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Am J Obstet Gynecol. 2012 Jan;206(1):46.e1-46.e11. doi: 10.1016/j.ajog.2011.07.024. Epub 2011 Jul 22.

The ATHENA human papillomavirus study: design, methods, and baseline results.

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  • 1Department of Pathology, College of Physicians and Surgeons, Columbia University, New York, NY, USA.

Abstract

OBJECTIVE:

The objective of the study was to describe baseline data from Addressing the Need for Advanced HPV Diagnostics, a prospective, multicenter US cervical cancer screening trial.

STUDY DESIGN:

A total of 47,208 women aged 21 years or older undergoing routine screening were enrolled; liquid-based cytology and human papillomavirus (HPV) testing were performed. Women with abnormal cytology underwent colposcopy, as did high-risk HPV (hrHPV)-positive women and a random subset of women negative by both tests aged 25 years or older. Verification bias adjustment was applied; 95% confidence intervals were computed by the bootstrap method.

RESULTS:

The prevalence of cytologic abnormalities was 7.1%. hrHPV, HPV 16, and HPV 18 were detected using the cobas HPV Test in 12.6%, 2.8%, and 1.0% of women, respectively. Both cytologic abnormalities and hrHPV positivity declined with increasing age. The adjusted prevalence of cervical intraepithelial neoplasia grade 2 (CIN2) or greater in women aged 25-34 years was 2.3%, decreasing to 1.5% among older women.

CONCLUSION:

The Addressing the Need for Advanced HPV Diagnostics study provides important estimates of the prevalence of cytologic abnormalities, hrHPV positivity, and CIN2 or greater in a US screening population.

Copyright © 2012 Mosby, Inc. All rights reserved.

PMID:
21944226
[PubMed - indexed for MEDLINE]
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