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
YEAR
COUNTRY
INCLUSION CRITERION
AGE MEAN (RANGE)
N TOTAL
N BENIGN
N CIN2+
N CIN3+
DNA HRHPV TEST (IF PRESENT)
MRNA HPV TEST
VERIFICATION BY HISTOPATHOLOGY
ALAGHEHBANDAN ET AL.
2013
Canada
abnormal cytology
30.7
1289
929
360
NI
HC2
PreTect HPV-Proofer
Partial
ANDERSSON ET AL.
2006
Sweden
abnormal cytology
35.3 (23-60)
71
32
39
22
RT-PCR
NucliSens EasyQ HPV
complete
BENEVOLO ET AL.
2011A
Italy
HSIL in cytology
39.5 (18-83)
139
105
34
NI
HC2 or PCR (HPV MX BIO)
PreTect HPV-Proofer
Partial
BINNICKER ET AL.
2014
USA
abnormal cytology
NI
370
289
81
41
HC2
Aptima
complete
CASTLE ET AL.
2007
USA
ASC-US in cytology
NI
531
426
105
54
HC2
Aptima
complete
CASTLE ET AL.
2015
US and England
ASC-US in cytology
34.2 (21-28)
713
634
79
33
none
Aptima
complete
CATTANI ET AL.
2009
Italy
not specified
35 (20-77)
143
84
59
41
HC2
NucliSens EasyQ HPV
complete
CHERNESKY ET AL.
2017
Canada and USA
abnormal cytology or DNA+
36.1 (21-80)
1350
1203
147
71
COBAS4800
Aptima
complete
CLAD ET AL.
2011
Germany
abnormal cytology
NI
424
172
252
163
HC2
Aptima
Partial
COQUILLARD ET AL.
2011
USA and Spain
not specific
NI
217
187
73
30
HC2
OncoTect
complete
CUSCHIERI ET AL.
2013
UK
abnormal cytology
29.3 (25-38)
1366
987
379
175
HC2
Aptima
Partial
CUZICK ET AL.
2013
UK
abnormal cytology
37 (20-66)
119
79
40
19
HC2
Aptima/PreTect HPV Proofer
complete
DOCKTER ET AL.
2009
USA
not specified
NI
753
612
141
87
HC2
Aptima
Partial
DUVLIS ET AL.
2015
Republic of Macedonia
not specific
(19-78)
61
32
29
NI
PCR
NucliSens EasyQ HPV
Partial
EVANS ET AL.
2014
USA
Any CIN in histopathological
28.8 (17-57)
86
32
54
32
CISH
RNA scope 2.0 (CISH)
Partial
GALAROWICZ ET AL.
2012
Poland
not specified
37,8 (19-81)
85
49
36
NI
HC2
NucliSens EasyQ HPV
Partial
GE ET AL.
2017
USA
not specified
NI
175
146
29
NI
none
Aptima
complete
GE ET AL.
2018
USA
not specified
NI
603
500
103
NI
none
Aptima
complete
GUO ET AL.
2014
China
ASC-US/ LSIL
34 (21-69)
411
339
72
17
HC2
Aptima
complete
HALFON ET AL.
2010
France
abnormal cytology
38 18-77
112
75
37
NI
HC2
NucliSens EasyQ HPV
Partial
HOVLAND ET AL.
2010
Norway, Belgium, Sweden, Congo, Netherlands
not specific
37 (25-60)
313
297
16
NI
PCR
PreTect HPV-Proofer
complete
IFTNER ET AL.
2015
Germany
abnormal cytology, mRNA+ or DNA+
(30-60)
603
513
90
43
HC2
Aptima
complete
JOHANSSON ET AL.
2015
Sweden
ASC-US/ LSIL
42 (35-68)
342
236
106
43
none
Aptima
complete
KOILOPOULOS ET AL
2012
Greece
ASC-US/ LSIL
38
79
37
42
12
none
NucliSens EasyQ HPV and OncoTect
Partial
KOTTARDI ET AL.
2011
Greece
abnormal cytology
(21-65)
189
146
43
16
PCR (CLART2)
OncoTect
Partial
LI ET AL.
2017
China
ASC-US in cytology
NI
189
121
68
33
HC2
Quantivirus
complete
LIE ET AL.
2005
Norway
abnormal cytology
35 (19-85)
383
92
291
NI
HC2
PreTect HPV-Proofer
complete
LIU ET AL.
2014
China
abnormal cytology or DNA+
NI
92
35
57
56
Quantivirus
Quantivirus
Partial
LIU ET AL.
2017
China
ASC-US in cytology
>30
312
159
153
79
none
Quantivirus
complete
MOLDEN ET AL.
2005
Norway
HSIL in cytology
48.9 (30-91)
23
9
14
NI
none
PreTect HPV Proofer
complete
MONSONEGO ET AL.
2011
France
abnormal cytology, mRNA+ or DNA+
(20-65)
1113
1012
101
27
HC2
Aptima
complete
MUANGTO ET AL.
2016
Thailand
abnormal cytology
96.4%>30 years
1362
1349
13
12
Cervista
Aptima
Partial
OLIVEIRA ET AL.
2013
Portugal
not specified
34.6 (18-73)
554
259
295
NI
HC2
NucliSens EasyQ HPV
Partial
OVESTAD ET AL.
2011
Norway, USA, China Netherlands
ASC-US/ LSIL
40 (25-69)
121
76
45
NI
COBAS4800
PreTect HPV-Proofer/ Aptima
complete
PADALKO ET AL.
2013
Belgium
ASC-US in cytology
NI
35
8
27
NI
PCR
NucliSens EasyQ HPV
complete
PEREZ CASTRO ET AL.
2013
Spain
HSIL in cytology
36.9 (20-71)
49
44
5
NI
none
NucliSENSEasyQ
Partial
PERSSON ET AL.
2014
Sweden
ASC-US/ LSIL
32.8
205
132
73
36
Linear Array
Aptima
complete
PIERRY ET AL.
2012
USA
abnormal cytology
46%>30
246
201
45
15
none
OncoTect
Partial
RATNAM ET AL.
2009
Canada
abnormal cytology
NI
831
591
240
NI
HC2
PreTect HPV-Proofer/ Aptima
complete
RATNAM ET AL.
2010
Canada
abnormal cytology
31 (15-80)
1551
1149
402
NI
HC2
PreTect HPV-Proofer
Partial
RATNAM ET AL.
2011
Canada
abnormal cytology
36.3 (16-81)
1418
1017
401
281
HC2
Aptima
Partial
REBOJI ET AL.
2014
Denmark
abnormal cytology
NI
259
140
119
84
HC2
Aptima
complete
REID ET AL.
2015
USA and UK
not specific
44.2 (30-89)
818
798
20
11
HC2
Aptima
Partial
REN ET AL.
2017
China
ASC-US in cytology
38.5 (19-68)
160
129
31
NI
HC2
Quantivirus
complete
REUSCHENBACH ET AL.
2010
Germany
abnormal cytology
36 (28-44)
237
73
164
110
HC2
Aptima
complete
SHEN ET AL.
2013
China
not specified
37 (16-77)
75
58
17
NI
HC2
Quantivirus
complete
SORBYE ET AL.
2011
Norway
LSIL in cytology
NI
297
228
69
none
PreTect HPV-Proofer
complete
STATHOPOULOU ET AL.
2014
Greece
not specified
1039
591
53
24
none
NASBA/ OncoTect
Partial
STOLER ET AL.
2013
US and England
ASC-US in cytology
31 (21-71)
740
649
91
41
HC2
Aptima
complete
SZAREWSKI ET AL.
2012
UK, USA and France
abnormal cytology
29 (26-35)
911
552
359
224
HC2
PreTect HPV-Proofer/ Aptima
complete
TROPÉ ET AL.
2009
Norway
HSIL+ in cytology
37 (17-76)
1379
736
643
508
Amplicor
PreTect HPV-Proofer
Partial
TROPÉ ET AL.
2012
Norway
ASC-US/ LSIL
39.6 (18-83)
665
565
100
60
Amplicor
PreTect HPV-Proofer
Partial
TUNEY ET AL.
2017
Turkey
abnormal cytology
42.4 (22-89)
25
15
NI
10
PCR
NucliSens EasyQ HPV
complete
VALASOULIS ET AL.
2014
UK
HSIL+ in cytology
37.8 (21-63)
189
100
89
NI
PCR (CLART2)
NASBA/ OncoTect
complete
VALENÇA ET AL
2015
Brazil
HSIL+ in cytology
35.3
111
39
72
NI
none
NucliSENSEasyQ
complete
VIRTANEN ET AL.
2016
Finland
abnormal cytology
(18-86)
330
263
67
NI
HC2
Aptima
complete
WALDSTROM ET AL.
2011
Denmark
ASC-US in cytology
42.2 (30-69)
169
121
48
27
Linear Array
Aptima
complete
WALDSTROM ET AL.
2013
Denmark
LSIL in cytology
32.3 (16-65)
469
382
87
46
none
Aptima
complete
WESTRE ET AL.
2016
Norway
ASC-US/ LSIL
39
162
126
36
NI
COBAS
PreTect HPV-Proofer
Partial
WOJCIECH ET AL.
2012
Poland
abnormal cytology, mRNA+ or DNA+
45 (25-65)
421
339
82
NI
COBAS4800
NucliSens EasyQ HPV
complete
WU ET AL.
2010
China and USA
abnormal cytology or DNA+
35 (25-59)
2000
1973
27
15
HC2
Aptima
complete
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.