{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T15:12:56Z","timestamp":1768317176824,"version":"3.49.0"},"reference-count":40,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2007,9,3]],"date-time":"2007-09-03T00:00:00Z","timestamp":1188777600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Economics"],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A two\u2010stage standard gamble was used to evaluate women's preferences for alternative managements of atypical squamous cells of undermined significance (ASCUS) on Pap smear (repeat Pap smear compared with immediate HPV test), and to test for the evidence of process utility.<\/jats:p><jats:p>Women's utilities for the health state scenarios were clustered towards the upper end of the 0\u20131 scale with considerable variability in women's preferences. There was evidence of process utility, with immediate human papillomavirus (HPV) testing strategies having lower valuations than repeat Pap smear, where the clinical outcome was the same. Mean (95% CI) utilities for HPV testing (negative test) followed by resolution were 0.9967 (0.9957\u20130.9978) compared with repeat Pap smear followed by resolution: 0.9972 (0.9964\u20130.9980). Mean (95% CI) utilities for immediate HPV testing (positive test), followed by colposcopy, biopsy and treatment were 0.9354 (0.8544\u20131.0) compared with repeat Pap smear followed by colposcopy, biopsy and treatment: 0.9656 (0.9081\u20131.0).<\/jats:p><jats:p>Our results add to the existing evidence that the impact of healthcare interventions on well\u2010being is not limited to the effect of the intervention on the health outcomes expected from the intervention; process of care can have quality of life implications for the individual. A modelled application of trial\u2010based data will allow characterisation of the true population costs, benefits, risks and harms of alternative triage strategies and subsequent policy implications thereof. Copyright \u00a9 2007 John Wiley &amp; Sons, Ltd.<\/jats:p>","DOI":"10.1002\/hec.1278","type":"journal-article","created":{"date-parts":[[2007,9,3]],"date-time":"2007-09-03T08:46:30Z","timestamp":1188809190000},"page":"593-605","source":"Crossref","is-referenced-by-count":22,"title":["HPV triage testing or repeat Pap smear for the management of atypical squamous cells (ASCUS) on Pap smear: is there evidence of process utility?"],"prefix":"10.1002","volume":"17","author":[{"given":"Kirsten","family":"Howard","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Glenn","family":"Salkeld","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten","family":"McCaffery","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Les","family":"Irwig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,9,3]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"417","article-title":"Practice bulletin: clinical management guidelines for obstetrician \u2013 gynecologists: cervical cytology screening","volume":"102","author":"American College of Obstetrics and Gynecology","year":"2003","journal-title":"Obstetrics and Gynecology"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.1995.1096"},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/hec.783"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.55.4.244"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1042\/CS20050230"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)14955-0"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(96)00215-8"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/oso\/9780198529446.001.0001"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.46.8.835"},{"key":"e_1_2_1_11_1","volume-title":"Health, Health Care and Health Economics","author":"Hurley J","year":"1999"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7364.572"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djj009"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38698.458866.7C"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(91)90304-A"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7451.1293"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6602411"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.18.2372"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1990.tb02586.x"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1258\/0969141054855238"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00279.x"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2005.016436"},{"key":"e_1_2_1_23_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djj035"},{"issue":"10","key":"e_1_2_1_24_1","first-page":"849","article-title":"Management of the low\u2010grade abnormal Pap smear: what are women's preferences?","volume":"51","author":"Melnikow J","year":"2002","journal-title":"Journal of Family Practice"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(93)90140-Y"},{"key":"e_1_2_1_26_1","unstructured":"NSW Cervical Screening Program and the NSW Pap Test Register.2005.Cervical cancer screening in NSW. 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