Evidence map›Paper›PMID 40104876›Full record

ArticleJournal of the National Cancer Institute2025

Initial evaluation of a new cervical screening strategy combining human papillomavirus genotyping and automated visual evaluation: the Human Papillomavirus-Automated Visual Evaluation Consortium.

Brian Befano, Jayashree Kalpathy-Cramer, Didem Egemen, Federica Inturrisi, José Jeronimo, Ana Cecilia Rodríguez, Nicole Campos, Miriam Cremer, Ana Ribeiro, Kayode Olusegun Ajenifuja and 31 more

Abstract readMulticenter StudyEvaluation Study
In one paragraph

Article in Journal of the National Cancer Institute, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
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  8. 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

41 authors.

Brian BefanoUniversity of Washington, Seattle, WA, United States.ORCID 0000-0003-3614-210X
Jayashree Kalpathy-CramerUniversity of Colorado, Aurora, CO, United States.ORCID 0000-0001-8906-9618
Didem EgemenNational Cancer Institute, Rockville, MD, United States.ORCID 0000-0001-5617-4585
Federica InturrisiNational Cancer Institute, Rockville, MD, United States.ORCID 0000-0002-3661-0842
José JeronimoNational Cancer Institute, Rockville, MD, United States.
Ana Cecilia RodríguezNational Cancer Institute, Rockville, MD, United States.ORCID 0000-0001-9866-2106
Nicole CamposCenter for Health Decision Science, Harvard T.H. Chan School of Public Health, Boston, MA, United States.ORCID 0000-0002-0840-4339
Miriam CremerBasic Health International, Pittsburgh, PA, United States.
Ana RibeiroCenter for Women's Health, Oswaldo Cruz Foundation, Brasilia, Brazil.ORCID 0000-0003-0345-3569
Kayode Olusegun AjenifujaObafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.ORCID 0000-0001-9823-5892
Andrew GoldsteinGynecologic Cancers Research Foundation, Arnold, AL, United States.ORCID 0000-0003-3486-2402
Amna HaiderEpicentre, Paris, France.ORCID 0009-0006-1606-8415
Karen YeatesQueen's University, Kingston, ON, Canada.
Margaret MadeleineUniversity of Washington, Seattle, WA, United States.ORCID 0000-0001-9842-0430
Teresa NorrisHPV Global Action, Montreal, Canada.ORCID 0000-0003-1823-2830
Jacqueline FigueroaSecretaria de Salud, Tegucigalpa, Honduras.ORCID 0000-0002-0574-3351
Karla AlfaroBasic Health International, Pittsburgh, PA, United States.ORCID 0000-0002-7597-5748
Tainá RaiolCenter for Women's Health, Oswaldo Cruz Foundation, Brasilia, Brazil.ORCID 0000-0001-9948-5164
Clement AdepitiObafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.ORCID 0000-0001-7210-6670
Judith NormanMercy Medical Center, Phnom Penh, Cambodia.ORCID 0009-0001-0656-8401
George Kassim ChilindaBlantyre Cervical Cancer Project, Médecins Sans Frontières, Paris, France.
Bariki MchomeKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.ORCID 0000-0003-4788-8660
Yeycy DonastorgInstituto Dermatológico, Santo Domingo, Dominican Republic.ORCID 0000-0002-0556-0133
Xolisile DlaminiNational Cancer Control Program, Ministry of Health, Mbabane, Eswatini.
Gabriel ConzueloBasic Health International, Pittsburgh, PA, United States.
Adekunbiola A BanjoObafemi Awolowo University Teaching Hospital, Ile-Ife, Nigeria.ORCID 0000-0002-8235-3461
Pauline ChoneMSF Foundation, Paris, France.ORCID 0000-0002-9273-6474
Alex MremiKilimanjaro Clinical Research Institute, Kilimanjaro, Tanzania.ORCID 0000-0001-7226-0168
Arismendy BenitezInstituto Dermatológico, Santo Domingo, Dominican Republic.
Zeev RosbergerLady Davis Institute for Medical Research and McGill University, Montreal, Canada.ORCID 0000-0003-4248-1909
Te VanthaTakeo Regional Medical Center, Takeo, Cambodia.
Ignacio Prieto-EgidoUniversidad Rey Juan Carlos, Mostoles, Spain.ORCID 0000-0002-4410-8721
Jen Boyd-MorinInformation Management Services, Inc, Calverton, MD, United States.ORCID 0000-0002-8332-4873
Christopher ClarkUniversity of Colorado, Aurora, CO, United States.ORCID 0009-0007-2558-7396
Scott KinderUniversity of Colorado, Aurora, CO, United States.ORCID 0009-0007-1178-4778
Nicolas WentzensenNational Cancer Institute, Rockville, MD, United States.ORCID 0000-0003-1251-0836
Kanan DesaiNational Cancer Institute, Rockville, MD, United States.ORCID 0000-0002-8992-5944
Rebecca PerkinsBoston Medical Center, Boston, MA, United States.ORCID 0000-0002-7054-3014
Silvia de SanjoséNational Cancer Institute, Rockville, MD, United States.
Mark SchiffmanNational Cancer Institute, Rockville, MD, United States.ORCID 0000-0002-4625-2508
PAVE Consortium

Funding

Developing Data-Driven Cancer ResearchersT32CA009168 · NCI · UNIVERSITY OF WASHINGTON · PI STEPHEN M SCHWARTZ, MICHAEL Chiao-An WU · 1985 to 2026
$10.1M
Single Visit Clinical Validation of ScreenFire, a Low-Cost HPV Test: Efficacy and Cost Effectiveness (SCALE) R01CA266059 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI Miriam Cremer · 2022 to 2026
$2.9M
Cancer Cures "Moonshot" InitiativeNational Cancer Institute Intramural Research Program NCINCINCI NIH HHS R01 CA266059NCI NIH HHS T32 CA009168NIH HHS T32CA09168
6 · The paper itself

Abstract

The HPV-Automated Visual Evaluation Consortium is validating a cervical screening strategy enabling accurate cervical screening in resource-limited settings. A rapid, low-cost human papillomavirus (HPV) assay permits sensitive HPV testing of self-collected vaginal specimens; HPV-negative women are reassured. Triage of positive participants combines HPV genotyping (4 groups in order of cancer risk) and visual inspection assisted by automated cervical visual evaluation that classifies cervical appearance as severe, indeterminate, or normal. Together, the combination predicts which women have precancer, permitting targeted management to those most needing treatment. We analyzed CIN3+ yield for each HPV-Automated Visual Evaluation risk level (HPV genotype crossed by automated cervical visual evaluation classification) from 9 clinical sites (Brazil, Cambodia, Dominican Republic, El Salvador, Eswatini, Honduras, Malawi, Nigeria, and Tanzania). Data from 1832 HPV-positive participants confirmed that HPV genotype and automated cervical visual evaluation classification strongly and independently predict risk of histologic CIN3+. The combination of these low-cost tests provided excellent risk stratification, warranting pre-implementation demonstration projects.

Indexed as

Early Detection of CancerHuman Papillomavirus VirusesMass ScreeningPapillomavirus InfectionsUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultDNA, ViralFemaleGenotypeHumansMiddle AgedPredictive Value of TestsRisk AssessmentTanzaniaVaginal SmearsDNA, Viral

Identifiers

PMID40104876
PMCPMC12505130

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.