Table 4.
Incidence of cervical intraepithelial neoplasia grade II or grade III or worse after three years of follow-up, stratified by age and recruitment cytology
| Outcome and subgroup | Biopsy and recall | Immediate large loop excision | Relative risk* (95% CI) | P value | |||
|---|---|---|---|---|---|---|---|
| No (%) of cases | Cumulative incidence | No (%) of cases | Cumulative incidence | ||||
| Cervical intraepithelial neoplasia grade II or worse | |||||||
| Age (years): | |||||||
| 20-29 | 134 (31) | 116 | 137 (32) | 117 | 1.01 (0.80 to 1.29) | 0.904 | |
| 30-59 | 82 (14) | 52 | 91 (16) | 59 | 1.07 (0.79 to 1.44) | 0.657 | |
| Cytology†: | |||||||
| Mild dyskaryosis | 129 (36) | 134 | 120 (35) | 125 | 0.90 (0.70 to 1.16) | 0.424 | |
| Borderline nuclear abnormalities | 87 (14) | 49 | 108 (17) | 61 | 1.24 (0.94 to 1.65) | 0.132 | |
| Cervical intraepithelial neoplasia grade III or worse | |||||||
| Age (years): | |||||||
| 20-29 | 69 (16) | 60 | 69 (16) | 59 | 0.99 (0.71 to 1.38) | 0.950 | |
| 30-59 | 38 (7) | 24 | 44 (8) | 28 | 1.10 (0.71 to 1.70) | 0.673 | |
| Cytology‡: | |||||||
| Mild dyskaryosis | 67 (19) | 69 | 59 (17) | 62 | 0.84 (0.59 to 1.19) | 0.332 | |
| Borderline nuclear abnormalities | 40 (6) | 23 | 54 (8) | 31 | 1.35 (0.90 to 2.04) | 0.146 | |
*Comparison for immediate large loop excision v biopsy and recall (reference group). Adjusted for age (20-29, 30-39, 40-49, 50-59, as appropriate), recruitment cytology (mild dyskaryosis, borderline nuclear abnormalities, as appropriate), centre (Grampian, Tayside, Nottingham), and high risk human papillomavirus status (positive, negative, unknown).
†Result of cytology test that triggered recruitment into trial; women might have had up to one additional smear showing borderline nuclear abnormalities in previous three years.