Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America Article Swipe
Arianis Tatiana Ramírez
,
David Mesher
,
Armando Baena
,
Yuli Salgado
,
Elena Kasamatsu
,
Carmen Cristaldo
,
Rodrigo Álvarez
,
Freddy David Rojas
,
Katherine Ramírez
,
Jean-Luc Guyot
,
Odessa Henríquez
,
Hans González Palma
,
Bettsy Flores
,
José Manuel Suárez Peñaranda
,
María José Vero
,
Isabel S. Robinson
,
Carole Ho
,
Guillermo Rodríguez‐Domínguez
,
Carolina Terán
,
Annabelle Ferrera
,
Marı́a Alejandra Picconi
,
Alejandro Calderón
,
Laura Mendoza
,
Carolina Wiesner
,
Maribel Almonte
,
Rolando Herrero
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/jnci/djae283
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1093/jnci/djae283
Background Cervical cytology is recommended by the World Health Organization as a triage option in human papillomavirus (HPV)-based cervical cancer screening programs. We assessed the performance of cytology to detect CIN3+ without and with knowledge of HPV positivity. Methods Women were screened with cytology and HPV across ESTAMPA study centers in Latin America. Screen-positives were referred to colposcopy with biopsy and treatment as needed. Cytology was initially interpreted without knowing HPV results. A subset of cytologies from HPV-positive women were reinterpreted at the same laboratories, with knowledge of HPV status, blinded to previous cytology and histological diagnosis. Performance indicators for cytology to detect CIN3+ without and with knowledge of HPV positivity were estimated. Findings A total of 4087 women were included, of which 490 had histologically confirmed CIN3+ (455 CIN3 and 35 cancers). Cytology sensitivity without knowledge of HPV positivity for CIN3+ was 47.2% (95% CI = 42.5 to 51.9), whereas with knowledge of HPV positivity, the sensitivity was higher (58.9%, 95% CI = 54.2 to 63.5; P < .0001). The specificity without knowledge of HPV was 89.4% (95% CI = 88.2 to 90.5), whereas with knowledge of HPV positivity was 78.9% (95% CI = 77.4 to 80.4; P < .0001). Performance estimates varied by study center for cytology without knowing the HPV positivity (range = 32.8%-61.5% for sensitivity; range = 80.7%-98.6% for specificity). Similarly, performance varied with knowledge of HPV positivity (36.1%-93.4% for sensitivity; 39.6%-98.6% for specificity). Conclusion The increase in sensitivity of cytology with HPV knowledge was limited and highly variable, reinforcing the need for alternative triage methods to support cervical cancer elimination goals.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/jnci/djae283
- https://academic.oup.com/jnci/advance-article-pdf/doi/10.1093/jnci/djae283/60629423/djae283.pdf
- OA Status
- hybrid
- Cited By
- 1
- References
- 29
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4404297838
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4404297838Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/jnci/djae283Digital Object Identifier
- Title
-
Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin AmericaWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-11-12Full publication date if available
- Authors
-
Arianis Tatiana Ramírez, David Mesher, Armando Baena, Yuli Salgado, Elena Kasamatsu, Carmen Cristaldo, Rodrigo Álvarez, Freddy David Rojas, Katherine Ramírez, Jean-Luc Guyot, Odessa Henríquez, Hans González Palma, Bettsy Flores, José Manuel Suárez Peñaranda, María José Vero, Isabel S. Robinson, Carole Ho, Guillermo Rodríguez‐Domínguez, Carolina Terán, Annabelle Ferrera, Marı́a Alejandra Picconi, Alejandro Calderón, Laura Mendoza, Carolina Wiesner, Maribel Almonte, Rolando HerreroList of authors in order
- Landing page
-
https://doi.org/10.1093/jnci/djae283Publisher landing page
- PDF URL
-
https://academic.oup.com/jnci/advance-article-pdf/doi/10.1093/jnci/djae283/60629423/djae283.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
hybridOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/jnci/advance-article-pdf/doi/10.1093/jnci/djae283/60629423/djae283.pdfDirect OA link when available
- Concepts
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Colposcopy, Cytology, Medicine, Gynecology, Cervical cancer, Obstetrics, Triage, Biopsy, Internal medicine, Cancer, Pathology, Emergency medicineTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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29Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.39.6%-98.6% | 236 |
| abstract_inverted_index.80.7%-98.6% | 222 |
| abstract_inverted_index.Performance | 98, 202 |
| abstract_inverted_index.alternative | 258 |
| abstract_inverted_index.elimination | 265 |
| abstract_inverted_index.interpreted | 68 |
| abstract_inverted_index.performance | 26, 226 |
| abstract_inverted_index.positivity, | 156 |
| abstract_inverted_index.positivity. | 38 |
| abstract_inverted_index.recommended | 5 |
| abstract_inverted_index.reinforcing | 254 |
| abstract_inverted_index.sensitivity | 135, 158, 243 |
| abstract_inverted_index.specificity | 172 |
| abstract_inverted_index.(36.1%-93.4% | 233 |
| abstract_inverted_index.HPV-positive | 78 |
| abstract_inverted_index.Organization | 10 |
| abstract_inverted_index.histological | 96 |
| abstract_inverted_index.sensitivity; | 219, 235 |
| abstract_inverted_index.laboratories, | 85 |
| abstract_inverted_index.reinterpreted | 81 |
| abstract_inverted_index.specificity). | 224, 238 |
| abstract_inverted_index.histologically | 126 |
| abstract_inverted_index.papillomavirus | 17 |
| abstract_inverted_index.Screen-positives | 54 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5022336546 |
| countries_distinct_count | 9 |
| institutions_distinct_count | 26 |
| corresponding_institution_ids | https://openalex.org/I42237331 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.6600000262260437 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.71866239 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |