Rural studies examine satisfaction with and cost-effectiveness of telecolposcopy for women with abnormal Pap smears

2004 ◽  
2001 ◽  
Vol 21 (4) ◽  
pp. 307-323
Author(s):  
J. Tsevat ◽  
M.D. Hagen ◽  
A.M. Garber ◽  
S.J. Goldie ◽  
J.E. Lafata ◽  
...  

2005 ◽  
Vol 33 (5) ◽  
pp. 338-343 ◽  
Author(s):  
Béatrix Cochand-Priollet ◽  
Isabelle Cartier ◽  
Patricia de Cremoux ◽  
Catherine Le Galès ◽  
Marianne Ziol ◽  
...  

2020 ◽  
Author(s):  
Riina Aarnio ◽  
Ellinor Östensson ◽  
Matts Olovsson ◽  
Inger Gustavsson ◽  
Ulf Gyllensten

Abstract Background Human papillomavirus (HPV) testing is recommended in primary cervical screening to improve cancer prevention. An advantage of HPV testing is that it can be performed on self-samples, which could increase population coverage and result in a more efficient strategy to identify women at risk of developing cervical cancer. Our objective was to assess whether repeated self-sampling for HPV testing is cost-effective in comparison with Pap smear cytology for detection of cervical intraepithelial neoplasia grade 2 or more (CIN2+) in increasing participation rate in primary cervical screening.Methods A cost-effectiveness analysis (CEA) was performed on data from a previously published randomized clinical study including 36 390 women aged 30–49 years. Participants were randomized either to perform repeated self-sampling of vaginal fluid for HPV testing (n = 17 997, HPV self-sampling arm) or to midwife-collected Pap smears for cytological analysis (n = 18 393, Pap smear arm). Results Self-sampling for HPV testing led to 1633 more screened women and 107 more histologically diagnosed CIN2+ at a lower cost vs. midwife-collected Pap smears (€ 229 446 vs. € 782 772). Conclusions This study resulted in that repeated self-sampling for HPV testing increased participation and detection of CIN2+ at a lower cost than midwife-collected Pap smears in primary cervical screening. Offering women a home-based self-sampling may therefore be a more cost-effective alternative than clinic-based screening.Trial registration Not registered since this trial is a secondary analysis of an earlier published study (1).


2020 ◽  
Author(s):  
Riina Aarnio ◽  
Ellinor Östensson ◽  
Matts Olovsson ◽  
Inger Gustavsson ◽  
Ulf Gyllensten

Abstract Background Human papillomavirus (HPV) testing is recommended in primary cervical screening to improve cancer prevention. An advantage of HPV testing is that it can be performed on self-samples, which could increase population coverage and result in a more efficient strategy to identify women at risk of developing cervical cancer. Our objective was to assess whether repeated self-sampling for HPV testing is cost-effective in comparison with Pap smear cytology for detection of cervical intraepithelial neoplasia grade 2 or more (CIN2+) in increasing participation rate in primary cervical screening.Methods A cost-effectiveness analysis (CEA) was performed on data from a previously published randomized clinical study including 36 390 women aged 30–49 years. Participants were randomized either to perform repeated self-sampling of vaginal fluid for HPV testing (n = 17 997, HPV self-sampling arm) or to midwife-collected Pap smears for cytological analysis (n = 18 393, Pap smear arm). Results Self-sampling for HPV testing led to 1633 more screened women and 107 more histologically diagnosed CIN2+ at a lower cost vs. midwife-collected Pap smears (€ 229 446 vs. € 782 772). Conclusions This study resulted in that repeated self-sampling for HPV testing increased participation and detection of CIN2+ at a lower cost than midwife-collected Pap smears in primary cervical screening. Offering women a home-based self-sampling may therefore be a more cost-effective alternative than clinic-based screening.Trial registration Not registered since this trial is a secondary analysis of an earlier published study (1).


2006 ◽  
Vol 10 (2) ◽  
pp. 129
Author(s):  
B Cochand-Priollet ◽  
I Cartier ◽  
P de Cremoux ◽  
C Le Gales ◽  
M Ziol ◽  
...  

2020 ◽  
Author(s):  
Riina Aarnio ◽  
Ellinor Östensson ◽  
Matts Olovsson ◽  
Inger Gustavsson ◽  
Ulf Gyllensten

Abstract Background Human papillomavirus (HPV) testing is recommended in primary cervical screening to improve cancer prevention. An advantage of HPV testing is that it can be performed on self-samples, which could increase population coverage and result in a more efficient strategy to identify women at risk of developing cervical cancer. Our objective was to assess whether repeated self-sampling for HPV testing is cost-effective in comparison with Pap smear cytology for detection of cervical intraepithelial neoplasia grade 2 or more (CIN2+) in increasing participation rate in primary cervical screening.Methods A cost-effectiveness analysis (CEA) was performed on data from a previously published randomized clinical study including 36 390 women aged 30–49 years. Participants were randomized either to perform repeated self-sampling of vaginal fluid for HPV testing (n = 17 997, HPV self-sampling arm) or to midwife-collected Pap smears for cytological analysis (n = 18 393, Pap smear arm).Results Self-sampling for HPV testing led to 1633 more screened women and 107 more histologically diagnosed CIN2 + at a lower cost vs. midwife-collected Pap smears (€ 229 446 vs. € 782 772).Conclusions This study resulted in that repeated self-sampling for HPV testing increased participation and detection of CIN2 + at a lower cost than midwife-collected Pap smears in primary cervical screening. Offering women a home-based self-sampling may therefore be a more cost-effective alternative than clinic-based screening.Trial registration Not registered since this trial is a secondary analysis of an earlier published study (1).


1990 ◽  
Vol 54 (11) ◽  
pp. 688-689 ◽  
Author(s):  
J Jacobson ◽  
B Maxson ◽  
K Mays ◽  
J Peebles ◽  
C Kowalski

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