{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:54:54Z","timestamp":1791222894476,"version":"4.1.0"},"reference-count":32,"publisher":"Mark Allen Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Community Nurs"],"published-print":{"date-parts":[[2026,10,2]]},"abstract":"<jats:p>Tackling cervical cancer represents a global health priority and relies on preventative approaches such as screening. To increase uptake, self-sampling strategies used to detect human papillomaviruses have shown promise of cost-effectiveness. This commentary critically appraises an economic evaluation comparing first-void urine and vaginal swab self-sampling strategies against clinician-collected cervical samples in the UK. While the self-sampling strategies could improve screening uptake among non-attenders and health outcomes, the impacts on the subsequent incidence of cervical cancer and types of cancer stage for non-attenders should have been considered. Higher screening uptake, while increasing early detection, would also imply an increase in the number of diagnostic and follow-up appointments, for example for cytology and colposcopies. Future research should bridge these gaps as well as investigating the differential effects on socio-economic sub-groups and the views of eligible women to facilitate a wider implementation of self-sampling strategies.<\/jats:p>","DOI":"10.12968\/bjcn.2025.0211","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T17:19:59Z","timestamp":1791220799000},"page":"492-498","source":"Crossref","is-referenced-by-count":0,"title":["Cost-effectiveness of self-sampling strategies for cervical cancer screening: a commentary"],"prefix":"10.12968","volume":"31","author":[{"given":"Gillian","family":"Lewis","sequence":"first","affiliation":[{"name":"School of Medicine and Dentistry, University of Lancashire, Burnley, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamer","family":"Rabie","sequence":"additional","affiliation":[{"name":"School of Pharmacy and Biomedical Sciences, University of Lancashire, Preston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Misael Anaya","family":"Montes","sequence":"additional","affiliation":[{"name":"Faculty of Health and Medicine, Lancaster University, Lancaster, UK; NIHR Applied Research Collaboration North West Coast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Clegg","sequence":"additional","affiliation":[{"name":"Applied Health Research hub, University of Lancashire, Preston, UK; NIHR Applied Research Collaboration North West Coast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valerio","family":"Benedetto","sequence":"additional","affiliation":[{"name":"Applied Health Research hub, University of Lancashire, Preston, UK; NIHR Applied Research Collaboration North West Coast, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5130","reference":[{"key":"e_1_3_2_1_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4823"},{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182413314"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11554-6"},{"key":"e_1_3_2_4_1","unstructured":"Critical Appraisal Skills Programme. 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