{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T23:56:38Z","timestamp":1790553398132,"version":"4.1.0"},"reference-count":40,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100011703","name":"Yorkshire Cancer Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011703","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Almost half the deaths from cervical cancer in the UK are among women aged over 65 who were already above the upper age of screening when primary HPV screening was introduced in the UK in 2019. Our aim is to test the feasibility of a national catch\u2010up HPV testing programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>This first phase of the Catch\u2010Up Screen study involved randomizing over 3000 invited participants to receive a urine HPV test and a follow\u2010up telephone call or text message.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>GP practices in Hull and Manchester, UK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Population<\/jats:title>\n                    <jats:p>Women aged 60\u201379 who have not undergone primary HPV screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eligible women were selected from GP practice records, and 3074 were invited to provide an at\u2010home first\u2010void urine sample for HPV testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Uptake of at\u2010home urine screening according to screening history, area\u2010level index of deprivation, and randomised follow\u2010up method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, 59% (1816) of invited women returned a urine sample for HPV testing. Response varied by screening history and index of area\u2010level deprivation, but 39% of those who declined their last invited NHS screen responded favorably and took part in Catch\u2010Up Screen. Telephone reminders yielded a 5% absolute increase in response compared to the text message arm (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An at\u2010home first\u2010void urine sample is a viable method for a national catch\u2010up HPV test and has the potential to address decreasing national coverage among older women being invited for their last screen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1471-0528.70115","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:40:11Z","timestamp":1765845611000},"page":"814-822","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Use of First\u2010Void Urine to Screen Women Aged 60\u201379 for HPV in the UK: The Catch\u2010Up Screen Study"],"prefix":"10.1111","volume":"133","author":[{"given":"Christine","family":"Rake","sequence":"first","affiliation":[{"name":"Faculty of Epidemiology and Population Health London School of Hygiene &amp; 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