Review Article

Accuracy of mRNA HPV Tests for Triage of Precursor Lesions and Cervical Cancer: A Systematic Review and Meta-Analysis

Table 1

Characteristics of included studies.

AUTHORS
MAIN ANALYSIS
YEARCOUNTRYINCLUSION
CRITERION
AGE
MEAN
(RANGE)
N
TOTAL
N
BENIGN
N
CIN2+
N
CIN3+
DNA HRHPV TEST
(IF PRESENT)
MRNA HPV TESTVERIFICATION BY HISTOPATHOLOGY

ALAGHEHBANDAN ET AL.2013Canadaabnormal cytology30.71289929360NIHC2PreTect HPV-ProoferPartial
ANDERSSON ET AL.2006Swedenabnormal cytology35.3
(23-60)
71323922RT-PCRNucliSens EasyQ HPVcomplete
BENEVOLO ET AL.2011AItalyHSIL in cytology39.5
(18-83)
13910534NIHC2 or PCR
(HPV MX BIO)
PreTect HPV-ProoferPartial
BINNICKER ET AL.2014USAabnormal cytologyNI3702898141HC2Aptimacomplete
CASTLE ET AL.2007USAASC-US in cytologyNI53142610554HC2Aptimacomplete
CASTLE ET AL.2015US and EnglandASC-US in cytology34.2
(21-28)
7136347933noneAptimacomplete
CATTANI ET AL.2009Italynot specified35 (20-77)143845941HC2NucliSens EasyQ HPVcomplete
CHERNESKY ET AL.2017Canada and USAabnormal cytology or DNA+36.1
(21-80)
1350120314771COBAS4800Aptimacomplete
CLAD ET AL.2011Germanyabnormal cytologyNI424172252163HC2AptimaPartial
COQUILLARD ET AL.2011USA and Spainnot specificNI2171877330HC2OncoTectcomplete
CUSCHIERI ET AL.2013UKabnormal cytology29.3
(25-38)
1366987379175HC2AptimaPartial
CUZICK ET AL.2013UKabnormal cytology37 (20-66)119794019HC2Aptima/PreTect HPV Proofercomplete
DOCKTER ET AL.2009USAnot specifiedNI75361214187HC2AptimaPartial
DUVLIS ET AL.2015Republic of Macedonianot specific(19-78)613229NIPCRNucliSens EasyQ HPVPartial
EVANS ET AL.2014USAAny CIN in histopathological28.8
(17-57)
86325432CISHRNA scope 2.0 (CISH)Partial
GALAROWICZ ET AL.2012Polandnot specified37,8
(19-81)
854936NIHC2NucliSens EasyQ HPVPartial
GE ET AL.2017USAnot specifiedNI17514629NInoneAptimacomplete
GE ET AL.2018USAnot specifiedNI603500103NInoneAptimacomplete
GUO ET AL.2014ChinaASC-US/ LSIL34 (21-69)4113397217HC2Aptimacomplete
HALFON ET AL.2010Franceabnormal cytology38 18-771127537NIHC2NucliSens EasyQ HPVPartial
HOVLAND ET AL.2010Norway, Belgium, Sweden, Congo, Netherlandsnot specific37 (25-60)31329716NIPCRPreTect HPV-Proofercomplete
IFTNER ET AL.2015Germanyabnormal cytology, mRNA+ or DNA+(30-60)6035139043HC2Aptimacomplete
JOHANSSON ET AL.2015SwedenASC-US/ LSIL42 (35-68)34223610643noneAptimacomplete
KOILOPOULOS ET AL2012GreeceASC-US/ LSIL3879374212noneNucliSens EasyQ HPV and OncoTectPartial
KOTTARDI ET AL.2011Greeceabnormal cytology(21-65)1891464316PCR (CLART2)OncoTectPartial
LI ET AL.2017ChinaASC-US in cytologyNI1891216833HC2Quantiviruscomplete
LIE ET AL.2005Norwayabnormal cytology35 (19-85)38392291NIHC2PreTect HPV-Proofercomplete
LIU ET AL.2014Chinaabnormal cytology or DNA+NI92355756QuantivirusQuantivirusPartial
LIU ET AL.2017ChinaASC-US in cytology>3031215915379noneQuantiviruscomplete
MOLDEN ET AL.2005NorwayHSIL in cytology48.9
(30-91)
23914NInonePreTect HPV Proofercomplete
MONSONEGO ET AL.2011Franceabnormal cytology, mRNA+ or DNA+(20-65)1113101210127HC2Aptimacomplete
MUANGTO ET AL.2016Thailandabnormal cytology96.4%>30 years136213491312CervistaAptimaPartial
OLIVEIRA ET AL.2013Portugalnot specified34.6
(18-73)
554259295NIHC2NucliSens EasyQ HPVPartial
OVESTAD ET AL.2011Norway, USA, China NetherlandsASC-US/ LSIL40 (25-69)1217645NICOBAS4800PreTect HPV-Proofer/ Aptimacomplete
PADALKO ET AL.2013BelgiumASC-US in cytologyNI35827NIPCRNucliSens EasyQ HPVcomplete
PEREZ CASTRO ET AL.2013SpainHSIL in cytology36.9
(20-71)
49445NInoneNucliSENSEasyQPartial
PERSSON ET AL.2014SwedenASC-US/ LSIL32.82051327336Linear ArrayAptimacomplete
PIERRY ET AL.2012USAabnormal cytology46%>302462014515noneOncoTectPartial
RATNAM ET AL.2009Canadaabnormal cytologyNI831591240NIHC2PreTect HPV-Proofer/ Aptimacomplete
RATNAM ET AL.2010Canadaabnormal cytology31 (15-80)15511149402NIHC2PreTect HPV-ProoferPartial
RATNAM ET AL.2011Canadaabnormal cytology36.3
(16-81)
14181017401281HC2AptimaPartial
REBOJI ET AL.2014Denmarkabnormal cytologyNI25914011984HC2Aptimacomplete
REID ET AL.2015USA and UKnot specific44.2
(30-89)
8187982011HC2AptimaPartial
REN ET AL.2017ChinaASC-US in cytology38.5
(19-68)
16012931NIHC2Quantiviruscomplete
REUSCHENBACH ET AL.2010Germanyabnormal cytology36 (28-44)23773164110HC2Aptimacomplete
SHEN ET AL.2013Chinanot specified37 (16-77)755817NIHC2Quantiviruscomplete
SORBYE ET AL.2011NorwayLSIL in cytologyNI29722869nonePreTect HPV-Proofercomplete
STATHOPOULOU ET AL.2014Greecenot specified10395915324noneNASBA/ OncoTectPartial
STOLER ET AL.2013US and EnglandASC-US in cytology31 (21-71)7406499141HC2Aptimacomplete
SZAREWSKI ET AL.2012UK, USA and Franceabnormal cytology29 (26-35)911552359224HC2PreTect HPV-Proofer/ Aptimacomplete
TROPÉ ET AL.2009NorwayHSIL+ in cytology37 (17-76)1379736643508AmplicorPreTect HPV-ProoferPartial
TROPÉ ET AL.2012NorwayASC-US/ LSIL39.6
(18-83)
66556510060AmplicorPreTect HPV-ProoferPartial
TUNEY ET AL.2017Turkeyabnormal cytology42.4
(22-89)
2515NI10PCRNucliSens EasyQ HPVcomplete
VALASOULIS ET AL.2014UKHSIL+ in cytology37.8
(21-63)
18910089NIPCR (CLART2)NASBA/ OncoTectcomplete
VALENÇA ET AL2015BrazilHSIL+ in cytology35.31113972NInoneNucliSENSEasyQcomplete
VIRTANEN ET AL.2016Finlandabnormal cytology(18-86)33026367NIHC2Aptimacomplete
WALDSTROM ET AL.2011DenmarkASC-US in cytology42.2
(30-69)
1691214827Linear ArrayAptimacomplete
WALDSTROM ET AL.2013DenmarkLSIL in cytology32.3
(16-65)
4693828746noneAptimacomplete
WESTRE ET AL.2016NorwayASC-US/ LSIL3916212636NICOBASPreTect HPV-ProoferPartial
WOJCIECH ET AL.2012Polandabnormal cytology, mRNA+ or DNA+45 (25-65)42133982NICOBAS4800NucliSens EasyQ HPVcomplete
WU ET AL.2010China and USAabnormal cytology or DNA+35 (25-59)200019732715HC2Aptimacomplete

CIN: cervical intraepithelial neoplasia.
If the information was available, N total and N benign included CIN1. NI: not informed. Verification by histopathology: studies with partial verification only performed biopsy in women with colposcopy lesion.