Evidence map›Paper›PMID 42033417›Full record

ArticleJournal of medical virology2026

International Collaborative Study on Human Papillomavirus Analytical Thresholds for Sensitivity and Specificity in Cervical Screening.

Emel Yilmaz, Gerald Laurence Murray, Prisha Balgovind, Suzanne Marie Garland, Rita Pereira, Davy Vanden Broeck, Nina Redzic, Jean-Luc Prétet, Quentin Lepiller, Steffi Silling and 13 more

Abstract readEvaluation Study
In one paragraph

Article in Journal of medical virology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

23 authors.

Emel YilmazInternational HPV Reference Center, Center for Cervical Cancer Elimination, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-2368-7402
Gerald Laurence MurrayDepartment of Obstetrics, Gynaecology and Newborn Health, The University of Melbourne, Melbourne, VIC, Australia.
Prisha BalgovindMurdoch Children's Research Institute, Melbourne, VIC, Australia.
Suzanne Marie GarlandDepartment of Obstetrics, Gynaecology and Newborn Health, The University of Melbourne, Melbourne, VIC, Australia.
Rita PereiraLaboratory of Molecular Diagnostics, AML, Sonic Healthcare Benelux, Antwerp, Belgium.
Davy Vanden BroeckLaboratory of Molecular Diagnostics, AML, Sonic Healthcare Benelux, Antwerp, Belgium.ORCID https://orcid.org/0000-0001-9381-4158
Nina RedzicLaboratory of Molecular Diagnostics, AML, Sonic Healthcare Benelux, Antwerp, Belgium.
Jean-Luc PrétetUniversité Marie et Louis Pasteur, CNRS, Chrono-environnement (UMR 6249), Besançon, France.ORCID https://orcid.org/0000-0002-8430-214X
Quentin LepillerUniversité Marie et Louis Pasteur, CNRS, Chrono-environnement (UMR 6249), Besançon, France.ORCID https://orcid.org/0000-0003-2892-4216
Steffi SillingInstitute of Virology, National Reference Centre for Papilloma- and Polyomaviruses, University of Cologne, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
Clementina CocuzzaSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.ORCID https://orcid.org/0000-0001-6166-1134
Marianna MartinelliSchool of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.ORCID https://orcid.org/0000-0003-2273-6986
Allan CampbellScottish Human Papillomavirus Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, UK.
Conor BrownScottish Human Papillomavirus Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, UK.
Kate CuschieriScottish Human Papillomavirus Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, UK.
Linzi ConnorScottish Human Papillomavirus Reference Laboratory, Royal Infirmary of Edinburgh, Edinburgh, UK.
Anja OštrbenkInstitute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID https://orcid.org/0000-0002-3061-5319
Mario PoljakInstitute of Microbiology and Immunology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.ORCID https://orcid.org/0000-0002-3216-7564
Murat GultekinHacettepe University Faculty of Medicine, Department of Gynaecological Oncology, Ankara, Turkey.ORCID https://orcid.org/0000-0002-4221-4459
Yalın KılıçDepartment of Biomedical Engineering, Acıbadem Mehmet Ali Aydınlar University, Istanbul, Turkey.
Klara Miriam ElfströmInternational HPV Reference Center, Center for Cervical Cancer Elimination, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-0514-7226
Laila Sara Arroyo MührInternational HPV Reference Center, Center for Cervical Cancer Elimination, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-2498-5206
Joakim DillnerInternational HPV Reference Center, Center for Cervical Cancer Elimination, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-8588-6506

Funding

Cancerfonden 20 1198 PjFCancerfonden 23 2915 PjGates Foundation INV-021790The German Federal Ministry of Health 1369-401The Horizon 2020 Framework Programme 847845The National Health and Medical Research Council APP1197951The Scientific and Technological Research Council of Türkiye (TÜBİTAK) Research and Development Support Program 1501-3192456The Slovenian Research and Innovation Agency ARIS P3-00083Vetenskapsrådet 2021-01228Vetenskapsrådet 2025-03152
6 · The paper itself

Abstract

Human papillomavirus (HPV) assays vary regarding the minimum amount of virus they detect. We investigated analytical thresholds of HPV detection and cervical screening sensitivity and specificity. One hundred cervical intraepithelial neoplasia grade 2 or worse (CIN2+) cases and 200 matched population-based controls were obtained at the Swedish National HPV Reference Laboratory and analyzed by 10 laboratories across 10 countries. Cumulative sensitivity (weighted according to the global HPV type distribution in invasive cervical cancer (ICC)) and specificity were estimated at varying analytical detection thresholds. Consensus results found HPV in 99/100 CIN2+ cases and 52/200 controls. HPV16 prevalence declined in HPV-vaccinated birth cohorts, among both cases and controls. Line plots of 1-specificity and ICC-weighted sensitivity found optimal analytical detection thresholds as 3 International Units (IU)/µl for HPV16/18, 25 IU/µl for HPV31/33/35/45/52/58 and 100 genome equivalents (GE)/µl for HPV 39/51/56/59 resulting in 92.00% cumulative specificity and 90.08% ICC-weighted sensitivity. Thresholds defined using virus amounts per 10

Indexed as

Early Detection of CancerHuman Papillomavirus VirusesMass ScreeningPapillomaviridaePapillomavirus InfectionsUterine Cervical DysplasiaUterine Cervical NeoplasmsAdultFemaleHumansMiddle AgedSensitivity and Specificityanalytical thresholdscervical screeningHPVHPV virus amounthuman papillomavirusvirus amounts

Identifiers

PMID42033417
PMCPMC13109973

What OpenQuestion holds

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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.