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

The HPV Pilot Steering Committee

doi:10.1002/ijc.33348

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

The HPV Pilot Steering Committee

HIV & STI

Research output: Contribution to journal › Article › peer-review

16 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 (OR_adj: 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 (OR_adj: 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 (OR_adj: 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 language	English
Pages (from-to)	1850-1857
Number of pages	8
Journal	International Journal of Cancer
Volume	148
Issue number	8
DOIs	https://doi.org/10.1002/ijc.33348
Publication status	Published - 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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1002/ijc.33348

Cite this

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title = "Attendance at early recall and colposcopy in routine cervical screening with human papillomavirus testing",

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.",

keywords = "attendance, cervical cancer screening, colposcopy, early recall, human papillomavirus",

author = "{The HPV Pilot Steering Committee} and Green, {Leonardo I.} and Mathews, {Christopher S.} and Jo Waller and Henry Kitchener and Matejka Rebolj and Appleyard, {Tracey Louise} and Margaret Cruikshank and Kate Cuschieri and Karin Denton and Kay Ellis and Chris Evans and Viki Frew and Thomas Giles and Alastair Gray and Miles Holbrook and Katherine Hunt and Tanya Levine and Emily McBride and David Mesher and Timothy Palmer and Janet Parker and Janet Rimmer and Pickard, {Hazel Rudge} and Alexandra Sargent and Simpore, {Jean Michel} and David Smith and John Smith and Katherine Soldan and Ruth Stubbs and Penelope Tidbury and John Tidy and Xenia Tyler",

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: {\textcopyright} 2020 The Authors. International Journal of Cancer published by John Wiley & Sons Ltd on behalf of Union for International Cancer Control.",

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T1 - Attendance at early recall and colposcopy in routine cervical screening with human papillomavirus testing

AU - The HPV Pilot Steering Committee

AU - Green, Leonardo I.

AU - Mathews, Christopher S.

AU - Waller, Jo

AU - Kitchener, Henry

AU - Rebolj, Matejka

AU - Appleyard, Tracey Louise

AU - Cruikshank, Margaret

AU - Cuschieri, Kate

AU - Denton, Karin

AU - Ellis, Kay

AU - Evans, Chris

AU - Frew, Viki

AU - Giles, Thomas

AU - Gray, Alastair

AU - Holbrook, Miles

AU - Hunt, Katherine

AU - Levine, Tanya

AU - McBride, Emily

AU - Mesher, David

AU - Palmer, Timothy

AU - Parker, Janet

AU - Rimmer, Janet

AU - Pickard, Hazel Rudge

AU - Sargent, Alexandra

AU - Simpore, Jean Michel

AU - Smith, David

AU - Smith, John

AU - Soldan, Katherine

AU - Stubbs, Ruth

AU - Tidbury, Penelope

AU - Tidy, John

AU - Tyler, Xenia

N1 - 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.

PY - 2021/4/15

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N2 - 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.

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KW - human papillomavirus

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

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

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