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在有组织的宫癌查计划中进行HPV自取样: 2021年爱沙尼亚的一项随机试点研究

Reeli Hallik^1,2, Kaire Innos², Jaak Jänes²

¹Institute of Clinical Medicine, University of Tartu, Tartu, Estonia.

Journal of medical screening

|August 2, 2024

概括

自选和自选的人类乳头瘤病毒 (HPV) 自取样本显著增加了宫癌查参与率. 提供自我抽样和临床医生抽样之间的选择改善了出席率,而选择退出显示了更高的参与度.

科学领域:

公共卫生公共卫生
在瘤学瘤学.
预防医学预防医学

背景情况:

爱沙尼亚面临着高的宫癌率,查出席率低.
有组织的查计划在低参与率下扎.

研究的目的:

评估选择性和选择性人类乳头瘤病毒 (HPV) 自取样本对宫癌查参与的影响.
为了比较HPV查的不同邀请策略的有效性.

主要方法:

这是一项随机对照试验,涉及超过55,000名女性,她们将进行查.
干预武器包括选择退出 (预发自取样器) 和选择加入 (电子邮件链接订购自取样器) 策略.
一个对照组接受了标准查提醒.

主要成果:

与对照组 (29.0%) 相比,选择退出 (41.7%) 和选择加入 (34.1%) 的参与率明显高.
选择退出策略的总体参与率高于选择加入策略.
自我采样在易于使用方面得到了很高的评价 (99%),大多数用户更喜欢它用于未来的测试.

结论:

提供HPV自取样和临床采样之间的选择可以提高宫癌查参与率.
根据不同年龄组量身定制的选择/选择退出策略可以优化查的有效性.
HPV自取样是一种用户友好且有效的方法,可以提高查覆盖率.

关键词:

宫癌是发生在宫癌的原因之一.选择加入和选择退出策略.查检查查检查查检查查检查自我采样自动采样

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