Evidence map›Paper›PMID 34850395›Full record

ArticleInternational journal of cancer2022

Self-sampling as the principal modality for population based cervical screening: Five-year follow-up of the PaVDaG study.

Grazyna A Stanczuk, Heather Currie, William Forson, Gwendoline Baxter, James Lawrence, Allan Wilson, Timothy Palmer, Marc Arbyn, Kate Cuschieri

Open access · hybridAbstract read
In one paragraph

Article in International journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

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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

9 authors at 6 institutions in 2 countries.

Grazyna A StanczukDepartment of Research and Development, Dumfries and Galloway Royal Infirmary, Dumfries, UK.ORCID 0000-0002-5305-1536
Heather CurrieDepartment of Obstetrics and Gynaecology, Dumfries and Galloway Royal Infirmary, Dumfries, UK.
William ForsonDepartment of Obstetrics and Gynaecology, Dumfries and Galloway Royal Infirmary, Dumfries, UK.
Gwendoline BaxterNorth Cumbria Integrated NHS Foundation Care Trust, Carlisle, UK.
James LawrenceDepartment of Research and Development, Dumfries and Galloway Royal Infirmary, Dumfries, UK.
Allan WilsonDepartment of Pathology, Monklands Hospital, Airdrie, UK.
Timothy PalmerDepartment of Pathology, University of Edinburgh, Edinburgh, UK.
Marc ArbynUnit of Cancer Epidemiology/Belgian Cancer Centre, Sciensano, Brussels, Belgium.ORCID 0000-0001-7807-5908
Kate CuschieriScottish HPV Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, UK.ORCID 0000-0002-2604-3928
Dumfries and Galloway Royal Infirmary · GBEdinburgh Royal Infirmary · GBGhent University · BEMonklands Hospital · GBNorth Cumbria Integrated Care NHS Foundation Trust · GBUniversity of Edinburgh · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Self-sampling provides a powerful means to engage women in cervical screening. In the original Papillomavirus Dumfries and Galloway study (PaVDaG), we demonstrated cross-sectional similarity of high-risk human papillomavirus (Hr-HPV) testing on self-taken vaginal vs clinician-taken samples for the detection of cervical intraepithelial neoplasia 2 or worse (CIN2+). Few data exist on the longitudinal performance of self-sampling; we present longitudinal outcomes of PaVDaG. Routinely screened women provided a self-taken and a clinician-collected sample. Ninety-one percent of 5136 women from the original cohort completed a further screening round. Sensitivity, specificity, positive predictive value and complement of the negative predictive value of the Hr-HPV test on self-samples for detection of CIN2+ and CIN3+ up-to 5 years after testing were determined. Additionally, clinical accuracy of Hr-HPV testing on vaginal and clinician-collected samples was assessed. A total of 183 CIN2+ and 102 CIN3+ lesions were diagnosed during follow-up. Risk of CIN2+ and CIN3+ following an Hr-HPV negative self-sample was 0.6% and 0.2%, respectively, for up to 5 years after testing. The relative sensitivity for CIN3+ and specificity for ≤CIN1 of Hr-HPV testing on self-taken specimens was slightly lower vs clinician-collected samples: 0.95 (95% CI: 0.90-0.99; P

Indexed as

AdultEarly Detection of CancerFemaleFollow-Up StudiesHumansLongitudinal StudiesMass ScreeningMiddle AgedPapillomavirus InfectionsSelf CareUterine Cervical NeoplasmsVaginal Smearscervical screeninghuman papillomavirusself-sampling

Identifiers

PMID34850395
PMCPMC9300001
OpenAlexW3217644145

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.