Table 2 Observed outcomes for HR-HPV positive women in the three genotyping laboratories combined

From: 16/18 genotyping in triage of persistent human papillomavirus infections with negative cytology in the English cervical screening pilot

 

N

Yes

Unknown

Proportion Yes

Baseline

    

 HR-HPV+

127,238

16,097

258

12.7%

 Cytology + if HR-HPV +

16,097

5287

0

32.8%

 Had colposcopy if HR-HPV+/cytology+ after a record of referral

5287

5163

0

97.7%

 PPV of colposcopy for CIN2+ if HR-HPV+/cytology+

5163

2135

0

41.4%

 PPV of colposcopy for CIN3+ if HR-HPV+/cytology + 

5163

1367

0

26.5%

Early recall at 12 months (HR-HPV+/cytology- at baseline)

    

 Had early recall testing after a record of referral

10,810

8964

125

83.9%

 HR-HPV + 

8964

5263

0

58.7%

 Cytology + if HR-HPV +

5263

1410

23

26.8% 

 Had colposcopy if HR-HPV+/cytology+ after a record of referral

1410

1353

0

96.0%

 PPV of colposcopy for CIN2+ if HR-HPV+/cytology+

1353

473

0

35.0%

 PPV of colposcopy for CIN3+ if HR-HPV+/cytology+

1353

269

0

19.9%

 Cytology- if HR-HPV+

5263

3830

23

72.8%

 HPV 16 or 18+ if HR-HPV+/cytology−

3830

1072

0

28.0%

 Had colposcopy if HPV 16 or 18+/cytology- after a record of referral

1072

789

233

94.0%

 PPV of colposcopy for CIN2+ if HPV 16 or 18+ /cytology−

789

103

0

13.1%

 PPV of colposcopy for CIN3+ if HPV 16 or 18+/cytology−

789

55

0

7.0%

Early recall at 24 months (HR-HPV other+/cytology− at baseline and HR-HPV+/cytology− at 12-month early recall)

    

 Had early recall testing after a record of referral

2758

2091

48

77.2%

 HR-HPV+

2091

1368

0

65.4%

 Had colposcopy after a record of referral

1368

1144

23

85.1%

 PPV of colposcopy for CIN2+ if HR-HPV+

1144

117

0

10.2%

 PPV of colposcopy for CIN3+if HR-HPV+

1144

56

0

4.9%

Early recall at 24 months (HPV 16 or 18+/cytology− at baseline and HR-HPV+/cytology− at 12-month early recall)a

    

 HR-HPV+

98

73

0

74.5%

  1. Gray cells: Proportions of women who adhered to the type of clinical follow-up recommended by the protocol, calculated after exclusion of category “unknown” from the denominator (if non-zero). Where the “unknown” category was larger than zero, the value refers to women who had no record of referral to the type of follow-up that would be expected following the recommendations; for them, we assumed that their outcomes would be the same as the outcomes among women who had the correct record of referral. All other proportions are calculated using values in column “N” as the denominator, as there the “unknown” cells represent e.g. invalid testing outcomes (a normal occurrence in routine screening, which leads to tailored follow-up recommendations).
  2. CIN cervical intraepithelial neoplasia, HR-HPV high-risk human papillomavirus, any of the 14 high-risk genotypes detectable by the Cobas and RealTime assays unless otherwise specified, PPV positive predictive value.
  3. aData from the fourth pilot laboratory, which recorded HR-HPV genotyping information using a DNA assay but did not use it for clinical management of HR-HPV positive women