Evidence map›Paper›PMID 30058126›Full record

ArticleThe journal of pathology. Clinical research2018

The new screening program to prevent cervical cancer using HPV DNA: getting the balance right in maintaining quality.

Suzanne M Garland, Wayne Dimech, Peter Collignon, Australian Clinical Microbiologists Infectious Diseases Group, Louise Cooley, Graeme R Nimmo, David W Smith, Rob Baird, William Rawlinson, Anna-Maria Costa and 1 more

Open access · goldAbstract read
In one paragraph

Article in The journal of pathology. Clinical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 26% 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.

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

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Article
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

11 authors at 10 institutions in 1 country.

Suzanne M GarlandDepartment of Microbiology and Infectious Diseases, Royal Women's Hospital, Parkville, Australia.ORCID 0000-0002-6869-311X
Wayne DimechNational Serology Reference Laboratory, Australia (NRL), Fitzroy, Australia.
Peter CollignonInfectious Diseases and Microbiology, Canberra Hospital, Garran, Australia.
Australian Clinical Microbiologists Infectious Diseases GroupDepartment of Microbiology and Infectious Diseases, Royal Hobart Hospital, Hobart, Australia.
Louise CooleyDepartment of Microbiology and Infectious Diseases, Royal Hobart Hospital, Hobart, Australia.
Graeme R NimmoDepartment of Microbiology, Pathology Queensland Central Laboratory, Herston, Australia.
David W SmithDepartment of Microbiology, PathWest Laboratory Medicine WA, Nedlands, Australia.
Rob BairdTerritory Pathology, Infectious Diseases, Royal Darwin Hospital, Department of Health and Families, Tiwi, Australia.
William RawlinsonVirology, Serology and OTDS Laboratories, NSW Health Pathology, Randwick, Australia.
Anna-Maria CostaDepartment of Microbiology and Infectious Diseases, Royal Women's Hospital, Parkville, Australia.
Geoff HigginsMicrobiology and Infectious Disease, South Australia Pathology, North Terrace, Australia.
Australian National University · AUGriffith University · AUNew South Wales Department of Health · AURoyal Children's Hospital · AURoyal Darwin Hospital · AURoyal Hobart Hospital · AURoyal Women's Hospital · AUSouth Australia Pathology · AUThe University of Western Australia · AUVictorian Infectious Diseases Reference Laboratory · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Along with the reduction in human papillomavirus (HPV) infection and cervical abnormalities as a result of the successful HPV vaccination program, Australia is adopting a new screening strategy. This involves a new paradigm moving from cervical cytological screening to molecular nucleic acid technology (NAT), using HPV DNA assays as primary screening methodology for cervical cancer prevention. These assays must strike a balance between sufficient clinical sensitivity to detect or predict high-grade cervical intraepithelial lesions, the precursor to cervical cancer, without being too sensitive and detecting transient infection not destined for disease. Ensuring the highest quality HPV NAT is thus a priority in order to reduce the possibility of falsely negative screens and manage the risk associated with false positive HPV NAT test results. How to do this needs informed discussion and on-going refinement of the screening algorithm. This is of relevance as more countries move to more sensitive HPV NAT tests for secondary prevention of cervical cancer and as more HPV assays become available.

Indexed as

AustraliaDNA, ViralEarly Detection of CancerFemaleHumansMass ScreeningPapillomaviridaePapillomavirus InfectionsUterine Cervical NeoplasmsDNA, ViralHPVnucleic acid technologyquality assurancequality control

Identifiers

PMID30058126
PMCPMC6175713
OpenAlexW2886800199

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.