Table 2.
Benchmarking CIN2+ risks for negative follow-up tests following treatment for CIN2, CIN3 or AIS among women aged 25 and older, to CIN2+ risk thresholds implicitly used to determine clinical management options based on screening Pap tests.
| Current recommended management strategy based on Pap-alone screening | Implicit risk threshold: 5-year CIN2+ risk (%)1 by baseline Pap-alonea result | Women treated for CIN2, CIN3, or AIS aged 25 and older
|
|||||
|---|---|---|---|---|---|---|---|
| Follow-up with Pap-alonea
|
Follow-up with HPV testing-aloneb
|
Follow-up with cotesting | |||||
| Pap result(s) | 5-year CIN2+ risk after last test | HPV test result(s) | 5-year CIN2+ risk after last test | HPV/Pap result(s) | 5-year CIN2+ risk after last test | ||
| Immediate colposcopy | LSIL: 16% | ||||||
|
| |||||||
| 6–12 month return | ASC-US: 6.9% | 1 negative Pap | 4.2% | 1 negative HPV test | 3.7% | ||
|
| |||||||
| Intermediate | 2 negative Paps | 2.7% | 2 negative HPV tests | 2.7% | 1 negative cotest | 2.4% | |
|
| |||||||
| 3-year return | Pap-: 0.68% | 2 negative cotests | 1.5% | ||||
Follow-up Pap result(s) alone (regardless of HPV test result)
Follow-up HPV test result(s) alone (regardless of Pap result)
Data presented in: Katki HA, Schiffman M, Castle PE, Fetterman B, Poitras NE, Lorey T, et al. Benchmarking CIN3+ risk as the basis for incorporating HPV and Pap cotesting into cervical screening and management guidelines J Low Genit Tract Dis In press.