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Human Papillomavirus Vaccination Counseling in Pediatric Training: Are We Discussing Otolaryngology-Related
Sharon H Gnagi1, Forrest T Gnagi2, Scott A Schraff3
1Department of Otolaryngology, Mayo Clinic Arizona, Phoenix, Arizona, USA gnagi.sharon@mayo.edu.
Insights
Healthcare providers need more education on human papillomavirus (HPV) and its head and neck manifestations like recurrent respiratory papillomatosis and oropharyngeal cancer. Increased awareness is crucial for HPV vaccine counseling.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Public Health
Background:
- Human papillomavirus (HPV) is linked to various cancers and benign conditions.
- Otolaryngology-related manifestations of HPV, such as recurrent respiratory papillomatosis (RRP) and oropharyngeal squamous cell carcinoma (OPSCC), require greater awareness.
- Current education on HPV often focuses on genital and cervical manifestations, neglecting head and neck impacts.
Purpose of the Study:
- To assess the current level of education among pediatric healthcare providers regarding HPV and its otolaryngology-related manifestations.
- To highlight the need for enhanced education and integration of these manifestations into HPV vaccine counseling.
- To determine provider practices concerning the discussion of RRP and OPSCC during HPV vaccination discussions.
Main Methods:
- An online survey was distributed to pediatric residents, fellows, and attending physicians.
- The survey assessed participants' prior education on HPV, specifically its otolaryngology-related manifestations.
- Participants reported on discussions of RRP and OPSCC during routine HPV vaccine counseling.
Main Results:
- A significant majority of participants (63.8% for RRP, 68.3% for OPSCC) rated their education on HPV's head and neck manifestations as none or fair.
- Conversely, most participants felt well-educated on genital warts and cervical cancer (60.6%–70.9%).
- Over 60% of providers reported never discussing RRP (63.3%) or OPSCC (52.9%) during HPV vaccine counseling, with 92.7%–95.5% indicating a need for increased education.
Conclusions:
- There is a clear need to enhance education for healthcare providers on HPV's otolaryngology-related manifestations.
- Integrating discussions about the risks of RRP and OPSCC into routine HPV vaccination counseling is recommended.
- Increased provider, patient, and parent awareness of HPV's head and neck impacts is essential for comprehensive public health efforts.
Objective:
Demonstrate the need for increased education regarding otolaryngology-related manifestations of human papillomavirus (HPV). Highlight a need to incorporate otolaryngology-related manifestations of HPV in vaccine counseling.
Study Design:
Survey.
Setting:
Tertiary care academic children's hospital.
Subjects:
Pediatric residents, fellows, and staff.
Methods:
An online survey was made available regarding HPV education and vaccination.
Results:
Participants (N = 348) initiated the survey representing 28.4%, 25.6%, and 19.0% postgraduate year 1, 2, and 3 residents, respectively, as well as 17.5% chief residents/fellows and 9.5% attendings. Participants rated their prior education as none or fair regarding recurrent respiratory papillomatosis (63.8%) and oropharyngeal squamous cell carcinoma (68.3%). In contrast, 60.6% and 70.9% rated their education on genital warts and cervical cancer correspondingly as good or excellent. When asked what was routinely discussed during HPV vaccine counseling, 63.3% reported "never" discussing recurrent respiratory papillomatosis and 52.9% "never" discussing oropharyngeal squamous cell carcinoma. A range from 92.7% to 95.5% responded that there was a need for increased education regarding HPV and its role in recurrent respiratory papillomatosis and oropharyngeal squamous cell carcinoma.
Conclusions:
Increased education about HPV and its otolaryngology-related manifestations should be undertaken to increase provider, patient, and parent awareness of recurrent respiratory papillomatosis and oropharyngeal squamous cell carcinoma. We propose that discussing the risks of otolaryngology-related disease be routinely included in HPV vaccination counseling.
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