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. 2019 Feb 18;79(2):160–176. doi: 10.1055/a-0828-7722
No. Recommendations/Statements GRADE Sources
19.1. HPV-based screening performed every 3 years has a relatively favorable cost-effectiveness ratio. Compared to annual cytology-based screening, HPV-based screening has a similar expected benefit and a lower expected harm (e.g. surgical interventions, colposcopies, psychological stress caused by abnormal findings and follow-up examinations). ⊕⊖⊖⊖ [cf. Guideline Report and Evidence Report]
19.2. In Germany, HPV-based screening carried out at intervals of every 3 – 5 years is considered to be cost-effective. HPV-based screening carried out at intervals of every 2 years has a less favorable cost-effectiveness ratio. Annual screening significantly increases costs without generating a significant additional benefit. ⊕⊖⊖⊖ 158