Evidence map›Paper›PMID 35177513›Full record

ArticleCanadian family physician Medecin de famille canadien2022

Clinician acceptability of self-collected human papillomavirus swabs as a primary cervical cancer screening method.

Jana Zelli, Susan Hum, Aisha Lofters, Sheila Dunn

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Exploring the role of the oncology nurse in cervical cancer screening programs during times of transition.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Stronger and more beautiful.Canadian family physician Medecin de famille canadien · 2022
    Article
  7. 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

4 authors at 2 institutions in 1 country.

Jana ZelliFamily physician at Dox Medical in Scarborough, Ont.
Susan HumResearch Associate in the Department of Family and Community Medicine at Women's College Hospital in Toronto, Ont.
Aisha LoftersFamily physician, Chair in Implementation Science at Women's College Hospital, and Associate Professor in the Department of Family and Community Medicine at the University of Toronto.
Sheila DunnFamily physician and a scientist at Women's College Research Institute, and Associate Professor and Clinician Investigator in the Department of Family and Community Medicine at the University of Toronto. sheila.dunn@wchospital.ca.
Women's College Hospital · CAThe Scarborough Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine knowledge and acceptability of and opinions about human papillomavirus (HPV) self-screening as an alternative to Papanicolaou testing among Canadian primary care providers (PCPs: family physicians and nurse practitioners) and obstetrician-gynecologists (OB-GYNs).

designDescriptive, cross-sectional, anonymous, online pilot survey.

settingTwo academic teaching hospitals in downtown Toronto, Ont.

participantsStaff physicians and nurse practitioners in the Department of Family and Community Medicine and the Department of Obstetrics and Gynecology at Women's College Hospital and St Michael's Hospital.

main outcome measuresRecommended patient groups for, potential advantages and disadvantages of, and likelihood of recommending HPV self-sampling for cervical cancer screening.

resultsThe overall response rate was 30.9%. More than three-quarters of survey respondents were female PCPs. Slightly more than half of clinicians had poor knowledge of HPV self-sampling. However, more than three-quarters would recommend it if there were adequate collection of cervical samples, high patient acceptability, and high sensitivity (almost 100% of respondents), followed by high specificity and cost-effectiveness (more than 80% of respondents). Primary care practitioners were more likely than OB-GYNs to agree that HPV self-sampling made screening easier and less embarrassing for patients. Although not statistically significant, OB-GYNs tended to be more concerned than PCPs were about patients failing to follow up on abnormal HPV results and missed opportunities to address other health issues.

conclusionAlthough knowledge of HPV self-sampling for cervical screening was poor, it was generally acceptable to clinicians if certain screening test conditions were met. However, the potential for missed opportunities to visualize pathology and address other health concerns were raised. These and other clinical practice and health systems issues must be addressed before broad implementation of HPV self-sampling in Canada.

Indexed as

AlphapapillomavirusPapillomavirus InfectionsUterine Cervical NeoplasmsCanadaCross-Sectional StudiesEarly Detection of CancerFemaleHumansMass ScreeningPapillomaviridaeVaginal Smears

Identifiers

PMID35177513
PMCPMC9842175
OpenAlexW4212985658

What OpenQuestion holds

Textmetadata
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.