Evidence map›Paper›PMID 30517176›Full record

ArticlePloS one2018

Cervical dysplasia in elderly women performing repeated self-sampling for HPV testing.

Annika Kristina Lindström, Ruth Sanchez Hermansson, Inger Gustavsson, Julia Hedlund Lindberg, Ulf Gyllensten, Matts Olovsson

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
–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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Cervical cancer screening strategies in women 65 years and older in the human papillomavirus era: A systematic review and meta-analysis of human papillomavirus-based testing and self-sampling approaches.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Pooled it
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  5. History of HPV in HPV-positive elderly women.European journal of obstetrics & gynecology and reproductive biology: X · 2024
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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

6 authors.

Annika Kristina LindströmDepartment of Women´s and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-7407-9642
Ruth Sanchez HermanssonDepartment of Women´s and Children's Health, Uppsala University, Uppsala, Sweden.
Inger GustavssonDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Julia Hedlund LindbergDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Ulf GyllenstenDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Matts OlovssonDepartment of Women´s and Children's Health, Uppsala University, Uppsala, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbout 30% of the cervical cancer cases in Sweden occur in women older than 60. The primary aim was to evaluate the acceptability of repeated self-sampling at home for HPV-testing in elderly women. The prevalence of HPV and HPV related dysplasia as well as the sensitivity of cytology was evaluated.

methodsRepeated self-sampling at home for HPV testing was offered 375 women in each of the four age groups 60, 65, 70 and 75 years. Women with two consecutive positive HPV tests were examined with sampling for histology and cytology.

findingsA self-sample was provided by 59.5% (893/1500) of the invited women. The overall prevalence of HPV was 4.4% (95% CI 3.2-6.0, n = 39) in the first test, and 2.5% were persistent positive in the second test (95% C 1.6-3.8, n = 22) collected on average 5.5 months later. Dysplasia, was found in 1.8% (16/893) (95% CI 1.1-3.0) and CIN 2+ in 1.0% (9/893) (95%CI 0.5-2.0) of the women. Of the 16 women with dysplasia in histology, 13 (81.2%) had a normal cytology.

interpretationRepeated self-sampling at home combined with HPV testing was well accepted among elderly women. A high prevalence of CIN was diagnosed by histology. Cytology showed extremely low sensitivity and should not be recommended for this age group.

Indexed as

AgedEarly Detection of CancerFemaleHumansLongitudinal StudiesMass ScreeningMiddle AgedPapillomavirus InfectionsPatient Acceptance of Health CarePrevalenceProspective StudiesSelf-ExaminationSpecimen HandlingSwedenUterine Cervical DysplasiaUterine Cervical Neoplasms

Identifiers

PMID30517176
PMCPMC6281203

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Registered trials

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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.