Evidence map›Paper›PMID 37289798›Full record

Trial reportPloS one2023

Acceptability of self-sampling human papillomavirus test for cervical cancer screening in Japan: A questionnaire survey in the ACCESS trial.

Misuzu Fujita, Kengo Nagashima, Minobu Shimazu, Misae Suzuki, Ichiro Tauchi, Miwa Sakuma, Setsuko Yamamoto, Hideki Hanaoka, Makio Shozu, Nobuhide Tsuruoka and 2 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 11 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

12 authors at 3 institutions in 1 country.

Misuzu FujitaDepartment of Health Research, Chiba Foundation for Health Promotion and Disease Prevention, Chiba, Japan.ORCID 0000-0001-5308-4744
Kengo NagashimaBiostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Shinjuku-ku, Tokyo, Japan.ORCID 0000-0003-4529-9045
Minobu ShimazuClinical Research Center, Chiba University Hospital, Chiba, Japan.
Misae SuzukiMunicipal Health Center, Department of Health and Welfare, Ichihara City, Ichihara, Chiba, Japan.
Ichiro TauchiMunicipal Health Center, Department of Health and Welfare, Ichihara City, Ichihara, Chiba, Japan.
Miwa SakumaMunicipal Health Center, Department of Health and Welfare, Ichihara City, Ichihara, Chiba, Japan.
Setsuko YamamotoMunicipal Health Center, Department of Health and Welfare, Ichihara City, Ichihara, Chiba, Japan.
Hideki HanaokaClinical Research Center, Chiba University Hospital, Chiba, Japan.
Makio ShozuDepartments of Reproductive Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.ORCID 0000-0002-7247-2205
Nobuhide TsuruokaYushudai Clinic, Ichihara, Chiba, Japan.
Tokuzo KasaiDepartment of Health Research, Chiba Foundation for Health Promotion and Disease Prevention, Chiba, Japan.
Akira HataDepartment of Health Research, Chiba Foundation for Health Promotion and Disease Prevention, Chiba, Japan.
Chiba University · JPChiba University Hospital · JPKeio University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn terms of medical policy for cervical cancer prevention, Japan lags far behind other industrialized countries. We initiated a randomized controlled trial to evaluate the self-sampling human papillomavirus (HPV) test as a tool to raise screening uptake and detection of pre-cancer. This study was conducted to explore the acceptability and preference of self-sampling using a subset of the data from this trial.

methodsA pre-invitation letter was sent to eligible women, aged 30-59 years who had not undergone cervical cancer screening for three or more years. After excluding those who declined to participate in this trial, the remaining women were assigned to the self-sampling and control groups. A second invitation letter was sent to the former group, and those wanting to undergo the self-sampling test ordered the kit. A self-sampling HPV kit, consent form, and a self-administered questionnaire were sent to participants who ordered the test.

resultsOf the 7,340 participants in the self-sampling group, 1,196 (16.3%) administered the test, and 1,192 (99.7%) answered the questionnaire. Acceptability of the test was favorable; 75.3-81.3% of participants agreed with positive impressions (easy, convenient, and clarity of instruction), and 65.1-77.8% disagreed with negative impressions (painful, uncomfortable, and embarrassing). However, only 21.2% were confident in their sampling procedure. Willingness to undergo screening with a self-collected sample was significantly higher than that with a doctor-collected sample (89.3% vs. 49.1%; p<0.001). Willingness to undergo screening with a doctor-collected sample was inversely associated with age and duration without screening (both p<0.001), but that with a self-collected sample was not associated.

conclusionsAmong women who used the self-sampling HPV test, high acceptability was confirmed, while concerns about self-sampling procedures remained. Screening with a self-collected sample was preferred over a doctor-collected sample and the former might alleviate disparities in screening rates.

Indexed as

Papillomavirus InfectionsUterine Cervical NeoplasmsEarly Detection of CancerFemaleHuman Papillomavirus VirusesHumansJapanMass ScreeningPapillomaviridaeSelf CareSpecimen HandlingSurveys and QuestionnairesVaginal Smears

Identifiers

PMID37289798
PMCPMC10249862
OpenAlexW4379805681

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.