TABLE 2.
Distribution of HPV and cytology results of the CDC’s NBCCEDP cohort from 2009 to 2017
| Test results | N | % | CIN2+ | CIN3+ | Cancer | Follow-up time, mo | % with colposcopy or follow-up |
||
|---|---|---|---|---|---|---|---|---|---|
| HPV | Cytology | Median | IQR | ||||||
| Screened in the past 5 y | |||||||||
| Total | 208,656 | 100.0 | 2873 | 1495 | 236 | 25 | 14–42 | ||
| HPV Positive | NILM | 11,315 | 5.4 | 196 | 115 | 7 | 16 | 13–27 | 31 |
| ASC-US | 11,754 | 5.6 | 1215 | 545 | 22 | 18 | 13–33 | 87 | |
| LSIL | 3728 | 1.8 | 410 | 159 | 6 | 18 | 13–30 | 85 | |
| ASC-H | 567 | 0.3 | 200 | 138 | 10 | 16 | 12–27 | 92 | |
| AGC | 244 | 0.1 | 92 | 69 | 15 | 17 | 14–29 | 91 | |
| HSIL+ | 747 | 0.4 | 486 | 337 | 37 | 15 | 12–26 | 89 | |
| HPV Negative | NILM | 152,606 | 73.1 | 44 | 19 | 4 | 34 | 17–50 | |
| ASC-US | 25,186 | 12.1 | 104 | 45 | 7 | 26 | 14–46 | ||
| LSIL | 1461 | 0.7 | 31 | 11 | 0 | 15 | 13–26 | 57 | |
| ASC-H | 293 | 0.1 | 29 | 14 | 0 | 17 | 14–31 | 90 | |
| AGC | 669 | 0.3 | 33 | 19 | 12 | 21.5 | 14–38 | 91 | |
| HSIL+ | 86 | 0.0 | 33 | 24 | 3 | 11 | 8–17 | 87 | |
| Rarely or never screened | |||||||||
| Total | 113,126 | 100.0 | 1827 | 1124 | 165 | 22 | 14–38 | ||
| HPV Positive | NILM | 6554 | 5.8 | 112 | 68 | 11 | 15 | 13–25 | 23 |
| ASC-US | 5130 | 4.5 | 636 | 315 | 30 | 16 | 13–29 | 84 | |
| LSIL | 1862 | 1.7 | 215 | 87 | 1 | 16 | 13–27 | 81 | |
| ASC-H | 293 | 0.3 | 121 | 88 | 15 | 14 | 10–19 | 85 | |
| AGC | 175 | 0.2 | 80 | 67 | 20 | 16 | 10–32 | 85 | |
| HSIL+ | 667 | 0.6 | 504 | 402 | 58 | 17 | 13–27 | 91 | |
| HPV Negative | NILM | 87,187 | 77.1 | 19 | 13 | 6 | 29 | 16–43.25 | |
| ASC-US | 9926 | 8.8 | 31 | 10 | 2 | 27 | 14–45 | ||
| LSIL | 701 | 0.6 | 14 | 3 | 0 | 15 | 13–23 | 51 | |
| ASC-H | 160 | 0.1 | 16 | 7 | 2 | 16.5 | 13–33.25 | 86 | |
| AGC | 386 | 0.3 | 31 | 25 | 17 | 15 | 13–25.75 | 85 | |
| HSIL+ | 85 | 0.1 | 48 | 39 | 3 | 14 | 10–26 | 89 | |
| Unknown screening history | |||||||||
| Total | 41,762 | 100.0 | 721 | 414 | 71 | 28 | 15-47 | ||
| HPV Positive | NILM | 2565 | 6.1 | 42 | 21 | 4 | 15 | 13–27 | 24 |
| ASC-US | 2090 | 5.0 | 276 | 126 | 15 | 19 | 13–30 | 83 | |
| LSIL | 838 | 2.0 | 109 | 59 | 9 | 17 | 13–28 | 77 | |
| ASC-H | 123 | 0.3 | 40 | 23 | 3 | 34 | 19.75–39 | 79 | |
| AGC | 76 | 0.2 | 28 | 22 | 7 | 31 | 13.5–49.75 | 87 | |
| HSIL+ | 251 | 0.6 | 183 | 136 | 22 | 22 | 14–36 | 89 | |
| HPV Negative | NILM | 32,069 | 76.8 | 2 | 2 | 1 | 37 | 21–58 | |
| ASC-US | 3270 | 7.8 | 9 | 5 | 2 | 27 | 14–47 | ||
| LSIL | 293 | 0.7 | 9 | 3 | 2 | 15 | 13-19.5 | 52 | |
| ASC-H | 43 | 0.1 | 1 | 1 | 0 | 16 | 13–6 | 79 | |
| AGC | 117 | 0.3 | 7 | 5 | 5 | 17 | 13–25 | 84 | |
| HSIL+ | 27 | 0.1 | 15 | 11 | 1 | 13.5 | 13–20.75 | 85 | |
AGC, atypical glandular cell; ASC-H, atypical squamous cells-cannot exclude HSIL; ASC-US, atypical squamous cells of uncertain significance; CDC, Centers for Disease Control and Prevention; CIN2+, cervical intraepiethial neoplasia grade II or greater; CIN3, cervical intraepiethial neoplasia grade III or greater; HPV, human papillomavirus; HSIL, high-grade squamous intraepithelial lesion; IQR, interquartile range; LSIL, low-grade squamous intraepithelial lesion; NBCCEDP, National Breast and Cervical Cancer Early Detection Program; NILM, negative for intraepithelial lesion or malignancy.