{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:06:48Z","timestamp":1792782408055,"version":"4.5.0"},"reference-count":29,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,10,31]],"date-time":"2013-10-31T00:00:00Z","timestamp":1383177600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Assar Gabrielsson\u00ef\u00bf\u00bds Fund","award":["6"],"award-info":[{"award-number":["6"]}]},{"name":"The Gothenburg Medical Society","award":["5"],"award-info":[{"award-number":["5"]}]},{"name":"The Health & Medical Care Committee of the Regional Executive Board, V\u00ef\u00bf\u00bdstra G\u00ef\u00bf\u00bdtaland Region","award":["2"],"award-info":[{"award-number":["2"]}]},{"name":"The Skaraborg Research and Development Council","award":["4"],"award-info":[{"award-number":["4"]}],"id":[{"id":"https:\/\/ror.org\/05gd75v11","id-type":"ROR","asserted-by":"crossref"}]},{"name":"The Swedish Association of Local Authorities and Regions (SKL)","award":["3"],"award-info":[{"award-number":["3"]}],"id":[{"id":"https:\/\/ror.org\/053m0aq28","id-type":"ROR","asserted-by":"crossref"}]},{"name":"The Swedish Cancer Society","award":["1"],"award-info":[{"award-number":["1"]}],"id":[{"id":"https:\/\/ror.org\/0527jb766","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl Journal of Cancer"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:p>RACOMIP is a population\u2010based, randomized trial of the effectiveness and cost\u2010effectiveness of different interventions aimed at increasing participation in a well\u2010run cervical cancer screening program in western Sweden. In this article, we report results from one intervention, offering non\u2010attendees a high\u2010risk human papillomavirus (HPV) self\u2010test. Comparison was made with standard screening invitation routine or standard routine plus a telephone call. Women (8,800), aged 30\u201362, were randomly selected among women without a registered Pap smear in the two latest screening rounds. These women were randomized 1:5:5 to one of three arms: 800 were offered a high\u2010risk HPV self\u2010test, 4,000 were randomized to a telephone call (reported previously) and 4,000 constituted a control group (standard screening invitation routine). Results were based on intention to treat analysis and cost\u2010effectiveness was calculated as marginal cost per cancer case prevented. The endpoint was the frequency of testing. The total response rate in the self\u2010testing arm was 24.5%, significantly higher than in the telephone arm (18%, RR 1.36, 95% CI 1.19\u20131.57) and the control group (10.6%, RR 2.33, 95% CI 2.00\u20132.71). All nine women who tested positive for high\u2010risk HPV attended for a cervical smear and colposcopy. From the health\u2010care sector perspective, the intervention will most likely lead to no additional cost. Offering a self\u2010test for HPV as an alternative to Pap smears increases participation among long\u2010term non\u2010attendees. Offering various screening options can be a successful method for increasing participation in this group.<\/jats:p>","DOI":"10.1002\/ijc.28545","type":"journal-article","created":{"date-parts":[[2013,10,14]],"date-time":"2013-10-14T07:36:56Z","timestamp":1381736216000},"page":"2223-2230","source":"Crossref","is-referenced-by-count":91,"title":["Increasing participation in cervical cancer screening: Offering a HPV self\u2010test to long\u2010term non\u2010attendees as part of RACOMIP, a Swedish randomized controlled trial"],"prefix":"10.1002","volume":"134","author":[{"given":"Gudrun","family":"Broberg","sequence":"first","affiliation":[{"name":"The Regional Cancer Centre Western Health Care Region Gothenburg Sweden"},{"name":"The Department of Obstetrics and Gynaecology Institute of Clinical Science, The Sahlgrenska Academy at the University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorte","family":"Gyrd\u2010Hansen","sequence":"additional","affiliation":[{"name":"COHERE, University of Southern Denmark Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junmei","family":"Miao Jonasson","sequence":"additional","affiliation":[{"name":"The Department of Public Health and Community Medicine University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mare\u2010Liis","family":"Ryd","sequence":"additional","affiliation":[{"name":"The Regional Cancer Centre Western Health Care Region Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikael","family":"Holtenman","sequence":"additional","affiliation":[{"name":"The Regional Cancer Centre Western Health Care Region Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Milsom","sequence":"additional","affiliation":[{"name":"The Department of Obstetrics and Gynaecology Institute of Clinical Science, The Sahlgrenska Academy at the University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Strander","sequence":"additional","affiliation":[{"name":"The Regional Cancer Centre Western Health Care Region Gothenburg Sweden"},{"name":"The Department of Obstetrics and Gynaecology Institute of Clinical Science, The Sahlgrenska Academy at the University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,31]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-04-0569"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1018435522475"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(94)90177-5"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djn099"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2006.12.005"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.27985"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2009.009073"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/01674820701504619"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1006\/pmed.2001.0844"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/030089169808400307"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-842X.2005.tb00753.x"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.346.13.3"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1040"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.25581"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-11-0307"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.48"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.22484"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.bjc.6605194"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.236"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.26128"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1258\/096914107780154486"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.27790"},{"key":"e_1_2_7_24_1","unstructured":"Sammanst\u00e4llning av n\u00e5gra kvalitetsdata 2010 g\u00e4llande cervixcancerprevention i V\u00e4stra Sverige [Compilation of quality data from 2010 concerning prevention of cervical cancer in West Sweden]. 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