Page 175 - Screening for Cervical Cancer: Systematic Evidence Review
P. 175

Screening for Cervical Cancer
                      HPV Testing as a Triage Tool Among Women with an Abnormal Pap Test for Detection of HSIL*
                           True   Neg   Pos   Prev   False   LR   LR   NPV  PPV  HGSIL   Spec   Pos.   Neg   0.6  1.6  91.0  21.7  14.5  60.1  155  233  0.1  1.6  94.7  39.8  29.5  40.3  80  54  0.2  2.3  94.0  42.2  24.0  62.2  48  79  0.1  3.3  98.0  37.2  15.4  71.8  59  150  0.2  2.5  98.8  15.1  6.7  64.1  326  582  0.3         2.9   75.2   77.6   54.5   72.4   45   118   0.5  1.7  61.9  67.0  54.5  58.9  67  96  0.5  1.3  89.0  24.4  20.2  34.9  270  145  0.5  1.4  89.2  26.2  20.2  43.6  234  181  0.4  1.7  87.7  38.5  27.4  51.3  598  629  0.3   2.1   96.6   22.1   12.0   59.6   619   913





                              Sens   65.2  94.6  87.5  92.1  89.2  80.0   69.7  82.9  79.0  81.0  84.6




                           False   Neg   23  3  5     3     7     39   59  18   22  88  32






                           True   Pos.   43  53  35   35    58    156   136  87  83  374  176




                              Total N   454  190  167  247  973   358   358  520  520  1689  1740  *HPV, human papilloma virus; HSIL, high-grade squamous intraepithelial lesion.









                           Test   Method   Consensu  s PCR   SHARP   PCR   Consensu  s PCR   II  HC  II  HC  Consensu  s PCR   I  HC  Consensu  s PCR   II  HC






                      Table 11.   Author   (Year)   Adam et al.,   1998 71    Bollen et al.,   1997 66    Herrington et   al., 1995 69    Hillemanns et   al., 1999 72    Manos et al.,   1999 68    Sigurdsson et   al., 1997 67    Sun et al.,   1995 73    PCR  all  Total all HC II






                                                                                   Total


                                                                                  74
   170   171   172   173   174   175   176