{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T14:08:10Z","timestamp":1770818890850,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T00:00:00Z","timestamp":1670198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Cancer Institute at the National Institutes of Health","award":["UM1CA221940"],"award-info":[{"award-number":["UM1CA221940"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>In 2018, the US Preventive Services Task Force endorsed primary human papillomavirus testing (pHPV) for cervical cancer screening. We aimed to describe providers\u2019 beliefs about pHPV testing effectiveness and which screening approach they regularly recommend. We invited providers who performed 10 or more cervical cancer screens in 2019 in 3 healthcare systems that had not adopted pHPV testing: Kaiser Permanente Washington, Mass General Brigham, and Parkland Health; 53.7% (501\/933) completed the survey between October and December 2020. Response distributions varied across modalities (P\u2009&amp;lt;\u2009.001), with cytology alone or cotesting being more often viewed as somewhat or very effective for 30- to 65-year-olds compared with pHPV (cytology alone 94.1%, cotesting 96.1%, pHPV 66.0%). In 21- to 29-year-olds, the pattern was similar (cytology alone 92.2%, 64.7% cotesting, 50.8% pHPV). Most providers were either incorrect or unsure of the guideline-recommended screening interval for pHPV. Educational efforts are needed about the relative effectiveness and recommended use of pHPV to promote guideline-concordant care.<\/jats:p>","DOI":"10.1093\/jncics\/pkac086","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T20:07:22Z","timestamp":1670270842000},"source":"Crossref","is-referenced-by-count":6,"title":["Provider beliefs in effectiveness and recommendations for primary HPV testing in\u00a03 health-care systems"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6681-220X","authenticated-orcid":false,"given":"Gina R","family":"Kruse","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Massachusetts General Hospital, Harvard Medical School , Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacquelyn M","family":"Lykken","sequence":"additional","affiliation":[{"name":"Department of Population and Data Sciences, University of Texas Southwestern Medical Center , Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric J","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Population and Data Sciences, University of Texas Southwestern Medical Center , Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer S","family":"Haas","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Massachusetts General Hospital, Harvard Medical School , Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robin T","family":"Higashi","sequence":"additional","affiliation":[{"name":"Department of Population and Data Sciences, University of Texas Southwestern Medical Center , Dallas, TX, USA"},{"name":"Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center , Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven J","family":"Atlas","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Massachusetts General Hospital, Harvard Medical School , Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne Marie","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Epidemiology and Biostatistics, Perelman School of Medicine, University of Pennsylvania , Philadelphia, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jasmin A","family":"Tiro","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, University of Chicago\u2014Biological Sciences Division , Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle I","family":"Silver","sequence":"additional","affiliation":[{"name":"Division of Public Health Sciences, Department of Surgery, Washington University School of Medicine , St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celette S","family":"Skinner","sequence":"additional","affiliation":[{"name":"Department of Population and Data Sciences, University of Texas Southwestern Medical Center , Dallas, TX, USA"},{"name":"Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center , Dallas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aruna","family":"Kamineni","sequence":"additional","affiliation":[{"name":"Kaiser Permanente Washington Health Research Institute , Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"issue":"9","key":"2023010723574723400_pkac086-B1","doi-asserted-by":"crossref","first-page":"1150","DOI":"10.1007\/s11606-012-2051-3","article-title":"Screening colonoscopy in the US: attitudes and practices of primary care physicians","volume":"27","author":"Zapka","year":"2012","journal-title":"J Gen Intern Med"},{"issue":"9","key":"2023010723574723400_pkac086-B2","doi-asserted-by":"crossref","first-page":"2553","DOI":"10.1007\/s11606-020-05922-y","article-title":"Variation in breast cancer screening recommendations by primary care providers surveyed in Wisconsin","volume":"35","author":"Nachtigal","year":"2020","journal-title":"J Gen Intern Med"},{"issue":"6","key":"2023010723574723400_pkac086-B3","doi-asserted-by":"crossref","first-page":"1460","DOI":"10.1002\/ijc.31940","article-title":"Cervical cancer screening research in the PROSPR I consortium: rationale, methods and baseline findings from a US cohort","volume":"144","author":"Kamineni","year":"2019","journal-title":"Int J Cancer"},{"issue":"1","key":"2023010723574723400_pkac086-B4","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1007\/s11606-015-3449-5","article-title":"Provider attitudes and screening practices following changes in breast and cervical cancer screening guidelines","volume":"31","author":"Haas","year":"2016","journal-title":"J Gen Intern Med"},{"issue":"11","key":"2023010723574723400_pkac086-B5","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1158\/1940-6207.CAPR-20-0109","article-title":"Primary care provider beliefs and 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screening tests and cancer precursors","volume":"24","author":"Perkins","year":"2020","journal-title":"J Low Genit Tract Dis"},{"issue":"6","key":"2023010723574723400_pkac086-B9","doi-asserted-by":"crossref","first-page":"e2115321","DOI":"10.1001\/jamanetworkopen.2021.15321","article-title":"Modeling cervical cancer screening strategies with varying levels of human papillomavirus vaccination","volume":"4","author":"Grimes","year":"2021","journal-title":"JAMA Netw Open"},{"key":"2023010723574723400_pkac086-B10","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/j.pmedr.2015.05.008","article-title":"Provider beliefs associated with cervical cancer screening interval recommendations: a pilot study in federally qualified health centers","volume":"2","author":"Roland","year":"2015","journal-title":"Prev Med Rep"},{"issue":"5","key":"2023010723574723400_pkac086-B11","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.amepre.2010.07.004","article-title":"U.S. 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