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. 2022 May 31;377:e068776. doi: 10.1136/bmj-2021-068776

Table 3.

Interval cervical cancer diagnosed between the first and second screening rounds after a negative screen*, by screening test and age group. Includes women with a negative screening test in the English HPV screening pilot’s first round in 2013-16, with information on cervical cancer available until the end of 2018

Age group (years)* HPV testing Cytology HPV testing v cytology (adjusted hazard ratio (95% CI)
24-49
Total No of woman years 837 960 2 135 315
Total No of cervical cancers diagnosed (No of cervical cancers diagnosed per 100 000 woman years) 11 (1.31) 62 (2.90) 0.44 (0.23 to 0.84)
50-59
Total No of woman years 281 369 631 584
Total No of cervical cancers diagnosed (No of cervical cancers diagnosed per 100 000 woman years) 2 (0.71) 17 (2.69) 0.26 (0.06 to 1.15)
60-64
Total No of woman years 86 712 194 688
Total No of cervical cancers diagnosed (No of cervical cancers diagnosed per 100 000 woman years) 1 (1.15) 6 (3.08) 0.39 (0.05 to 3.20)

CI=confidence interval; HPV=human papillomavirus.

*

Average numbers of woman years at risk at age 24-49 year were 3.3 years for HPV testing and 3.2 years for cytology; corresponding numbers were 3.8 years and 3.7 years, respectively, at age 50-59 years; and 3.8 years and 3.6 years, respectively, at age 60-64 years.

Hazard ratios (for interval cancer diagnosis between first and second screening rounds after a negative screen) were adjusted for age in years, decile of the Index of Multiple Deprivation, and laboratory site. Unadjusted estimates were similar as adjusted estimates and are reported in supplementary table S4.

Unadjusted estimates owing to a small number of cases.