Screening for cervical pre-cancer Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Female or person with a cervix who is registered with GP practice 2. Ceased from the NHS Cervical Screening Programme without an exit primary HPV test 3. Aged 60-79 years at invitation
Exclusion criteria
Exclusion criteria: 1. Previous total hysterectomy 2. Unable to provide a urine sample 3. Unable to understand the Patient Information Sheet and consent form 4. Any condition that would compromise participant safety or data integrity 5. Those who have opted out of sharing data for research purposes (this includes Type 1 and Type 2/National opt-out)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Response rate measured as the number of urine samples received divided by the number of eligible women invited at the end of the recruitment period 2. Ease of performing urine test (acceptability) as measured on the feedback form at the time of consent 3. Preference of urine versus cervical test (acceptability) as measured on the feedback form at the time of consent 4. Colposcopy and histological diagnoses measured using patient records following colposcopy and histology as necessary 5. Cumulative cervical cancer incidence and mortality measured using the national registration at 10 years and 20 years | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. High Risk HPV prevalence measured using the proportion of urine samples testing HPV positive using the BD Onclarity assay at the end of the recruitment period 2. Measure the impact on response rates (as defined in primary outcome measure 1 above) of a follow-up phone call versus text message from the GP practice after the initial invitation | — |
Countries
England, United Kingdom