La autotoma es tan efectiva como las muestras obtenidas por el ginecólogo para la detección del HPV

Abstract

Objective: To compare the diagnostic efficacy for HPV testing between samples obtained with the Selfcitotest self-sampling device and samples obtained by gynecologists with the cervical sampler kit. Pacients and Study design: We included 120 patients who had come for routine screening of cervical cancer and 120 patients with a previous cytology with diagnostic of Low grade Squamous Intraepithelial Lesion (LSIL) .We obtained written consent of all patients. Samples for molecular HPV testing were obtained by gynecologists or by self-sampling and were sent to the Pathology Department in University Hospital Son Espases (Mallorca, Spain). Results: The self-sampling group achieved a sensitivity of 0.76 and a specificity of 0.83. In the cervical sampler group we obtained the same sensitivity of 0.76 and similar specificity of 0.85. Conclusions: The agreement between the two techniques using the Kappa index was very good: 0.86 (CI 95%, 0.79 to 0.93).