{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T11:19:27Z","timestamp":1785842367069,"version":"3.56.0"},"reference-count":42,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"25","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCO"],"published-print":{"date-parts":[[2012,9,1]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> To describe the long-term (\u2265 10 years) benefits of clinical human papillomavirus (HPV) DNA testing for cervical precancer and cancer risk prediction. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Cervicovaginal lavages collected from 19,512 women attending a health maintenance program were retrospectively tested for HPV using a clinical test. HPV positives were tested for HPV16 and HPV18 individually using a research test. A Papanicolaou (Pap) result classified as atypical squamous cells of undetermined significance (ASC-US) or more severe was considered abnormal. Women underwent follow-up prospectively with routine annual Pap testing up to 18 years. Cumulative incidence rates (CIRs) of \u2265 grade 3 cervical intraepithelial neoplasia (CIN3+) or cancer for enrollment test results were calculated. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> A baseline negative HPV test provided greater reassurance against CIN3+ over the 18-year follow-up than a normal Pap (CIR, 0.90% v 1.27%). Although both baseline Pap and HPV tests predicted who would develop CIN3+ within the first 2 years of follow-up, only HPV testing predicted who would develop CIN3+ 10 to 18 years later (P = .004). HPV16- and HPV18-positive women with normal Pap were at elevated risk of CIN3+ compared with other HPV-positive women with normal Pap and were at similar risk of CIN3+ compared with women with a low-grade squamous intraepithelial Pap. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> HPV testing to rule out cervical disease followed by Pap testing and possibly combined with the detection of HPV16 and HPV18 among HPV positives to identify those at immediate risk of CIN3+ would be an efficient algorithm for cervical cancer screening, especially in women age 30 years or older. <\/jats:p><\/jats:sec>","DOI":"10.1200\/jco.2011.38.8389","type":"journal-article","created":{"date-parts":[[2012,7,31]],"date-time":"2012-07-31T08:13:51Z","timestamp":1343722431000},"page":"3044-3050","source":"Crossref","is-referenced-by-count":94,"title":["Clinical Human Papillomavirus Detection Forecasts Cervical Cancer Risk in Women Over 18 Years  of Follow-Up"],"prefix":"10.1200","volume":"30","author":[{"given":"Philip E.","family":"Castle","sequence":"first","affiliation":[{"name":"Philip E. Castle, American Society for Clinical Pathology, Washington, DC; Andrew G. Glass, Brenda B. Rush, and David R. Scott, Kaiser Permanente Center for Health Research, Portland, OR;  Nicolas Wentzensen, Julia C. Gage, and Sholom Wacholder, National Cancer Institute, National Institutes of Health, Bethesda; Julie Buckland and Greg Rydzak, Information Management Services, Silver Spring, MD; and Attila T. Lorincz, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew G.","family":"Glass","sequence":"additional","affiliation":[{"name":"Philip E. Castle, American Society for Clinical Pathology, Washington, DC; Andrew G. Glass, Brenda B. Rush, and David R. Scott, Kaiser Permanente Center for Health Research, Portland, OR;  Nicolas Wentzensen, Julia C. Gage, and Sholom Wacholder, National Cancer Institute, National Institutes of Health, Bethesda; Julie Buckland and Greg Rydzak, Information Management Services, Silver Spring, MD; and Attila T. Lorincz, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenda B.","family":"Rush","sequence":"additional","affiliation":[{"name":"Philip E. Castle, American Society for Clinical Pathology, Washington, DC; Andrew G. Glass, Brenda B. Rush, and David R. Scott, Kaiser Permanente Center for Health Research, Portland, OR;  Nicolas Wentzensen, Julia C. Gage, and Sholom Wacholder, National Cancer Institute, National Institutes of Health, Bethesda; Julie Buckland and Greg Rydzak, Information Management Services, Silver Spring, MD; and Attila T. Lorincz, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Scott","sequence":"additional","affiliation":[{"name":"Philip E. Castle, American Society for Clinical Pathology, Washington, DC; Andrew G. Glass, Brenda B. Rush, and David R. Scott, Kaiser Permanente Center for Health Research, Portland, OR;  Nicolas Wentzensen, Julia C. Gage, and Sholom Wacholder, National Cancer Institute, National Institutes of Health, Bethesda; Julie Buckland and Greg Rydzak, Information Management Services, Silver Spring, MD; and Attila T. Lorincz, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Wentzensen","sequence":"additional","affiliation":[{"name":"Philip E. Castle, American Society for Clinical Pathology, Washington, DC; Andrew G. Glass, Brenda B. Rush, and David R. Scott, Kaiser Permanente Center for Health Research, Portland, OR;  Nicolas Wentzensen, Julia C. Gage, and Sholom Wacholder, National Cancer Institute, National Institutes of Health, Bethesda; Julie Buckland and Greg Rydzak, Information Management Services, Silver Spring, MD; and Attila T. Lorincz, Wolfson Institute of Preventive Medicine, Queen Mary University of London, London,..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia C.","family":"Gage","sequence":"additional","affiliation":[{"name":"Philip E. Castle, American Society for Clinical Pathology, Washington, DC; Andrew G. Glass, Brenda B. Rush, and David R. Scott, Kaiser Permanente Center for Health Research, Portland, OR;  Nicolas Wentzensen, Julia C. Gage, and Sholom Wacholder, National Cancer Institute, National Institutes of Health, Bethesda; Julie Buckland and Greg Rydzak, Information Management Services, Silver Spring, MD; and Attila T. 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