Agreement of self- and physician-collected samples for detection of high-risk human papillomavirus infections in women attending a colposcopy clinic in Thailand

BMC Res Notes. 2018 Feb 20;11(1):136. doi: 10.1186/s13104-018-3241-9.

Abstract

Objective: To study the concordance between vaginal self- and endocervical physician-collected high-risk (hr) HPV testing in Thai women who attended a colposcopy clinic. Vaginal samples were obtained by self-sampling with a dry brush before endocervical samples were obtained by physicians. Both specimens were analyzed for hrHPV by Cobas4800 HPV test.

Results: Of the 247 pairs of samples, overall hrHPV prevalence from self- and physician-collected samples was 41.3 and 36.0%, respectively. The overall agreement between the methods was 74.5% with κ 0.46 (P < 0.001). Our study revealed moderate agreement between self- and physician-collected methods for hrHPV testing.

Keywords: Cervical cancer screening; Colposcopy; HPV testing; Self-sampling; Thailand.

MeSH terms

  • Adult
  • Aged
  • Colposcopy
  • Female
  • Humans
  • Middle Aged
  • Papillomaviridae / isolation & purification*
  • Papillomavirus Infections / diagnosis*
  • Physicians / standards*
  • Self-Examination / standards*
  • Specimen Handling / standards*
  • Thailand
  • Uterine Cervical Neoplasms / diagnosis*