Diagnostic Value of the CareTM HPV Test in Screening for Cervical Intraepithelial Neoplasia Grade 2 or Worse
Background: Cervical cancer is the fourth leading cause of cancer death in women worldwide. Persistent infection with
a high risk human papillomavirus (HR-HPV) is the main etiological factor, so that early early detection of HR-HPV is
very important. The aim of this study was to investigate the efficacy of CareTM HPV, a new method, as compared with
Pap smear, PCR, and biopsy for screening purposes. Material and Method: In this cross-sectional study, 200 sexually
active women aging from 25-50 years referred to the oncology clinic of Shahid Sodoughi Yazd Hospital in 2015 with a
variety of cervix epithelial lesions or a need for colposcopy were enrolled. Results for CareTM HPV test (cervical), Pap
smear, PCR, and biopsy were analyzed using SPSS 15 software and chi-square test, McNemar, and ROC curve analysis.
Qualitative variables were compared using a Chi-square test. Results: CareTM HPV test sensitivity in detecting cervical
intraepithelial neoplasia grade II (CIN-II) and also positive and negative predictive values were higher as compared
to with other tests (p<0.05). The Pap smear test specificity was highest. There was no significant differences between
CareTM HPV and PCR tests regarding detection of HPV-DNA in cases of CIN-II and worse (p>0.05). Conclusion: The
CareTM HPV test has high sensitivity and predictive values for detecting HPV infection, with higher efficacy than the
Pap smear test for tracking CIN-II. Therefore it may be recommended for use as a screening test in low-income areas.
['Karimi Zarchi|Mojgan|M|', 'Heydari|Effat|E|', 'Tabatabaie|Afsarolsadat|A|', 'Moghimi|Mansour|M|', 'Kooti|Wesam|W|']
CareTM HPV cervical cancer human papillomavirus CIN-II