Evidence map›Paper›PMID 29374658›Full record

Trial reportBMJ open2018

Protocol for Compass: a randomised controlled trial of primary HPV testing versus cytology screening for cervical cancer in HPV-unvaccinated and vaccinated women aged 25-69 years living in Australia.

Karen Canfell, Marion Saville, Michael Caruana, Val Gebski, Jessica Darlington-Brown, Julia Brotherton, Stella Heley, Philip E Castle

Erratum issued Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02328872 (Compass - Randomized Controlled Trial of 5-yearly Cervical Screening With Primary HPV Testing Versus Cervical Screening With 2.5-yearly Liquid Based Cytology Testing, in HPV-Unvaccinated and HPV-Vaccinated Women in Australia), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
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.

NCT02328872 naactive not recruitingnot on this map

Compass - Randomized Controlled Trial of 5-yearly Cervical Screening With Primary HPV Testing Versus Cervical Screening With 2.5-yearly Liquid Based Cytology Testing, in HPV-Unvaccinated and HPV-Vaccinated Women in Australia

TypeinterventionalSponsorVCS FoundationRan2015 to 2037Enrolled76,181ConditionsCancer of the Cervix, Cervical Intraepithelial NeoplasiaArmsMolecular testing for HPV, Liquid Based Cytology
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 31 citations in OpenAlex.

  1. Assessing 10-Year Safety of a Single Negative HPV Test for Cervical Cancer Screening: Evidence from FOCAL-DECADE Cohort.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Trial
  2. Article
  3. Article
  4. Article
  5. Evidence of Decreased Long-term Risk of Cervical Precancer after Negative Primary HPV Screens Compared with Negative Cytology Screens in a Longitudinal Cohort Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2024
    Article
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Screening for cervical cancer: Choices & dilemmas.The Indian journal of medical research · 2021
    Review
  11. Implementation of primary HPV testing in Japan.Molecular and clinical oncology · 2020
    Article
  12. Article
  13. p16/Ki-67 dual-stained cytology used for triage in cervical cancer opportunistic screening.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2020
    Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Karen CanfellCancer Research Division, Cancer Council NSW, Sydney, New South Wales, Australia.
Marion SavilleVictorian Cytology Service Ltd, Carlton, Victoria, Australia.
Michael CaruanaCancer Research Division, Cancer Council NSW, Sydney, New South Wales, Australia.
Val GebskiNHMRC Clinical Trials Centre, University of Sydney, Sydney, New South Wales, Australia.
Jessica Darlington-BrownCancer Research Division, Cancer Council NSW, Sydney, New South Wales, Australia.
Julia BrothertonMelbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Stella HeleyVictorian Cytology Service Ltd, Carlton, Victoria, Australia.
Philip E CastleDepartment of Epidemiology and Population Health, Albert Einstein College of Medicine, New York, New York, USA.
Cancer Council NSW · AUUniversity of Melbourne · AUAlbert Einstein College of Medicine · USUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAustralia's National Cervical Screening Program (NCSP) currently recommends 2-year cytology in women aged 18-69 years. Following a review of the NCSP prompted by the implementation of human papillomavirus (HPV) vaccination, the programme will transition in 2017 to 5-year primary HPV screening with partial genotyping for HPV16/18 in women aged 25-74 years. Compass is a sentinel experience for the renewed NCSP and the first prospectively randomised trial of primary HPV screening compared with cytology to be conducted in a population with high uptake of HPV vaccination. This protocol describes the main Compass trial, which commenced after a pilot study of ~5000 women completed recruitment. METHODS AND ANALYSIS: Women aged 25-69 years will be randomised at a 1:2 allocation to (1) 2.5-year image-read, liquid-based cytology (LBC) screening with HPV triage of low-grade smears (active control Arm A) or (2) 5-year HPV screening with partial genotyping and referral of HPV16/18-positive women to colposcopy (intervention Arm B). Women in Arm B positive for other oncogenic HPV (not 16/18) will undergo secondary randomisation at a 1:1 allocation to either LBC or dual-stained (p16 ETHICS AND DISSEMINATION: Approved by the Bellberry Ethics Committee (2014-11-592). Findings will be reported in peer-reviewed journals and presented at scientific meetings. TRIAL REGISTRATION NUMBER: NCT02328872; Pre-results.

Indexed as

AdultAgedAustraliaCervix UteriColposcopyCost-Benefit AnalysisEarly Detection of CancerFemaleHuman papillomavirus 16Human papillomavirus 18HumansMass ScreeningMiddle AgedPapillomavirus InfectionsPilot ProjectsResearch Designcervical cancer screeningcervical intraepithelial neoplasia.HPV DNA testinghuman papillomavirus

Identifiers

PMID29374658
PMCPMC5829592
OpenAlexW2785529975

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.