Evidence map›Paper›PMID 32604437›Full record

ArticleRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2020

High-risk Human Papillomavirus Testing for Triage of Women with Previous Cytological Abnormalities from the Vale do Ribeira Region.

Sandra Lorente, Natália Coelho Couto de Azevedo Fernandes, Daniela Etlinger-Colonelli, Rodrigo Albergaria Réssio, Sonia Maria Pereira de Oliveira, Regina Maria Catarino

Open access · diamondAbstract readEvaluation Study
In one paragraph

Article in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2020. 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
–field-weighted citation impact, top 90% 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, 1 citations in OpenAlex.

  1. Preventable neonatal mortality in the state of São Paulo: a spatial approach.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2025
    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

6 authors at 1 institution in 1 country.

Sandra LorenteDepartamente of Pathological Anatomy, Instituto Adolfo Lutz, São Paulo, SP, Brazil.ORCID 0000-0001-9808-8642
Natália Coelho Couto de Azevedo FernandesDepartamente of Pathological Anatomy, Instituto Adolfo Lutz, São Paulo, SP, Brazil.ORCID 0000-0003-0491-7062
Daniela Etlinger-ColonelliDepartamente of Pathological Anatomy, Instituto Adolfo Lutz, São Paulo, SP, Brazil.ORCID 0000-0001-9432-2921
Rodrigo Albergaria RéssioDepartamente of Pathological Anatomy, Instituto Adolfo Lutz, São Paulo, SP, Brazil.ORCID 0000-0003-3232-3413
Sonia Maria Pereira de OliveiraDepartamente of Pathological Anatomy, Instituto Adolfo Lutz, São Paulo, SP, Brazil.ORCID 0000-0001-7730-4043
Regina Maria CatarinoDepartamente of Pathological Anatomy, Instituto Adolfo Lutz, São Paulo, SP, Brazil.ORCID 0000-0002-1746-7593
Instituto Adolfo Lutz · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the performance of the hybrid capture 2 (HC2) high-risk papillomavirus (hrHPV) assay and cytological test in women with previous abnormalities, to detect cervical intraepithelial neoplasia grade 2 or worse (≥ CIN 2).

methodsA cytological test and HC2 (Qiagen, Gaithersburg, Maryland, EUA) for hrHPV were conducted in 359 liquid-based (Sure Path, Becton Dickinson, TriPath Imaging, Burlington, NC, USA) samples collected from women from the Vale do Ribeira Region, during July 2013 and September 2015 with previous cytology classified as atypical squamous cells of undetermined significance (ASC-US), low-grade squamous intraepithelial lesion (LSIL), atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesions (ASC-H), and atypical glandular cells (AGC). The histopathological examination was conducted in 179 women. The performance evaluations were calculated using the "exact" Clopper-Pearson 95% confidence interval (CI) test by MEDCALC (Medcalc Software Ltd, Ostend, Belgium).

resultsThe ≥ CIN 2 frequency was 11.7% (21/179). The HC2 for hrHPV and repeat cytology to detect ≥ CIN 2 obtained, respectively, a sensitivity of 90.5% (95%CI = 69.6-98.8) and 90.5%, (95%CI = 69.6-98.8), a specificity of 65.8% (95% CI = 57.9-73.2) and 43.7% (95%CI = 35.8-51.8), a positive predictive value of 26.0% (95% CI = 21.4-31.3) and 17.6%, (95%CI = 14.9-20.6), and a negative predictive value of 98.1% (95%CI = 93.3-99.5) and 97.2% (95% CI = 90.1-99.2).

conclusionHybrid capture 2 for hrHPV improves the performance of the detection of ≥ CIN 2, without compromising sensitivity, and provides a greater safety margin to return to the triennial screening of women undergoing follow-up due to previous abnormalities, without underlying ≥ CIN 2.

Indexed as

TriageVaginal SmearsAdolescentAdultAgedAtypical Squamous Cells of the CervixBrazilCross-Sectional StudiesFemaleHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsSensitivity and SpecificityUterine Cervical DysplasiaUterine Cervical Neoplasms

Identifiers

PMID32604437
PMCPMC10418126
OpenAlexW3038936231

What OpenQuestion holds

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LicenceCC BY
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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.