Evidence map›Paper›PMID 26448176›Full record

ArticleBritish journal of cancer2015

Cervical histology after routine ThinPrep or SurePath liquid-based cytology and computer-assisted reading in Denmark.

Matejka Rebolj, Johanne Rask, Marjolein van Ballegooijen, Benny Kirschner, Kirsten Rozemeijer, Jesper Bonde, Carsten Rygaard, Elsebeth Lynge

Abstract read
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Article in British journal of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Matejka ReboljDepartment of Public Health, University of Copenhagen, Øster Farimagsgade 5, Copenhagen 1014, Denmark.
Johanne RaskDepartment of Public Health, University of Copenhagen, Øster Farimagsgade 5, Copenhagen 1014, Denmark.
Marjolein van BallegooijenDepartment of Public Health, Erasmus MC, 's-Gravendijkwal 230, Rotterdam 3015, the Netherlands.
Benny KirschnerDepartment of Gynecology and Obstetrics, Copenhagen University Hospital, Kettegård Alle 30, Hvidovre 2650, Denmark.
Kirsten RozemeijerDepartment of Public Health, Erasmus MC, 's-Gravendijkwal 230, Rotterdam 3015, the Netherlands.
Jesper BondeDepartment of Pathology, Copenhagen University Hospital, Kettegård Alle 30, Hvidovre 2650, Denmark.
Carsten RygaardDepartment of Pathology, Copenhagen University Hospital, Kettegård Alle 30, Hvidovre 2650, Denmark.
Elsebeth LyngeDepartment of Public Health, University of Copenhagen, Øster Farimagsgade 5, Copenhagen 1014, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe compared the sensitivity and specificity of liquid-based cytology (LBC) and computer-assisted reading for SurePath/FocalPoint and ThinPrep with those of manually read conventional cytology in routine cervical screening in four Danish laboratories.

methodsUsing data from five nationwide registers, technological phases were identified by slide preparation, reading technique, and triage of borderline cytology. Trends in the detection of cervical intraepithelial neoplasia (CIN) were an indicator of the technology's relative sensitivity, and trends in false-positive tests an indicator of relative specificity.

resultsAt 23-29 years, SurePath/FocalPoint statistically significantly increased the detection of ⩾CIN3 by 85% compared with manually read conventional cytology. The 11% increase with ThinPrep was not significant. At 30-44 years, the increase with SurePath/FocalPoint was 58%; the 16% increase with ThinPrep was not significant. At 45-59 years, both technologies led to nonsignificant decreases in the detection. SurePath/FocalPoint doubled the frequency of false-positive tests at any age. With ThinPrep, these proportions remained the same at 23-29 years, but decreased by two-thirds at 45-59 years. In a fourth laboratory with continuous use of manually read conventional cytology, no such trends were seen.

conclusionsThe sensitivity and specificity of modern LBC and computer-assisted reading technologies may be brand- and age-dependent.

Indexed as

AdultCervix UteriCytodiagnosisDenmarkFalse Positive ReactionsFemaleHumansMiddle AgedSensitivity and SpecificityUterine Cervical DysplasiaUterine Cervical NeoplasmsVaginal SmearsYoung Adult

Identifiers

PMID26448176
PMCPMC4815798

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.