2018
DOI: 10.5858/arpa.2018-0001-ra
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Primary High-Risk Human Papillomavirus Testing for Cervical Cancer Screening in the United States: Is It Time?

Abstract: Context.-The most recent update to cervical cancer screening guidelines offers interim guidance on the use of primary human papillomavirus (HPV) screening, with algorithms for management of results. After decades of screening with pure cytology and a shorter time with adjunctive HPV or cotesting with Papanicolaou (Pap) test and HPV, this is a significant change to our screening methods.Objective.-To briefly review the history of cervical cancer screening, the evidence upon which these interim guidelines were b… Show more

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Cited by 28 publications
(19 citation statements)
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“…High‐income countries such as the United States and Canada employ primary HPV testing (test with higher sensitivity) followed by cytology (test with higher specificity) for cervical cancer screening . The USFDA approved HPV testing instead of the Pap test for cervical cancer screening in April 2014 . The 2015 Interim guidelines have recommended Roche cobas HPV test for primary cervical cancer screening of women over 25 years without concurrent Pap smear testing .…”
Section: Introductionmentioning
confidence: 99%
“…High‐income countries such as the United States and Canada employ primary HPV testing (test with higher sensitivity) followed by cytology (test with higher specificity) for cervical cancer screening . The USFDA approved HPV testing instead of the Pap test for cervical cancer screening in April 2014 . The 2015 Interim guidelines have recommended Roche cobas HPV test for primary cervical cancer screening of women over 25 years without concurrent Pap smear testing .…”
Section: Introductionmentioning
confidence: 99%
“…Cervical cancer ranks as the second [28] most common gynecological cancer type and poses a great threat to women's health. In most cases, patients have already progressed into an advanced stage when they are diagnosed.…”
Section: Discussionmentioning
confidence: 99%
“…Cervical cancer is one of the most common malignancies in the female reproductive system. 1 However, the initial stages of cervical cancer are usually asymptomatic. 2 Thus, a certain number of specific and sensitive non-invasive biomarkers are urgently needed to predict the prognosis of cervical cancer.…”
Section: Introductionmentioning
confidence: 99%