Page 130 - Screening for Cervical Cancer: Systematic Evidence Review
P. 130

Appendix C.  Evidence Tables



               Evidence Table 2.  New Methods for Preparing or Evaluating Cervical Cytology (cont'd)

                   Source:         Study Design &
                Author, Year       Characteristics           Interventions          Location & Time Period
                Papnet
               Kok et al.,    Diagnostic test evaluation   Women randomized to   Netherlands
               2000 101       of  neural network-based   receive screening by   1992-1997
                              screening using Papnet   Papnet (245,527) or
                              compared to traditional Pap traditional Pap (109,104)

                              Reference standard: 69
                              patients with biopsy
                              confirmed carcinoma
                                                       Collection method:
                                                       Cytobrush



               ThinPrep 2000
               Corkill et al.,   Diagnostic test evaluation   Conventional Pap vs.   Colorado
               1997 102                                ThinPrep.
                              Prospective, split sample,   Split sample collected with  5/95-6/95 and 3/96-4/96
                              double-masked trial.     cytobrush/spatula
                                                                                11 planned parenthood clinics
                              Discrepancies and 5% of
                              test-negatives verified by
                              single independent
                              pathologist only for second
                              group.
                              No histologic verification of
                              test-positives
               Lee et al.,    Diagnostic test evaluation,  Conventional Pap vs.   US
               1997 103       conventional Pap vs.     ThinPrep.
                              ThinPrep                 Split sample collected with  1996
                                                       broom device
                              ThinPrep clinical trial:  6                       6 sites; 3 community clinics and
                              centers, prospective, split                       3 hospitals
                              sample, double-masked
                              trial

                              Discrepancies and 5% of
                              test-negatives verified by
                              single independent
                              pathologist

                              No histologic verification of
                              test-positives














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