Page 173 - Screening for Cervical Cancer: Systematic Evidence Review
P. 173

Chapter III.  Results








                           Neg.    LR   0.43  0.50  0.43  0.30  0.73  0.56  0.22   0.40   0.40   0.30

                      Performance of Screening HPV* Testing for Detection of Low-grade or More Severe Abnormalities



                           Pos.   LR   19.4  3.4  12.5  1.62  1.83  1.82  5.42   3.4   3.5   7.7



                              PPV  ll  NPV  ll    98.4  46.0  98.3  11.3  98.6  31.0  86.5  45.6  89.2  23.3  83.5  39.3  98.3   28.4   93.4   36.7   93.6   35.7   98.5  29.2











                              Spec ‡  Prev §  4.22  96.7  3.66  81.7  3.46  95.1  34.1  47.0  14.3  75.3  26.2  64.9  7.6   84.5   14.7   80.1   13.8   81.2   5.1  90.5












                           False   Pos.   95  227  80  87  46  555  197   965   878   277





                           True   Neg.   2767  1011  1564  77  140  1024  1072   3877   3800   2636




                              Sens †    64.3  61.7  61.0  85.9  45.2  64.0  81.3   67.3   65.2   73.5        †† HIV, human immunodeficiency virus, where “+” indicates participants with HIV infection and  “should be” indicates those without infection.





                           False   Neg.   45  18  23  12  17  202  18   272   260   41






                           True   Pos.   81  29  36  73  14  359  78   560   487   114




                           Total   N   2988  1285  1703  249  217  2140  1365   5674   5425   3068  ¶  Pos LR and Neg LR, positive and negative likelihood ratio.








                           Test   Method   SHARP #  I**  HC  II  HC  HC II   (HIV+ †† )   HC II    (HIV- †† )   HCII  HC II   HC   II in populations with   *HPV, human papilloma virus.  ll PPV and NPV, positive and negative predictive value.   ‡‡ Physician collected samples.  # SHARP, SHARP detection system.




                      Table 9.   Article   Cuzick et   al. 1999 21    Womack et   al. 2000 63    Womack et   al. 2000 62    Wright et   al. 2000 64    Total all HC II   HC II excluding HIV+   prevalence <10%   §  Prev, prevalence.   † Sens, sensitivity.   ‡ Spec, specificity.   **HC, hybrid capture.







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