Table 2. Guidelines for cervical cancer screening in different countries.
| Country | Screening ages (yr) | Primary screening test and interval | Use of hrHPV screening | |
|---|---|---|---|---|
| Australia [36] | 25–69 | hrHPV screening with partial HPV genotyping and reflex LBC triage every 5 yr | - | |
| Canada [50,51] | 25–69 | Cytology every 3 yr | With regional variation and rollout of primary HPV screening in pilot studies | |
| England [52,53] | 25–49 | hrHPV screening every 3 yr | - | |
| 50–64 | hrHPV screening every 5 yr | - | ||
| Germany [52,54] | ≥20 | Cytology annually | HPV primary testing in implementation, HPV triage testing [55] | |
| Netherlands [35] | 30–64 | hrHPV screening every 5 yr | - | |
| Singapore [56] | 25–29 | Cytology every 3 yr | - | |
| 30–69 | hrHPV screening every 5 yr | - | ||
| Sweden [52] | 23–50 | hrHPV screening every 3 yr | - | |
| 51–60 | hrHPV screening every 5 yr | - | ||
| USA | ||||
| ACS/ASCCP/ASCP (2012) [57] | 21–29 | Cytology every 3 yr | - | |
| 30–65 | Co-testing every 5 yr (preferred) | - | ||
| Cytology every 3 yr | ||||
| Interim guidance (2015) [58] | ≥25 | - | hrHPV screening with genotyping | |
| US-PSTF (2018) [42] | 21–29 | Cytology every 3 yr | - | |
| 30–65 | Cytology every 3 yr (preferred) | - | ||
| hrHPV screening every 5 yr (preferred) | ||||
| Co-testing every 5 yr | ||||
ACS, American Cancer Society; ASCP, American Society for Clinical Pathology; ASCCP, American Society for Colposcopy and Cervical Pathology; hrHPV, high-risk human papillomavirus; HPV, human papillomavirus; LBC, liquid-based cytology; US-PSTF, US Preventive Services Task Force.