Analysis of HR-HPV Infection Concordance Rates in Cervical and Urine Specimens; Proposal of Additional Cervical Screening Process for Women Who Refuse Invasive Cervical Sampling

This study aimed to provide basic data for the clinical application of urine samples to prevent cervical cancer due to persistent HR-HPV infection in women who refuse invasive cervical sampling. Pairs of cervical swabs and urine samples were collected from 210 asymptomatic women who visited the obst...

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Main Authors: Dong Hyeok Kim, Hyunwoo Jin, Kyung Eun Lee
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/12/12/1949
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author Dong Hyeok Kim
Hyunwoo Jin
Kyung Eun Lee
author_facet Dong Hyeok Kim
Hyunwoo Jin
Kyung Eun Lee
author_sort Dong Hyeok Kim
collection DOAJ
description This study aimed to provide basic data for the clinical application of urine samples to prevent cervical cancer due to persistent HR-HPV infection in women who refuse invasive cervical sampling. Pairs of cervical swabs and urine samples were collected from 210 asymptomatic women who visited the obstetrics and gynecology department from August to December 2020, and a total of 420 samples were collected. Using the PANA RealTyper™ HPV Screening Kit as a real-time PCR method, paired cervical swabs and random urine samples were tested. A total of 19 samples (9.1%) were both HPV positive and 177 (84.3%) were both negative. The concordance between the two types of samples was 93.3%, with κ = 0.69 (moderate, 95% CI 0.54–0.84). The HPV infection rate by age was highest in both cervical swabs and urine samples in women in their 30s, followed by those in their 20s. Thus, the HPV infection rate was high in young women under 40 at 69.2% in cervical swabs and 61.8% in urine samples. Urine samples are considered a valuable screening test for women who refuse invasive Pap tests to prevent cervical cancer caused by persistent HPV infection.
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spelling doaj.art-569c7f10bb2b48ad9e344c8f35f57e622023-11-24T16:01:00ZengMDPI AGJournal of Personalized Medicine2075-44262022-11-011212194910.3390/jpm12121949Analysis of HR-HPV Infection Concordance Rates in Cervical and Urine Specimens; Proposal of Additional Cervical Screening Process for Women Who Refuse Invasive Cervical SamplingDong Hyeok Kim0Hyunwoo Jin1Kyung Eun Lee2Department of Clinical Laboratory Science, College of Health Sciences, Catholic University of Pusan, Busan 46252, Republic of KoreaDepartment of Clinical Laboratory Science, College of Health Sciences, Catholic University of Pusan, Busan 46252, Republic of KoreaDepartment of Clinical Laboratory Science, College of Health Sciences, Catholic University of Pusan, Busan 46252, Republic of KoreaThis study aimed to provide basic data for the clinical application of urine samples to prevent cervical cancer due to persistent HR-HPV infection in women who refuse invasive cervical sampling. Pairs of cervical swabs and urine samples were collected from 210 asymptomatic women who visited the obstetrics and gynecology department from August to December 2020, and a total of 420 samples were collected. Using the PANA RealTyper™ HPV Screening Kit as a real-time PCR method, paired cervical swabs and random urine samples were tested. A total of 19 samples (9.1%) were both HPV positive and 177 (84.3%) were both negative. The concordance between the two types of samples was 93.3%, with κ = 0.69 (moderate, 95% CI 0.54–0.84). The HPV infection rate by age was highest in both cervical swabs and urine samples in women in their 30s, followed by those in their 20s. Thus, the HPV infection rate was high in young women under 40 at 69.2% in cervical swabs and 61.8% in urine samples. Urine samples are considered a valuable screening test for women who refuse invasive Pap tests to prevent cervical cancer caused by persistent HPV infection.https://www.mdpi.com/2075-4426/12/12/1949human papillomaviruscervical cancerurinereal-time PCR
spellingShingle Dong Hyeok Kim
Hyunwoo Jin
Kyung Eun Lee
Analysis of HR-HPV Infection Concordance Rates in Cervical and Urine Specimens; Proposal of Additional Cervical Screening Process for Women Who Refuse Invasive Cervical Sampling
Journal of Personalized Medicine
human papillomavirus
cervical cancer
urine
real-time PCR
title Analysis of HR-HPV Infection Concordance Rates in Cervical and Urine Specimens; Proposal of Additional Cervical Screening Process for Women Who Refuse Invasive Cervical Sampling
title_full Analysis of HR-HPV Infection Concordance Rates in Cervical and Urine Specimens; Proposal of Additional Cervical Screening Process for Women Who Refuse Invasive Cervical Sampling
title_fullStr Analysis of HR-HPV Infection Concordance Rates in Cervical and Urine Specimens; Proposal of Additional Cervical Screening Process for Women Who Refuse Invasive Cervical Sampling
title_full_unstemmed Analysis of HR-HPV Infection Concordance Rates in Cervical and Urine Specimens; Proposal of Additional Cervical Screening Process for Women Who Refuse Invasive Cervical Sampling
title_short Analysis of HR-HPV Infection Concordance Rates in Cervical and Urine Specimens; Proposal of Additional Cervical Screening Process for Women Who Refuse Invasive Cervical Sampling
title_sort analysis of hr hpv infection concordance rates in cervical and urine specimens proposal of additional cervical screening process for women who refuse invasive cervical sampling
topic human papillomavirus
cervical cancer
urine
real-time PCR
url https://www.mdpi.com/2075-4426/12/12/1949
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AT kyungeunlee analysisofhrhpvinfectionconcordanceratesincervicalandurinespecimensproposalofadditionalcervicalscreeningprocessforwomenwhorefuseinvasivecervicalsampling