Page 170 - Screening for Cervical Cancer: Systematic Evidence Review
P. 170

Chapter III: Results
                      Performance of Screening HPV* Testing for Detection of High-grade Abnormalities
                           True   Neg   Pos   False   LR   LR   NPV  ll     PPV  ll   Prev §  Spec ‡  Positive  Neg   0.3  15.0  99.6  17.6  1.4  95.1  145  2801  0.4  3.6  99.5  4.3  1.3  80.7  245  1024  0.1  16.7  99.9  17.2  1.2  94.3  96  1586  0.1  4.7  99.0  40.0  12.3  80.2  24  97  0.3  11.3  99.6  15.8  1.6  93.4  556  7859  0.1  8.0  98.2  53.0  12.3  89.0  108  873  0.2  1.5  95.5  24.4  17.3  41.3  121  85  0.5  2.4  96.8  13.3  6.0  74.5  52  152  0.3  2.1  96.7  19.0  10.0  61.6  740  1185  0.2  4.8  99.2  17.1  4.1  82.6  228  1081  0.2   4.0   98.5   23.4   7.2   78.7   1345   4962   0.2   4.2   98.5   23.3





                              Sens †    73.8  68.8  95.2  94.1  74.8  88.4  90.7  61.5  80.9  83.9  84.4   83.7   81.6   †† HIV, human immunodeficiency virus, where “+” indicates participants with HIV infection and “should be” indicates those without infection.






                           False   Neg  11  5  1  1  35   16  4     5     41    9    76   72   56






                           True   Positive   31  11  20  16  104  122  39  8  174  47  410   371   249





                           Total   N   2988  1285  1703  138  8554  1119  249  217  2140  1365  6793   6544   5425





                           Test   Method   SHARP #  I**  HC  II  HC  HC I   (HIV+ †† )   I  HC  HC   II  HC II    (HIV + †† )   HC II**   (HIV - †† )   II  HC  II  HC  Total all HC II   HCII excluding HIV +  HCII in populations with   prevalence <10%   ll  PPV and NPV, positive and negative predictive value.  ¶  Pos LR and Neg LR, positive and negative likelihood ratio.  #  SHARP, SHARP detection system.









                      Table 8.   Article   Cuzick et al.,   1999 21    Petry et al.,   1999 61    Shiffman et   al., 2000 65    Womack et   al., 2000 63    Womack et   al., 2000 62    Wright et al.,    2000 64    *HPV, human papilloma virus.   † Sens, sensitivity.   ‡ Spec, specificity.   § Prev, prevalence.   **HC, hybrid capture.   ‡‡ Physician collected samples.







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