Table 2. Six-month transition probabilities used in the United Kingdom model calibration.
Variable | Oncogenic HPV | Nononcogenic HPV | References | |
---|---|---|---|---|
Lesion progression and regression | ||||
Normal to HPV | <35 years | 0.023–0.077 | 0.008–0.026 | HPV acquisition and regression; Franco et al (1999b); Moscicki et al (2001); Molano et al (2003); Schlecht et al (2003) |
>35 years | 0.004–0.023 | 0.001–0.008 | ||
HPV to CIN 1 | <35 years | 0.045–0.050 | 0.037–0.042 | Lesion progression and regression: Ho et al (1998); Melnikov et al (1998); Holowaty et al (1999); Schlecht et al (2003); Cantor et al (2004) |
>35 years | 0.05 | 0.042 | ||
CIN 1 to CIN 2 | <35 years | 0.014–0.278 | 0.007–0.017 | |
>35 years | 0.035–0.315 | 0.017–0.020 | ||
CIN 2 to CIN 3 | <35 years | 0.100–0.185 | 0.100–0.185 | |
>35 years | 0.185–0.200 | 0.185–0.200 | ||
HPV clearance | <35 years | 0.38 | 0.53 | |
>35 years | 0.38 | 0.53 | ||
CIN 1 regression | <35 years | 0.340–0.440 | 0.380–0.480 | |
>35 years | 0.31 | 0.32 | ||
CIN 2/3 regression | <35 years | 0.02 | 0.02 | |
>35 years | 0.02 | 0.02 | ||
Progression to invasive cancer | ||||
CIN 3 to Cancer | 0.002–0.017 | 0.008 | Natural history of invasive cancer: De Rijke et al (2002); Goldie et al (2004) | |
Stage I | ||||
Progression to stage II | 0.11 | 0.11 | ||
Probability of symptoms | 0.075 | 0.075 | ||
Mortality | 0.005–0.015 | 0.005–0.015 | ||
Stage II | ||||
Progression to stage III | 0.12 | 0.12 | ||
Probability of symptoms | 0.113 | 0.113 | ||
Mortality | 0.015–0.040 | 0.015–0.040 | ||
Stage III | ||||
Progression to stage IV | 0.12 | 0.12 | ||
Probability of symptoms | 0.3 | 0.3 | ||
Mortality | 0.050–0.090 | 0.050–0.090 | ||
Stage IV | ||||
Probability of symptoms | 0.45 | 0.45 | ||
Mortality | 0.070–0.120 | 0.070–0.120 |
Ranges are reported owing to probability variation in age and HPV type. References are provided that support the resulting transition probability values.
CIN (cervical intraepithelial neoplasia) 1 lesions can regress to HPV (human papillomavirus) infection or normal; CIN2/3 lesions can regress to HPV infection or normal. Details of the point estimates from the calibrated model are available from the authors upon request.