Brief Article
Construction and application of home self-sampling processes for cervical human papillomavirus detection
Chen Xiaoyan, Qin Jianfen, Tang Leiwen, Zhang Rongrong
Published 2021-09-06
Cite as Chin J Prev Med, 2021, 55(9): 1145-1148. DOI: 10.3760/cma.j.cn112150-20210126-00080
Abstract
To construct and develop the home self-sampling processes of cervical human papillomavirus (HPV) detection and evaluate its application effect. An integrated HPV self-sampling detection platform is scheduled to include three terminals: a user terminal, a detection terminal and a medical terminal. It covers a wide range of functions of self-sampling kit acquisition of user, sample logistics tracking, inspection services, report query, medical consultation, health management, and follow-up tracking. A total of 8 053 users applied for self-sampling kits and all completed online user information registration from January to November 2020. The average age of users ranged from 17 to 84 with a median age of 42 years old. Registered users of the platform were distributed in Jiangsu, Jiangxi, Hebei, Shanxi, Shanghai, Ningxia, Anhui, Zhejiang, Inner Mongolia, Beijing and Xinjiang. 8 045 users completed self-sampling with a kit return rate of 99.9%. Six users lost the kits during the express delivery, and 2 users had the kits contaminated due to improper application; The amount of exfoliated cells collected from 8 045 cases in the sample kits were all within the endogenous internal standard of the nucleic acid kit, and the qualified rate of kits was 100%. The proportion of test report issued by the detection platform within 3 d accounts for 96.93% (7 799/8 054). Among the 763 positive users, 742 completed 6-month reexamination, with a reexamination rate of 97.25%. Unfortunately, 21 cases were lost to follow-up. Taken together, HPV home-based self-sampling is simple, convenient and efficient in use. It can expand the coverage of cervical cancer screening and may help promote HPV screening.
Key words:
Uterine cervical neoplasms; Human papillomavirus DNA tests; Information systems; Self-sampling
Contributor Information
Chen Xiaoyan
Department of Obstetrics and Gynaecology, Run Run Shaw Hospital Affiliated to Medical College of Zhejiang University,Hangzhou 310020, China
Qin Jianfen
Nursing Department, Run Run Shaw Hospital Affiliated to Medical College of Zhejiang University, Hangzhou 310020, China
Tang Leiwen
Nursing Department, Run Run Shaw Hospital Affiliated to Medical College of Zhejiang University, Hangzhou 310020, China
Zhang Rongrong
Nursing Department, Run Run Shaw Hospital Affiliated to Medical College of Zhejiang University, Hangzhou 310020, China