Cost-effectiveness of liquid-based cytology with or without hybrid-capture II HPV test compared with conventional Pap smears : a study by the French Society of Clinical Cytology

Many articles concerning conventional Pap smears, ThinPrep liquid-based cytology (LBC) and Hybrid-Capture II HPV test (HC II) have been published. This study, carried out by the French Society of Clinical Cytology, may be conspicuous for several reasons: it was financially independent; it compared the efficiency of the conventional Pap smear and LBC, of the conventional Pap smear and HC II, and included an economic study based on real costs; for all the women, a "gold standard" reference method, colposcopy, was available and biopsies were performed whenever a lesion was detected; The conventional Pap smear, the LBC (split-sample technique), the colposcopy, and the biopsies were done at the same time. This study included 2,585 women shared into two groups: a group A of a high-risk population, a group B of a screening population. The statistical analysis of the results showed that conventional Pap smears consistently had superior or equivalent sensitivity and specificity than LBC for the lesions at threshold CIN-I (Cervical Intraepithelial Neoplasia) or CIN-II or higher. It underlined the low specificity of the HC II. Finally, the LBC mean cost was never covered by the Social Security tariff.

Medienart:

Artikel

Erscheinungsjahr:

2005

Erschienen:

2005

Enthalten in:

Zur Gesamtaufnahme - volume:33

Enthalten in:

Diagnostic cytopathology - 33(2005), 5 vom: 15. Nov., Seite 338-43

Sprache:

Englisch

Beteiligte Personen:

Cochand-Priollet, Béatrix [VerfasserIn]
Cartier, Isabelle [VerfasserIn]
de Cremoux, Patricia [VerfasserIn]
Le Galès, Catherine [VerfasserIn]
Ziol, Marianne [VerfasserIn]
Molinié, Vincent [VerfasserIn]
Petitjean, Alain [VerfasserIn]
Dosda, Anne [VerfasserIn]
Merea, Estelle [VerfasserIn]
Biaggi, Annonciade [VerfasserIn]
Gouget, Isabelle [VerfasserIn]
Arkwright, Sylviane [VerfasserIn]
Vacher-Lavenu, Marie-Cécile [VerfasserIn]
Vielh, Philippe [VerfasserIn]
Coste, Joël [VerfasserIn]

Themen:

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 28.02.2006

Date Revised 07.12.2022

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM158495373