Table 1.
Model assumptions for the prevalence of high-risk HPV, HPV-16/18, and health state transition probabilities by age group
| Age group (years) | Reference(s) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 25–29 | 30–34 | 35–39 | 40–44 | 45–49 | 50–54 | 55–59 | 60–64 | 65–70 | ||
| Prevalence | ||||||||||
| HPV HR, % infected | 21.1 | 13.4 | 9.9 | 7.6 | 6.6 | 6.6 | 5.9 | 5.9 | 4.4 | ATHENA [12] |
| HPV-16/18, % of HPV HR | 33.0 | 28.6 | 27.9 | 20.3 | 23.8 | 19.9 | 19.3 | 18.1 | 18.9 | ATHENA [12] |
| HPV HR, % per cytology | ||||||||||
| Normal | 16.6 | 10.6 | 7.5 | 6.1 | 5.4 | 5.6 | 5.0 | 5.3 | 4.0 | ATHENA [12] |
| ASC-US | 49.4 | 31.2 | 28.5 | 19.8 | 9.8 | 18.8 | 20.3 | 20.0 | 12.5 | ATHENA [12] |
| LSIL/HSIL | 78.7 | 72.6 | 69.0 | 61.5 | 60.6 | 56.1 | 65.5 | 50.0 | 66.7 | ATHENA [12] |
| Annual transition probabilities used in the model | ||||||||||
| HPV HR (−) to HPV HR (+) | 0.1500 | 0.0576 | 0.0333 | 0.0333 | 0.0333 | 0.0222 | 0.0222 | 0.0222 | 0.0222 | [17, 20, 23] |
| HPV HR (+) to HPV HR (−) | 0.7000 | 0.4130 | 0.4130 | 0.4130 | 0.4130 | 0.4130 | 0.4130 | 0.4130 | 0.4130 | [17, 20–22] |
| HPV HR (+) no CIN to CIN1 | 0.1100 | 0.1100 | 0.1100 | 0.1100 | 0.1100 | 0.1100 | 0.1100 | 0.1100 | 0.1100 | [18, 20] |
| HPV HR (+) no CIN to CIN 2 or CIN 3 | 0.0583 | 0.0583 | 0.0583 | 0.0583 | 0.0583 | 0.0583 | 0.0583 | 0.0583 | 0.0583 | [18, 21] |
| CIN 1 to CIN 2 or CIN 3 | 0.0198 | 0.0198 | 0.1444 | 0.1444 | 0.2688 | 0.2688 | 0.2688 | 0.2688 | 0.2688 | [19, 21] |
| CIN 2 or CIN 3 to Cervical Cancer | 0.0060 | 0.0060 | 0.0060 | 0.0060 | 0.0060 | 0.0060 | 0.0060 | 0.0060 | 0.0060 | [18, 20, 21] |
| CIN1 to HPV HR (+) or HPV HR (−) | 0.2248 | 0.2248 | 0.1124 | 0.1124 | 0.1124 | 0.1124 | 0.1124 | 0.1124 | 0.1124 | [17] |
| CIN 2 or CIN 3 to CIN1 | 0.2340 | 0.2340 | 0.2340 | 0.2340 | 0.2340 | 0.2340 | 0.2340 | 0.2340 | 0.2340 | [17, 20] |
| CIN 2 or CIN 3 to HPV HR (−) | 0.2036 | 0.2036 | 0.2036 | 0.2036 | 0.1901 | 0.1901 | 0.1901 | 0.1901 | 0.1901 | [17] |
ASC-US atypical squamous cells of undetermined significance, ATHENA Addressing THE Need for Advanced HPV Diagnostics, CIN cervical intraepithelial neoplasia, HPV human papillomavirus, HR high risk, HSIL high-grade squamous intraepithelial lesion, LSIL low-grade squamous intraepithelial lesion