Table 5.
Dual stain triage of HPV-positive NILM, ASC-US, or LSIL cytology results in a co-testing setting in KPNC
| Current Test Result | N | % of Total | CIN3+ Cases | CIN3+ Immediate Risk (%) | CIN3+ 3-year Cumulative Risk (%) | Clinical management recommendation | Management Confidence Probability% |
|---|---|---|---|---|---|---|---|
| HPV+/NILM/DS+ | 1,003 | 1.4 | 73 | 4.6 | 8.6 | colposcopy | 79 |
| HPV+/NILM/DS− | 1,864 | 2.7 | 20 | 0.60 | 1.5 | 1-year return | 100 |
| HPV+/ASC-US/DS+ | 978 | 1.0 | 82 | 6.6 | 9.9 | colposcopy | 100 |
| HPV+/ASC-US/DS− | 954 | 1.0 | 15 | 0.87 | 1.6 | 1-year return | 100 |
| HPV+/LSIL/DS+ | 942 | 0.9 | 46 | 4.1 | 5.9 | colposcopy | 58 |
| HPV+/LSIL/DS− | 595 | 0.6 | 7 | 0.53 | 0.92 | 1-year return | 100 |
Abbreviations: HPV, human papillomavirus; DS, dual stain; KPNC, Kaiser Permanente Northern California; CIN3+, cervical intraepithelial neoplasia grade 3 or worse; yr, year; NILM, negative for intraepithelial lesion or malignancy; ASC-US, atypical squamous cells of undetermined significance; LSIL, low grade intraepithelial lesion; +, positive; −, negative