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Self-collected HPV Testing Improves Participation in Cervical Cancer Screening: A Systematic Review and Meta-analysis

Racey, C. Sarai ; Withrow, Diana R. ; Gesink, Dionne

Canadian journal of public health, 2013-03, Vol.104 (2), p.e159-e166 [Periódico revisado por pares]

Cham: Canadian Public Health Association / Association canadienne de santé publique

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Título:
Self-collected HPV Testing Improves Participation in Cervical Cancer Screening: A Systematic Review and Meta-analysis
Autor: Racey, C. Sarai ; Withrow, Diana R. ; Gesink, Dionne
Assuntos: Analysis ; Cancer ; Cancer screening ; Care and treatment ; Cervical cancer ; Diagnosis ; Diagnostic methods ; Early Detection of Cancer - methods ; Early Detection of Cancer - statistics & numerical data ; Female ; Genetic screening ; Health aspects ; Health care ; Human papillomavirus ; Humans ; Medical screening ; Medical tests ; Medicine ; Medicine & Public Health ; Methods ; Operating rooms ; Papillomavirus infections ; Papillomavirus Infections - diagnosis ; Patient Participation - statistics & numerical data ; Public Health ; Randomized Controlled Trials as Topic ; Screening tests ; Self Care ; Specimen Handling - methods ; Systematic Review ; Testing ; Tests of compliance ; Uterine Cervical Neoplasms - diagnosis ; Women ; Womens health services ; Y2K
É parte de: Canadian journal of public health, 2013-03, Vol.104 (2), p.e159-e166
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-1
ObjectType-Review-4
content type line 23
ObjectType-Undefined-3
ObjectType-Literature Review-3
Descrição: OBJECTIVE:HPV testing has emerged as an effective cervical cancer screening test. The use of HPV self-testing has the potential to address many barriers to screening and reach at-risk women through engagement in screening. However, there is a need to examine the evidence for whether offering self-collected HPV testing in practice increases screening compliance. The objective of this review is to determine to what extent providing self-collected HPV testing increases screening participation in women who are never or underscreened for cervical cancer. METHODS:A systematic literature review conducted in the databases Medline and Embase identified articles examining the use of HPV self-testing on cervical cancer screening participation. A meta-analysis using a random-effects model was used to calculate the relative compliance, with an intent-to-treat analysis of HPV self-testing compared to Pap testing, with 95% confidence intervals (CI). All statistical tests were two-sided. SYNTHESIS :Ten studies were reviewed, with 8 being European and 2 North American. Of the 10 studies, 9 employed a randomized design. In all studies, the relative compliance of HPV self-collected testing compared to Pap testing was significantly greater than 1.0 (p<0.01). The overall relative compliance was 2.14 (95 % CI 1.30–3.52). There was large heterogeneity of screening compliance between studies for both HPV self-testing and Pap testing. CONCLUSION :HPV self-collected testing significantly improved the participation of women who did not routinely attend cervical cancer screening programs. New approaches to HPV self-test delivery should be considered as HPV testing becomes more widely incorporated as a primary screening tool.
Editor: Cham: Canadian Public Health Association / Association canadienne de santé publique
Idioma: Inglês;Francês

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Self-collected HPV Testing Improves Participation in Cervical Cancer Screening: A Systematic Review and Meta-analysis

Racey, C. Sarai ; Withrow, Diana R. ; Gesink, Dionne

Cham: Canadian Public Health Association / Association canadienne de santé publique

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