Evidence map›Paper›PMID 40629046›Full record

ArticleBritish journal of cancer2025

HPValidate-human papillomavirus testing with DNA and mRNA assays on self-collected samples in cervical screening: comparison of test characteristics on three self-sampling devices.

Christopher S Mathews, Alexandra Sargent, Kate Cuschieri, Matejka Rebolj, Adam R Brentnall, Anne Mackie, Charlotte Mills, Carolina Martinelli, Ann-Marie Wright, Katherine Hunt and 7 more

Abstract readComparative Study
In one paragraph

Article in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
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  6. Review
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

17 authors.

Christopher S MathewsCentre for Cancer Screening, Prevention and Early Detection, Wolfson Institute of Population Health, Queen Mary University of London, London, UK.
Alexandra Sargent *Cytology Department, Manchester University NHS Foundation Trust, Manchester, UK.
Kate Cuschieri *Scottish HPV Reference Laboratory, Royal Infirmary of Edinburgh, NHS Lothian Scotland, Edinburgh, UK & Centre for Reproductive Health, University of Edinburgh, Edinburgh, UK.
Matejka ReboljCentre for Cancer Screening, Prevention and Early Detection, Wolfson Institute of Population Health, Queen Mary University of London, London, UK. m.rebolj@qmul.ac.uk.ORCID http://orcid.org/0000-0001-9597-645X
Adam R BrentnallCentre for Evaluation and Methods, Wolfson Institute of Population Health, Queen Mary University of London, London, UK.
Anne MackiePrimary Care and Prevention, Department of Health and Social Care, London, UK.
Charlotte MillsPrimary Care and Prevention, Department of Health and Social Care, London, UK.
Carolina MartinelliPrimary Care and Prevention, Department of Health and Social Care, London, UK.
Ann-Marie WrightPrimary Care and Prevention, Department of Health and Social Care, London, UK.
Katherine HuntSevern Pathology, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Andrew BirdSevern Pathology, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.
Hasit PatelHealth Service Laboratories LLP, London, UK.
David SmithHealth Service Laboratories LLP, London, UK.
Trudy JohnsonNEY Cervical Screening, The NHS Pathology Centre, Queen Elizabeth Hospital, Gateshead Health NHS Foundational Trust, Gateshead, UK.
Kay EllisNEY Cervical Screening, The NHS Pathology Centre, Queen Elizabeth Hospital, Gateshead Health NHS Foundational Trust, Gateshead, UK.
Mark HuntCytopathology Department, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Karin DentonSevern Pathology, Southmead Hospital, North Bristol NHS Trust, Bristol, UK.

Funding

Cancer Research UK (CRUK) C8162/A27047
6 · The paper itself

Abstract

backgroundRelative test accuracy of human papillomavirus (HPV) testing on self vs. clinician-collected samples may depend on the specific combination of a self-sampling device and HPV assay.

methodsFive self-sampling workflows were studied within the routine English cervical screening programme; the cobas HPV DNA and APTIMA HPV mRNA assays with the Evalyn brush, Self Vaginal FLOQSwabs (FLOQSwabs) and the Multitest kit. To study test sensitivity, women were recruited at routine colposcopy appointments; to study test specificity, women were recruited at routine screening appointments.

resultsThe estimated conditional relative sensitivity for high-grade cervical intraepithelial neoplasia (CIN2+) was 0.90 (90% CI: 0.84-0.94) for the Evalyn + cobas workflow, 0.94 (0.90-0.97) for FLOQSwabs + cobas, 0.77 (0.69-0.83) for Evalyn + APTIMA, 0.92 (0.85-0.96) for FLOQSwabs+APTIMA and 0.92 (0.86-0.96) for Multitest+APTIMA. The estimates of the relative specificity were 0.96 (0.95-0.98), 0.91 (0.90-0.93), 0.99 (0.97-1.01), 0.89 (0.87-0.92) and 0.87 (0.85-0.89), respectively. The specificity estimates were sensitive to the inclusion of certain subgroups of women. HPV detection rates were higher for all self-sample than clinician-sample workflows.

conclusionsThe relative test sensitivity of four self-sampling workflows including both DNA and mRNA HPV assays was relatively close to that associated with clinician-collected samples.

Indexed as

DNA, ViralEarly Detection of CancerPapillomaviridaePapillomavirus InfectionsSpecimen HandlingUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultFemaleHuman Papillomavirus VirusesHumansMiddle AgedRNA, MessengerRNA, ViralSensitivity and SpecificityVaginal SmearsDNA, ViralRNA, MessengerRNA, Viral

Identifiers

PMID40629046
PMCPMC12405571

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Registered trials

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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.