Feasibility of Instituting a Clinical Otolaryngology Human Papillomavirus (HPV) Vaccination Program.

Feasibility of Instituting a Clinical Otolaryngology Human Papillomavirus (HPV) Vaccination Program.
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DOI:
10.1002/lary.30130
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发表时间:
2023-01
期刊:
影响因子:
2.6
通讯作者:
Van Abel, Kathryn M.
Van Abel, Kathryn M.
中科院分区:
医学2区
文献类型:
--
作者:
Palacios, Victoria J.;Merlino, Dante J.;Anderson, Stephanie S.;Yeakel, Sarah R.;Choby, Garret W. G.;Wiedermann, Joshua P.;Moore, Eric J.;O'Byrne, Thomas J.;Jacobson, Robert M.;Van Abel, Kathryn M.

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旨在测量三级和社区耳鼻喉头颈外科 (Oto-HNS) 诊所患者的基线人乳头瘤病毒 (HPV) 疫苗接种率,并确定疫苗接种不足的危险因素。对 2017 年至 2019 年在 Oto-HNS 诊所就诊的 9 岁至 26 岁患者的回顾性图表审查。如果患者接受了两剂 HPV 疫苗,且第一剂在 15 岁之前接种,或者接受了三剂 HPV 疫苗,则被认为已完成 HPV 疫苗接种。 8,532 名独特患者符合标准。在初次访视时,3,110 人 (36.5%) 已完成 HPV 系列接种,5,422 人 (63.5%) 需要接种一剂或多剂,其中 4,981 人 (58.4%) 在预约时有资格接种疫苗。在这些欠款中,大多数(3,148/5,422 或 58%)按年龄(≥13 岁)逾期。在逾期的 3,148 名患者中,745 名 (23.7%) 已部分接种疫苗,2,403 名 (76.3%) 未接种过疫苗。男性和年轻年龄均与疫苗接种不完整独立相关(p < 0.0001)。这项研究表明,实施现场 HPV 疫苗接种有可能增加符合疫苗资格的患者,尤其是年轻男性的疫苗接种机会。耳鼻喉科医生有潜力在对抗 HPV 介导的疾病方面提供有意义的预防服务。
To measure baseline human papillomavirus (HPV) vaccination rates among tertiary and community-based Otolaryngology – Head and Neck Surgery (Oto-HNS) clinic patients and to determine risk factors for under-vaccination. Retrospective chart review of patients aged 9 to 26 years presenting to an Oto-HNS clinic from 2017 to 2019. Patients were considered complete for HPV vaccination if they received two doses of HPV vaccine with the first dose received before age 15 years or three doses of HPV vaccine otherwise. 8,532 unique patients met the criteria. At the index visit, 3,110 (36.5%) had completed the HPV series, 5,422 (63.5%) were due for one or more doses, with 4,981 (58.4%) eligible for vaccination at the time of their appointment. Of those dues, most (3,148/5,422 or 58%) were past due by age (≥13 years old). Of the 3,148 patients past due, 745 (23.7%) were partially vaccinated and 2,403 (76.3%) were vaccine naïve. Male sex and younger age were both independently associated with incomplete vaccination (p < 0.0001). This study demonstrates that the implementation of on-site HPV vaccination has the potential to increase the opportunities for vaccination among vaccine-eligible patients, especially among young males. Otolaryngologists have the potential to provide meaningful preventive services in the fight against HPV-mediated disease.
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