Colposcopy referral rates post-introduction of primary screening with human papillomavirus testing: evidence from a large British Columbia cohort study

• DOI: 10.1016/j.lana.2023.100598
• Publication Date: 2023-09-29T09:16:18Z
• Authors: Anna Gottschlich; Lovedeep Gondara; Laurie W. Smith; Jennifer Joy Ande...; Darrel Cook; Mel Krajden; Marette Lee; Ruth Elwood Martin; Joy Melnikow; Stuart Peacock; Lily Proctor; Gavin Stuart; Eduardo L. Franco; Dirk van Niekerk; Gina S. Ogilvie
• Keywords: Triage; Cervical screening; Ascus (bryozoa)

Shifting from cytology to human papillomavirus (HPV)-based cervical cancer screening will initially increase colposcopy referrals. The anticipated impact on health systems has been raised as a concern for implementation. It is unclear if the higher rate of referrals sustained after initial HPV-based screens or reverts new lower baselines due earlier detection and treatment precancer. This study aimed investigate long-term rates participation in screening.