HPV Self-sampling Among Women at the Penn State Hershey Colposcopy Clinics
概览
- 阶段
- 不适用
- 干预措施
- 未指定
- 疾病 / 适应症
- HPV
- 发起方
- Milton S. Hershey Medical Center
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Number of Participants With Concordance of Screening Results of the Self-Sampling Kit Compared to Clinician-collected Samples
- 状态
- 终止
- 最后更新
- 2年前
概览
简要总结
This study seeks to compare the accuracy and acceptability of HPV testing self-sampling kit and standard clinician-sampling for HPV testing. The primary outcome of this study is the concordance between screening results on self-sampling kits compared to clinician-collected HPV test, Pap smear results, and colposcopy. Secondary endpoints will include acceptability of self-sampling and barriers to cervical cancer screening. These endpoints will be analyzed to try to circumvent barriers to the cervical cancer screening and ascertain whether self-sampling is a viable alternative.
详细描述
The American Cancer Society estimates that 4,170 women in the United States (US) will die from cervical cancer in 2018 (Siegel et al., 2018). Screening can reduce cancer mortality by (1) detecting malignancies when they are more treatable and (2) for some tests, identifying precancerous lesions for removal (Shieh et al., 2016). Guidelines recommend cytology and/or HPV testing for cervical cancer screening among women ages 30-65 years, but screening rates are suboptimal (U.S. Preventive Services Task Force, 2018; Saslow et al., 2012). To help bridge these gaps in screening, HPV self-sampling would be an alternative to clinical-sampling for HPV testing. However, there are concerns about the comparability and acceptability of self-sampling kits. The main objective of this study is to compare the test characteristics of the human papillomavirus (HPV) self-sampling kit versus clinician-sampled HPV testing for cervical cancer screening. Potential participants will be identified from the Penn State Family and Community Medicine and OBGYN clinics after it is determined that they have abnormal findings on their (clinician-sampled) Pap/HPV test and require a follow-up colposcopy. The patient will be pre-screened by a study team member. If they are found to be eligible, a study team member will invite them to participate in the study. After a participant enrolls in the study, a self-sampling kit is mailed to their home along with a Summary Explanation of Research consent form and instructional sheet. Participants will be asked to complete the kit two weeks before or after their colposcopy, giving them a 28 day collection window. Study team members will perform a follow-up survey after the sample is collected and provide reminder phone calls if needed.
研究者
Jennifer L. Moss, PhD
Assistant Professor
Milton S. Hershey Medical Center
入排标准
入选标准
- •Penn State Health Patient
- •Has an intact cervix
- •Found to have abnormal findings on Pap/HPV test that requires a colposcopy
- •Speaks, read, or writes well in English or Spanish
排除标准
- •Cognitively impaired
- •Incarcerated
- •Complete hysterectomy
- •History of cervical treatment for abnormal Pap/HPV test (i.e. cryotherapy, loop electrosurgical excision procedure (LEEP))
结局指标
主要结局
Number of Participants With Concordance of Screening Results of the Self-Sampling Kit Compared to Clinician-collected Samples
时间窗: Within two weeks of their colposcopy exam.
The primary outcome of this study is to analyze the number of participants with concordance of screening results of the self-sampling kit compared to clinician-collected HPV test, Pap smear results, and colposcopy.
次要结局
- Number of Completed Self-Sampling Kits(Within two weeks of their colposcopy exam.)
- Number of Participants Who Reported Problems Using Self-Sampling Kits(Within two weeks of their colposcopy exam)