley", "scopus_author_id"=>"55382768300"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"84907450493", "doi"=>"10.1371/journal.pone.0105967", "pui"=>"373937109", "pmid"=>"25180698", "scopus"=>"2-s2.0-84907450493", "issn"=>"19326203", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)"}, "id"=>"9f7cfa15-9c13-3663-9550-d03d29c542cf", "abstract"=>"OBJECTIVES: Since the introduction of Australia's human papillomavirus vaccination program, the management rate of genital warts in sexual health clinics and private hospitals has decreased in women of vaccine-eligible age. However, most genital warts in Australia are managed in general practice. This study examines whether a similar decrease occurred in Australian general practice after the introduction of the program. METHODS: Analysis of a nationally representative cross-sectional database of Australian general practice activity (1,175,879 patient encounters with 11,780 general practitioners). Genital warts management rates were estimated for the periods before and after introduction of the program (Pre-program, July 2002-June 2006; Post-program, July 2008-June 2012). Control conditions included genital herpes and gardnerella/bacterial vaginosis in female patients and genital herpes and urethritis in male patients. Trends in management rates by year, pre-vaccine (July 2000-June 2007) and post-vaccine (July 2007-June 2012) were also calculated. RESULTS: Management rate of genital warts among women potentially covered by program (aged 15-27 years) decreased by 61% from 4.33 per 1,000 encounters in the Pre-program period to 1.67 in the Post-program period. Trend analysis of the post-vaccine period showed, among women of vaccine eligible age, a significant year-on-year reduction in the rate of genital warts management (p<0.0001) and a significant increase in the management rate of control conditions per year (p<0.0001). For all other age-sex groups there was no significant change in the management rate of genital warts between the Pre- and Post-program periods. CONCLUSION: The large decrease in general practice management of genital warts in women of vaccine-eligible age highlights the success of the program in the wider community.", "link"=>"http://www.mendeley.com/research/decreased-management-genital-warts-young-women-australian-general-practice-post-introduction-nationa-2", "reader_count"=>19, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>1, "Student > Master"=>2, "Other"=>2, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Researcher"=>4, "Student > Doctoral Student"=>1, "Student > Ph. D. Student"=>3, "Student > Postgraduate"=>1, "Student > Master"=>2, "Other"=>2, "Student > Bachelor"=>2, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>3, "Mathematics"=>1, "Medicine and Dentistry"=>7, "Agricultural and Biological Sciences"=>5, "Chemical Engineering"=>1, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>7}, "Social Sciences"=>{"Social Sciences"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>3}, "Chemical Engineering"=>{"Chemical Engineering"=>1}}, "reader_count_by_country"=>{"United States"=>1, "Ireland"=>1, "Chile"=>1, "Spain"=>1}, "group_count"=>3}

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  • {"files"=>["https://ndownloader.figshare.com/files/1657794"], "description"=>"<p>Management rate of genital warts and control STIs per 1,000 age-sex specific encounters.</p>", "links"=>[], "tags"=>["Australian General Practice Post Introduction", "management rate", "practice", "National HPV Vaccination Program", "papillomavirus vaccination program", "introduction", "Genital warts management rates"], "article_id"=>1157989, "categories"=>["Biological Sciences"], "users"=>["Christopher Harrison", "Helena Britt", "Suzanne Garland", "Lynne Conway", "Alicia Stein", "Marie Pirotta", "Christopher Fairley"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0105967.g001", "stats"=>{"downloads"=>0, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Management_rate_of_genital_warts_and_control_STIs_per_1_000_age_sex_specific_encounters_/1157989", "title"=>"Management rate of genital warts and control STIs per 1,000 age-sex specific encounters.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-09-02 02:57:56"}
  • {"files"=>["https://ndownloader.figshare.com/files/1657795"], "description"=>"<p>Note: Control conditions for female patients were genital herpes (ICPC-2 code X90) and gardnerella/vaginosis (ICPC-2 PLUS codes X84006, X84003) and control conditions for male patients were genital herpes (ICPC-2 codes Y72) and urethritis (ICPC-2 codes U72).</p><p>Management rate of genital wart and control conditions in general practice per 1,000 encounters Pre and Post quadravalent vaccine program introduction.</p>", "links"=>[], "tags"=>["Australian General Practice Post Introduction", "management rate", "practice", "National HPV Vaccination Program", "papillomavirus vaccination program", "introduction", "Genital warts management rates"], "article_id"=>1157990, "categories"=>["Biological Sciences"], "users"=>["Christopher Harrison", "Helena Britt", "Suzanne Garland", "Lynne Conway", "Alicia Stein", "Marie Pirotta", "Christopher Fairley"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0105967.t001", "stats"=>{"downloads"=>1, "page_views"=>8, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Management_rate_of_genital_wart_and_control_conditions_in_general_practice_per_1_000_encounters_Pre_and_Post_quadravalent_vaccine_program_introduction_/1157990", "title"=>"Management rate of genital wart and control conditions in general practice per 1,000 encounters Pre and Post quadravalent vaccine program introduction.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-02 02:57:56"}
  • {"files"=>["https://ndownloader.figshare.com/files/1657796"], "description"=>"<p>*Significant at the p < 0.05 level.</p><p>Note: Pre-vaccine period was July 2000-June 2007 and post vaccine period was July 2007-June 2012.</p><p>Male control STIs were genital herpes (ICPC-2 codes Y72) and urethritis (ICPC-2 codes U72).</p><p>Female control STIs were genital herpes (ICPC-2 code X90) and gardnerella/bacterial vaginosis (ICPC-2 PLUS codes X84006, X84003).</p><p>Trends in management rate of genital warts and control STIs in the Pre and Post vaccine periods by patient age and sex.</p>", "links"=>[], "tags"=>["Australian General Practice Post Introduction", "management rate", "practice", "National HPV Vaccination Program", "papillomavirus vaccination program", "introduction", "Genital warts management rates"], "article_id"=>1157991, "categories"=>["Biological Sciences"], "users"=>["Christopher Harrison", "Helena Britt", "Suzanne Garland", "Lynne Conway", "Alicia Stein", "Marie Pirotta", "Christopher Fairley"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0105967.t002", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Trends_in_management_rate_of_genital_warts_and_control_STIs_in_the_Pre_and_Post_vaccine_periods_by_patient_age_and_sex_/1157991", "title"=>"Trends in management rate of genital warts and control STIs in the Pre and Post vaccine periods by patient age and sex.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-09-02 02:57:56"}

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