http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Kanako Kono,Tohru Morisada,Kumiko Saika,Eiko Saitoh Aoki,Etsuko Miyagi,Kiyoshi Ito,Hirokazu Takahashi,Tomio Nakayama,Hiroshi Saito,Daisuke Aoki 대한부인종양학회 2021 Journal of Gynecologic Oncology Vol.32 No.3
Objective: In 2013, a cohort study aimed to clarify the positive and negative effects ofintroducing the human papillomavirus (HPV) testing for population-based cervical cancerscreening has been launched in Japan. This study included four screenings during thesubsequent 7-year follow-up period. We aim to describe the results of the first round of thisstudy on cervical cancer screening here. Methods: This study began in September 2013 with recruitment completed in March 2016. Women aged 30–49 years were divided into 2 groups: those who received uterine cervicalcytology alone in the first year (control group), or those who received a combination ofcytology and HPV testing (intervention group), based on their age. After first screening,women with positive result of cytology or positive HPV test required referral. We summarizedthe results of the first round of cervical cancer screening. Results: Of the 25,074 women who were eligible for the study, 13,845 women (55.2%) werescreened with cytology alone; 11,229 women (44.8%) received a combination of cytologyand HPV testing. After screening, 407 women (2.9%) in the control group and 1,003 women(8.9%) in the intervention group required referral, respectively. Adding HPV testing increasedreferral rate significantly (p<0.001). Conclusion: After first screening, introduction of HPV testing appears to contribute tosignificantly higher referral rates, suggesting that the number of colposcopies as a detailedexamination may increase. These preliminary findings suggest that if HPV testing is introduced into screening, medical institutions need to be prepared for an increasing numberof follow-up examinations.