Table 2 Six-month transition probabilities used in the United Kingdom model calibration

From: Estimating the long-term impact of a prophylactic human papillomavirus 16/18 vaccine on the burden of cervical cancer in the UK

Variable

Oncogenic HPV

Nononcogenic HPV

References

Lesion progression and regression

 Normal to HPV

<35 years

0.023–0.077

0.008–0.026

HPV acquisition and regression; Franco et al (1999b); Moscicki et al (2001); Molano et al (2003); Schlecht et al (2003)

 

>35 years

0.004–0.023

0.001–0.008

 

 HPV to CIN 1

<35 years

0.045–0.050

0.037–0.042

Lesion progression and regression: Ho et al (1998); Melnikov et al (1998); Holowaty et al (1999); Schlecht et al (2003); Cantor et al (2004)

 

>35 years

0.05

0.042

 

 CIN 1 to CIN 2

<35 years

0.014–0.278

0.007–0.017

 
 

>35 years

0.035–0.315

0.017–0.020

 

 CIN 2 to CIN 3

<35 years

0.100–0.185

0.100–0.185

 
 

>35 years

0.185–0.200

0.185–0.200

 

 HPV clearance

<35 years

0.38

0.53

 
 

>35 years

0.38

0.53

 

 CIN 1 regression

<35 years

0.340–0.440

0.380–0.480

 
 

>35 years

0.31

0.32

 

 CIN 2/3 regression

<35 years

0.02

0.02

 
 

>35 years

0.02

0.02

 

Progression to invasive cancer

 CIN 3 to Cancer

0.002–0.017

0.008

Natural history of invasive cancer: De Rijke et al (2002); Goldie et al (2004)

Stage I

 

 Progression to stage II

0.11

0.11

 

 Probability of symptoms

0.075

0.075

 

 Mortality

0.005–0.015

0.005–0.015

 

Stage II

 

 Progression to stage III

0.12

0.12

 

 Probability of symptoms

0.113

0.113

 

 Mortality

0.015–0.040

0.015–0.040

 

Stage III

 

 Progression to stage IV

0.12

0.12

 

 Probability of symptoms

0.3

0.3

 

 Mortality

0.050–0.090

0.050–0.090

 

Stage IV

 

 Probability of symptoms

0.45

0.45

 

 Mortality

 

0.070–0.120

0.070–0.120

 
  1. Ranges are reported owing to probability variation in age and HPV type. References are provided that support the resulting transition probability values.
  2. CIN (cervical intraepithelial neoplasia) 1 lesions can regress to HPV (human papillomavirus) infection or normal; CIN2/3 lesions can regress to HPV infection or normal. Details of the point estimates from the calibrated model are available from the authors upon request.