Cited by 125Cervical Cancer and HPV ResearchWomen's cancer prevention and managementGlobal Cancer Incidence and Screening

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The effect of self-sampled HPV testing on participation to cervical cancer screening in Italy: a randomised controlled trial (ISRCTN96071600)

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the Self-Sampling Study Working Group, Giorgi Rossi, P, Marsili, L M, Camilloni, L, Iossa, A, Lattanzi, A, Sani, C, Di Pierro, C, Grazzini, G, Angeloni, C, Capparucci, P, Pellegrini, A, Schiboni, M L, Sperati, A, Confortini, M, Bellanova, C, D'Addetta, A, Mania, E, Visioli, C B, Sereno, E, Carozzi, F·2011·British Journal of Cancer

DOI 10.1038/sj.bjc.6606040PMC PMC3031894

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Abstract

BACKGROUND: In Italy, cervical cancer screening programmes actively invite women aged 25-64 years. Programmes are hindered by low participation. METHODS: A sample of non-responder women aged 35-64 years, belonging to three different programmes (in Rome, Florence and Teramo), was randomly split into four arms: two control groups received standard recall letters to perform either Pap-test (first group) or human papillomavirus (HPV) test (second group) at the clinic. A third arm was sent letters offering a self-sampler for HPV testing, to be requested by phone, whereas a fourth group was directly sent the self-samplers home. RESULTS: Compliance with standard recall was 13.9% (N619). Offering HPV test at the clinic had a nonsignificant effect on compliance (N616, relative risk (RR)=1.08; 95% CI=0.82-1.41). Self-sampler at request had the poorest performance, 8.7% (N622, RR=0.62; 95% CI=0.45-0.86), whereas direct mailing of the self-sampler registered the highest compliance: 19.6% (N616, RR=1.41; 95% CI=1.10-1.82). This effect on compliance was observed only in urban areas, Florence and Rome (N438, RR=1.69; 95% CI=1.24-2.30), but not in Abruzzo (N178, RR=0.95; 95% CI=0.61-1.50), a prevalently rural area. CONCLUSIONS: Mailing self-samplers to non-responders may increase compliance as compared with delivering standard recall letters. Nevertheless, effectiveness is context specific and the strategy costs should be carefully considered.

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Figure 1 Flowchart of the study design. ASC-US+, women with cytology atypical squamous cells of unknown significance or more severe; HPV+, women with high-risk HPV DNA test positive.CC BY · PubMed Central

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Authors: the Self-Sampling Study Working Group, Giorgi Rossi, P., Marsili, L. M., Camilloni, L., Iossa, A., Lattanzi, A., Sani, C., Di Pierro, C., Grazzini, G., Angeloni, C., Capparucci, P., Pellegrini, A., Schiboni, M. L., Sperati, A., Confortini, M., Bellanova, C., D'Addetta, A., Mania, E., Visioli, C. B., Sereno, E., & Carozzi, F.
Affiliations: Regione Lazio (IT)
ASL Roma (IT)
Istituto per lo Studio e la Prevenzione Oncologica (IT)
Azienda Ospedaliera San Giovanni Addolorata (IT)
ORCID: Iossa, A
Lattanzi, A
Sani, C
Grazzini, G
Pellegrini, A
Sperati, A
Confortini, M
Visioli, C B
Carozzi, F
Venue: British Journal of Cancer
Publisher: Springer Science and Business Media LLC
Published: 2010-12-21
Volume: 104
Issue: 2
Pages: 248-254
ISSN: 0007-0920 (ISSN-L)
1532-1827
DOI: 10.1038/sj.bjc.6606040
PMC: PMC3031894
OpenAlex: W2054969461
Cited by: 125
References: 42
Citations by year: 2026: 5 · 2025: 4 · 2024: 3 · 2023: 9 · 2022: 8 · 2021: 4 · 2020: 6 · 2019: 7 · 2018: 9 · 2017: 9 · 2016: 8 · 2015: 14 · 2014: 18 · 2013: 11 · 2012: 6
FWCI: 4.90
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by-nc-sa
www.springer.com/tdm (unspecified)
Locations: British Journal of Cancer (publishedVersion, cc-by-nc-sa)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Funders: Ministero della Salute
Topics: Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords: cervical cancer screening, HPV self-sampling, screening uptake, non-responders, Pap smear, urban-rural differences, Italy
MeSH terms: Adult, Uterine Cervical Neoplasms, Female, Humans, Italy, Mass Screening, Middle Aged, Patient Acceptance of Health Care, Patient Compliance, Surveys and Questionnaires, Vaginal Smears, Alphapapillomavirus

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The effect of self-sampled HPV testing on participation to cervical cancer screening in Italy: a randomised controlled trial (ISRCTN96071600)

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