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一种用于宫颈癌筛查中人乳头瘤病毒检测的新型阴道细胞自我采样装置的评估:一项评估可靠性和可接受性的临床试验。

Evaluation of a novel vaginal cells self-sampling device for human papillomavirus testing in cervical cancer screening: A clinical trial assessing reliability and acceptability.

作者信息

Yang Chung-Yao, Chang Ting-Chang, Chou Hung-Hsueh, Chao Angel, Hsu Shih-Tien, Shih Yu-Hsiang, Huang Huei-Jean, Lin Cheng-Tao, Chen Min-Yu, Sun Lou, Huang Kuan-Gen, Wu Kai-Yun, Hsieh Wu-Chiao, Huang Yi-Ting, Chen Liang-Hsuan, Lu Chien-Hsing, Lin Hao, Cheng Chao-Min

机构信息

Hygeia Touch Inc. Taipei Taiwan.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology Chang Gung Memorial Hospital, Linkou Branch Taoyuan Taiwan.

出版信息

Bioeng Transl Med. 2024 Mar 13;9(4):e10653. doi: 10.1002/btm2.10653. eCollection 2024 Jul.

DOI:10.1002/btm2.10653
PMID:39036090
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11256128/
Abstract

Cervical cancer is a significant public health concern, particularly in low- and middle-income countries where resources for prevention and treatment are limited. Routine screening, such as the Papanicolaou test (Pap smears) and human papillomavirus (HPV) testing, plays a crucial role in the early detection and prevention of cervical cancer. However, the participation rate in cervical cancer screening programs remains below optimal levels due to various factors. This study aimed to evaluate the reliability and acceptability of the HygeiaTouch Self Sampling Kit for Women in collecting vaginal samples for HPV typing, comparing the results with samples collected by physicians. The study included 1210 women aged 21-65 from three medical centers in Taiwan. The findings indicated that the self-sampling kit was as effective as physician-collected specimens in terms of obtaining valid samples and identifying HPV. The agreement between the two methods was 88%, with a value of 0.75. Furthermore, the study assessed the mechanical characteristics of the self-sampling applicator through tensile, bending, and torque tests, and determined that it was safe for intravaginal use. Additionally, the study evaluated the safety and satisfaction of self-sampling and found a low rate of adverse events (0.7%) and high levels of satisfaction (over 90%) among participants. Overall, we demonstrated that the HygeiaTouch Self Sampling Kit for Women is a reliable and acceptable device for HPV testing and cervical screening, providing a convenient, safe, and effective alternative for women.

摘要

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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/11256128/d14ac3281985/BTM2-9-e10653-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/11256128/6faf60c1ea80/BTM2-9-e10653-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/11256128/43d2d5056134/BTM2-9-e10653-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/11256128/d14ac3281985/BTM2-9-e10653-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/11256128/6faf60c1ea80/BTM2-9-e10653-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/11256128/43d2d5056134/BTM2-9-e10653-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1f/11256128/d14ac3281985/BTM2-9-e10653-g002.jpg

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Acceptability of self-sampling human papillomavirus test for cervical cancer screening in Japan: A questionnaire survey in the ACCESS trial.日本宫颈癌筛查中人乳头瘤病毒自我采样检测的可接受性:ACCESS 试验中的问卷调查。
PLoS One. 2023 Jun 8;18(6):e0286909. doi: 10.1371/journal.pone.0286909. eCollection 2023.
2
Comparison of Urine and Genital Samples for Detecting Human Papillomavirus (HPV) in Clinical Patients.临床患者尿液与生殖器样本检测人乳头瘤病毒(HPV)的比较
Obstet Gynecol Int. 2023 Mar 27;2023:7483783. doi: 10.1155/2023/7483783. eCollection 2023.
3
HPV-Based Self-Sampling in Cervical Cancer Screening: An Updated Review of the Current Evidence in the Literature.
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Cancers (Basel). 2023 Mar 8;15(6):1669. doi: 10.3390/cancers15061669.
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Clinical performance of a newly developed domestic urine-based HPV test for cervical cancer screening in China.一种新开发的国产基于尿液的宫颈癌筛查HPV检测在中国的临床性能。
J Med Virol. 2023 Apr;95(4):e28705. doi: 10.1002/jmv.28705.
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Accuracy of HPV testing on self-collected and clinician-collected samples for different screening strategies in African settings: A systematic review and meta-analysis.HPV 检测在非洲不同筛查策略中对自我采集和临床医生采集样本的准确性:系统评价和荟萃分析。
Gynecol Oncol. 2022 Aug;166(2):358-368. doi: 10.1016/j.ygyno.2022.06.012. Epub 2022 Jun 30.
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