Cervical pre-cancer and cancer. Cancer
Conditions
Interventions
Women were invited to perform two self-sampling (FTA and v-DRY). Randomization of the sequence of the two self-HPV tests was done to avoid potential bias that may advantage the “first” test.
The rese
Copan, Italy). Recommendations were to hold the brush/swab by the end of the handle, to insert the brush/swab into the vagina, avoiding contact with the external genitalia, until they meet resistance
Sponsors
Geneva University Hospitals
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. At least 30 years old 2. Attending colposcopy clinic 3. Understands study procedures and accepts voluntarily to participate by signing the informed consent form (ICF)
Exclusion criteria
Exclusion criteria: 1. Pregnancy 2. Previous Hysterectomy 3. Virgin 4. Not able to comply with protocol study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Agreement between collection methods in terms of HPV positivity, measured using kappa statistic and corresponding standard deviation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Sensitivity and specificity to detect high-risk HPV using the result from the physician’s collected samples as gold standard was reported, as well as, sensitivity and specificity of the three sampling methods for abnormal Pap smear. Because of the small number of high-grade squamous intraepithelial lesion (HSIL) or carcinomas in our population, we assessed sensitivity and specificity for low-grade squamous intraepithelial lesion or greater lesions (LSIL+). The two-tailed McNemar’s test was used for mutual comparison of sensitivity and specificity. 2. Positive and negative predictive values to detect high-risk HPV using the physician’s collected samples as gold standard 3. Positive and negative predictive values of the three sampling methods to detect high-risk HPV for abnormal Pap smear results 4. Agreement between collection methods in terms of HPV positivity, according to cytological results Agreement between collection methods according to cytological results was measured using kappa statistic and corresponding standard deviation 5. Proportion of positive agreement (PPA) between paired FTA and Vaginal dry swabs (v-DRY) samples. The proportion of positive agreement (PPA) between paired FTA and v-DRY samples was calculated by using the following formula: 2a/(f1+g1), where a=the number of samples that were positive for HPV in both dry samples, f1=the number of samples that were positive for FTA and g1=the number of samples that were positive for v-DRY 6. Proportion of positive agreement (PPA) between paired self collection methods (combined results of FTA and v-DRY) and physician’s collected sample. The proportion of positive agreement (PPA) between paired self collection methods and physician’s collected samples was calculated by using the following formula: 2a/(f1+g1), where a=the number of samples that were positive for HPV in both samples, f1=the number of samples that were positive for the self-collection methods and g1=the number of samples that were pos | — |
Countries
Switzerland
Outcome results
None listed