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Table 2 Screening algorithm accuracy to detect 17 hHSIL+ among 764 women aged 25-69Ā years, after correction for missing histology outcomes

From: Evaluation of human-papillomavirus testing and visual inspection for cervical cancer screening in Rwanda

Ā 

Women treated

hHSIL+ treated

Sensitivity (95%-CI)

Specificity (95%-CI)

PPV (95%-CI)

NPV (95%-CI)

Screening approach

N

%

N

Ā Ā Ā Ā 

1-visit1

ā€ƒScreen-and-treat VIA

39

5.1

7

41 (18 - 67)

96 (94 - 97)

18 (8 - 34)

98.6 (97.5 ā€“ 99.3)

ā€ƒScreen-and-treat CareHPV

102

13.4

12

71 (44 - 90)

88 (85 - 90)

12 (6 - 20)

99.2 (98.2 ā€“ 99.8)

ā€ƒScreen-and-treat PCR

120

15.7

15

88 (64 - 99)

86 (83 - 88)

13 (7 - 20)

99.7 (98.9 - 100)

2-visit2

ā€ƒTreatment based on careHPV

89

11.6

10

59 (33 - 82)

89 (87 - 92)

11 (6 - 20)

99.0 (97.9 ā€“ 99.6)

ā€ƒTreatment based on careHPV+VIA triage3

22

2.9

6

35 (14 - 62)

98 (97 - 99)

27 (11 - 50)

98.5 (97.4 ā€“ 99.3)

ā€ƒTreatment based on PCR

100

13.1

13

77 (50 - 93)

88 (86 - 91)

13 (7 - 21)

99.4 (98.5 ā€“ 99.8)

ā€ƒTreatment based on PCRā€‰+ā€‰VIA triage

20

2.6

7

41 (18 - 67)

98 (97 - 99)

35 (15 - 59)

98.7 (97.5 ā€“ 99.4)

  1. 1 3 hHSIL+ imputed among 29 women without a second visit are considered treated
  2. 2 3 hHSIL+ imputed among 29 women without a second visit are considered untreated
  3. 3 Treatment based on careHPV and VIA triage was the screening approach used, according to Rwanda MoH screening recommendation [2]
  4. CI confidence interval, hHSIL histological high-grade squamous intraepithelial lesions, MoH Ministry of Health, NPV negative predictive value, PCR polymerase chain reaction, PPV positive predictive value, VIA visual inspection with acetic acid