Attendance at early recall and colposcopy in routine cervical screening with human papillomavirus testing

The HPV Pilot Steering Committee

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Attendance at early recall and colposcopy is crucial to attaining the benefits of primary high-risk human papillomavirus (HR-HPV)-based screening. Within the English HPV pilot, we analysed deprivation- and age-related patterns of attendance at colposcopy and 12- and 24-month early recall of HR-HPV positive women screened in 2013 to 2015 (N = 36 466). We fitted logistic regression models for adjusted odds ratios (OR). Despite high overall attendance, area deprivation had a small but significant impact at both early recalls, for example, attendance at 24 months was 86.3% and 83.0% in less vs more deprived areas, respectively (ORadj: 0.76; 95% CI: 0.67-0.87). Older women (≥30 years) were more likely to attend early recall than younger women (<30 years), for example, attendance at 24 months was 86.1% vs 82.3%, respectively (ORadj: 1.32, 95% CI: 1.16-1.51). Most women attended colposcopy following a baseline referral, with 96.9% attendance among more deprived and 97.8% among less deprived areas (ORadj: 0.70; 95% CI: 0.55-0.88). Differences in colposcopy attendance by deprivation level at 12 and 24 months were of approximately the same magnitude. In conclusion, attendance at early recall and colposcopy was reassuringly high. Although there were statistically significant differences by deprivation and age group, these were small in absolute terms.

Original languageEnglish
Pages (from-to)1850-1857
Number of pages8
JournalInternational Journal of Cancer
Volume148
Issue number8
DOIs
Publication statusPublished - 15 Apr 2021

Bibliographical note

Funding Information:
Data for this study is based on information collected and quality assured by the Public Health England Population Screening Programmes. Access to the data was facilitated by the Public Health England Office for Data Release. Members of the HPV Pilot Steering Committee, other than those listed as authors, included (in alphabetical order): Tracey-Louise Appleyard, Margaret Cruikshank, Kate Cuschieri, Karin Denton, Kay Ellis, Chris Evans, Viki Frew, Thomas Giles, Alastair Gray, Miles Holbrook, Katherine Hunt, Tanya Levine, Emily McBride, David Mesher, Timothy Palmer, Janet Parker, Janet Rimmer, Hazel Rudge Pickard, Alexandra Sargent, Jean Michel Simpore, David Smith, John Smith, Kate Soldan, Ruth Stubbs, Penelope Tidbury, John Tidy, Xenia Tyler.

Publisher Copyright:
© 2020 The Authors. International Journal of Cancer published by John Wiley & Sons Ltd on behalf of Union for International Cancer Control.

Keywords

  • attendance
  • cervical cancer screening
  • colposcopy
  • early recall
  • human papillomavirus

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