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Prior knowledge of HPV status improves detection of CIN2+ by cytology screening.

Abstract：

OBJECTIVE:The objective of the study was to investigate whether knowledge of human papillomavirus (HPV) deoxyribonucleic acid test results increases sensitivity of guided cytology screening for the detection of cervical intraepithelial neoplasia (CIN)-2 or higher-grade cervical lesions. STUDY DESIGN:This was a prospective colposcopy-controlled study of 2905 BD SurePath samples to identify cases with CIN2+ within a 24 month follow-up period. Sensitivity and specificity to detect CIN2+ was evaluated, comparing guided cytology screening with and without prior knowledge of HPV status. RESULTS:Prior knowledge of HPV status resulted in significantly higher detection rate of CIN2+ compared with screening blinded to HPV status (P = .005) with limited loss of specificity (P = .026). Gain in sensitivity is higher in older women (43.8%, P = .008) vs in younger women (10.2%, P = .317), whereas loss of specificity is more pronounced in younger women (P < .001) vs older women (P = .729). CONCLUSION:Guided cytological screening performed with prior knowledge of HPV status results in an improved detection of CIN2 or higher-grade lesions.

journal_name

Am J Obstet Gynecol

journal_title

American journal of obstetrics and gynecology

authors

Benoy IH,Vanden Broeck D,Ruymbeke MJ,Sahebali S,Arbyn M,Bogers JJ,Temmerman M,Depuydt CE

doi

10.1016/j.ajog.2011.06.101

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

569.e1-7

issue

6

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(11)00896-9

journal_volume

205

pub_type

临床试验,杂志文章

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