Table 3.
Current recommended management strategy based on Pap-alone | Implicit risk threshold: 5-year CIN3+ risk by baseline Pap result alone (regardless of HPV result) among women aged 30–641
|
5-year CIN3+ risk by baseline Pap result and HPV test result for ASC-US among women aged 21–24
|
||||
---|---|---|---|---|---|---|
Management defining result | Frequency in women aged 30–64 | CIN3+ risk | HPV/Pap result | Frequency in women aged 21–24 | CIN3+ risk | |
Immediate Colposcopy | HSIL | 0.18% | 28% | |||
ASC-H | 0.34% | 16% | ||||
LSIL | 0.97% | 5.2% | AGC | 0.06% | 6.9% | |
| ||||||
6–12 month return | HPV+/ ASC-US | 5.2% | 4.4% | |||
ASC-US | 2.8% | 2.6% | LSIL | 3.6% | 3.0% | |
ASC-US | 8.4% | 3.0% | ||||
| ||||||
3-year return | HPV-/ ASC-US | 2.7% | 0.57% | |||
Pap- | 95.6% | 0.26% | Pap- | 87.4% | 0.20% |
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.