home HPV testing in women
A recent article assessed the public health and economic outcomes in women doing HPV self-sampling for cervical cancer screening (see hpv self-testing jama2023 in dropbox, or doi:10.1001/jamanetworkopen.2023.4052). Details : -- 19,581 women were selected, aged 30-64 in the Kaiser Permanente Washington health plan, randomized to usual care (patient reminders and ad hoc outreach) vs that plus mailed HPV sampling kits -- all women were at least 3 years 5 months from last pap test, had not had hysterectomy, and had no high-risk HPV test within the past 3 years 5 months -- mean age 50, 77% white/5% Black/10% Asian, BMI 52% 18.5-30/18% 30-35/13% 35-40/15% >40; smoking never 61%/current 15%/former 24%, Charlson comobrbidity index 0 in 815/1 in 11% (ie not many medical comorbidities) -- time since last pap, stratified by time enrolled in health plan: -- in plan 3.4 to 5 yrs: no pap test done in 68%, 32% had pap within 3...