Table 4. Screening test performance: estimated corrected positive predictive value and negative predictive values.
CIN2+ (N = 310) | CIN3+ (N = 102) | |||
PPV 95% CI | NPV 95% CI | PPV 95% CI | NPV 95% CI | |
Cytology* | 64.5% (59.7–69.3) | 89.7% (87.3–92.1) | 25.7% (21.3–30.1) | 99.2% (98.6–99.9) |
VIA | 48.5% (44.0–53.0) | 87.5% (84.6–90.3) | 15.7% (12.4–18.9) | 96.1% (94.6–97.6) |
HPV | 42.9% (39.0–46.8) | 94.1% (91.5–96.7) | 14.6% (11.9–17.3) | 99.5% (98.8–100) |
Combined Cytology/VIA | 47.3% (43.4–51.3) | 93.4% (90.9–96.0) | 16.6% (13.6–19.5) | 99.5% (98.8–100) |
Combined Cytology/HPV | 42.2% (38.5–45.8) | 95.5% (93.1–98.0) | 14.3% (11.7–16.9) | 100% (99.9–100) |
Combined HPV/VIA | 39.8% (36.3–43.3) | 96.0% (93.4–98.6) | 13.2% (10.8–15.6) | 99.7% (99.1–100) |
Combined Cytology/VIA/HPV | 40.8% (37.3–44.3) | 96.4% (93.7–99.0) | 13.8% (11.3–16.2) | 100% (99.8–100) |
CIN2+ = CIN2/CIN3/ICC, CIN3+ = CIN3/ICC, PPV = Positive predictive value, NPV = Negative predictive value, CI = Confidence interval, Cytology = Cytology Pap smear, HPV = HPV DNA, VIA = Visual inspection with 5% acetic acid.
Cytology negative: normal/LSIL/ASCUS; positive: HSIL, ASC-H, SCC.