Evidence map›Paper›PMID 34997127›Full record

SynthesisScientific reports2022

Comparative accuracy of cervical cancer screening strategies in healthy asymptomatic women: a systematic review and network meta-analysis.

Teruhiko Terasawa, Satoyo Hosono, Seiju Sasaki, Keika Hoshi, Yuri Hamashima, Takafumi Katayama, Chisato Hamashima

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Human papillomavirus-based vs. cytology for cervical cancer screening: a systematic review with meta-analysis.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2026
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  11. The occurrence of cervical high-grade lesions in women outside the recommended age screening.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
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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

7 authors.

Teruhiko TerasawaSection of General Internal Medicine, Department of Emergency and General Internal Medicine, Fujita Health University School of Medicine, 1-98 Dengakugakubo, Kutsukakecho, Toyoake, Aichi, 470-1192, Japan. terasawa@fujita-hu.ac.jp.
Satoyo HosonoDivision of Cancer Screening Assessment and Management, Center for Public Health Science, National Cancer Center, Tokyo, Japan.
Seiju SasakiCenter for Preventive Medicine, St. Luke's International Hospital Affiliated Clinic, Tokyo, Japan.
Keika HoshiCenter for Public Health Informatics, National Institute of Public Health, Wako, Japan.
Yuri HamashimaDepartment of Population Health Science, Bristol Medical School, University of Bristol, Bristol, UK.
Takafumi KatayamaDepartment of Statistics and Computer Science, College of Nursing Art and Science, University of Hyogo, Hyogo, Japan.
Chisato HamashimaDepartment of Nursing, Faculty of Medical Technology, Teikyo University, Tokyo, Japan.

Funding

Ministry of Education, Culture, Sports, Science and Technology 26460755National Cancer Center 26-A-30National Cancer Center 29-A-16
6 · The paper itself

Abstract

To compare all available accuracy data on screening strategies for identifying cervical intraepithelial neoplasia grade ≥ 2 in healthy asymptomatic women, we performed a systematic review and network meta-analysis. MEDLINE and EMBASE were searched up to October 2020 for paired-design studies of cytology and testing for high-risk genotypes of human papillomavirus (hrHPV). The methods used included a duplicate assessment of eligibility, double extraction of quantitative data, validity assessment, random-effects network meta-analysis of test accuracy, and GRADE rating. Twenty-seven prospective studies (185,269 subjects) were included. The combination of cytology (atypical squamous cells of undetermined significance or higher grades) and hrHPV testing (excepting genotyping for HPV 16 or 18 [HPV16/18]) with the either-positive criterion (OR rule) was the most sensitive/least specific, whereas the same combination with the both-positive criterion (AND rule) was the most specific/least sensitive. Compared with standalone cytology, non-HPV16/18 hrHPV assays were more sensitive/less specific. Two algorithms proposed for primary cytological testing or primary hrHPV testing were ranked in the middle as more sensitive/less specific than standalone cytology and the AND rule combinations but more specific/less sensitive than standalone hrHPV testing and the OR rule combination. Further research is needed to assess these results in population-relevant outcomes at the program level.

Indexed as

CytodiagnosisEarly Detection of CancerHuman Papillomavirus DNA TestsAdolescentAdultAgedAged, 80 and overAlphapapillomavirusAsymptomatic DiseasesAtypical Squamous Cells of the CervixBiopsyColposcopyFemaleHumansMiddle AgedNeoplasm Grading

Identifiers

PMID34997127
PMCPMC8741996

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.