{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:09:31Z","timestamp":1777928971395,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T00:00:00Z","timestamp":1586995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C8162\/A16892"],"award-info":[{"award-number":["C8162\/A16892"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Introduction of new technologies into cervical screening programmes has allowed more efficient programmes with less resources. We present an overview of screening technologies introduced into the Cervical Screening Wales programme and their evolution over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the programme\u2019s statistical report were used to evaluate its performance over a 17-year period between 2001\/02 and 2017\/18.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The introduction of liquid-based cytology has had a substantial impact on reducing inadequate sample rates and on increasing the positive predictive value of cytology. Inadequate rates have increased following the implementation of human papilloma virus testing as a triage test for cytology. Further knock-on effects on standard reporting ranges are expected following the introduction of human papilloma virus testing as the primary screening test. New performance standards have been introduced to better reflect the performance of the programme at a time when disease prevalence is expected to fall as women vaccinated against human papilloma virus reach screening age.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Improvements to this cervical cancer screening programme as illustrated through performance indicator ranges suggest a major role played by technology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969141320918270","type":"journal-article","created":{"date-parts":[[2020,4,16]],"date-time":"2020-04-16T22:41:01Z","timestamp":1587076861000},"page":"80-87","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Technological advances: Have they improved standards? Review of outcomes from the Welsh cervical screening programme"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1101-6548","authenticated-orcid":false,"given":"Alejandra","family":"Castanon","sequence":"first","affiliation":[{"name":"King\u2019s College London, Faculty of Life Sciences & Medicine, School of Cancer & Pharmaceutical Sciences, Cancer Prevention Group, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,16]]},"reference":[{"key":"bibr1-0969141320918270","first-page":"121","volume":"59","author":"Traut HF","year":"1943","journal-title":"Calif West Med"},{"key":"bibr2-0969141320918270","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(87)92695-X"},{"key":"bibr3-0969141320918270","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.290.6481.1543"},{"key":"bibr4-0969141320918270","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.293.6548.659"},{"key":"bibr5-0969141320918270","unstructured":"Department of Health and Social Security.\n                      Health services management: cervical cancer screening\n                      (Health Circular HC (88)1. Heywood: DHSS, 1988."},{"key":"bibr6-0969141320918270","unstructured":"Welsh Office.\n                      Cervical screening programme\n                      . Cervical Cytology Screening Services WHC (88)44. Cardiff: Welsh Office NHS Directorate, 1988."},{"key":"bibr7-0969141320918270","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7197.1510e"},{"key":"bibr8-0969141320918270","unstructured":"Velindre NHS Trust Project. National service framework for the cervical screening programme in Wales, 1999."},{"key":"bibr9-0969141320918270","volume-title":"Report of the all-Wales advisory group on cervical screening to the secretary of state for Wales","author":"All-Wales Advisory Group on Cervical Screening","year":"1991"},{"key":"bibr10-0969141320918270","unstructured":"Huw Brunt SpT Public Health. Milestones for cervical screening in Wales, 2007."},{"key":"bibr11-0969141320918270","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-2017-003927"},{"key":"bibr12-0969141320918270","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.17.19229"},{"key":"bibr13-0969141320918270","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2303.1995.tb00575.x"},{"key":"bibr14-0969141320918270","unstructured":"Cancer Screening Programmes. Achievable standards, Benchmarks for reporting, and Criteria for evaluating cervical cytopathology. NHSCSP Publication No 1. Third edition, 2013."},{"key":"bibr15-0969141320918270","doi-asserted-by":"publisher","DOI":"10.1111\/cyt.12032"},{"key":"bibr16-0969141320918270","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2303.1995.tb00453.x"},{"key":"bibr17-0969141320918270","unstructured":"NHS Cervical Screening Programme. 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Implementation of \u2018no further review\u2019 (NFR) using the BD FOCALPOINT(TM) Slide Profiler, 2013."},{"key":"bibr22-0969141320918270","volume-title":"The aetiology of cervical cancer","author":"NHS Cervical Screening Programme","year":"2005"},{"key":"bibr23-0969141320918270","unstructured":"World Health Organization. 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