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Table 1.

Demographic variables and health status of our population.

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Fig 1.

Examples of p16/ki-67 dual stained cells.

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Table 2.

Costs of the lab-tests and diagnostic methods for HPV screening.

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Fig 2.

First strategy: Cytology as primary screening test.

Triage with a) HPV test with 16/18 genotyping and b) p16/ki-67 dual stain. Cytology, LBC; Costs in Euros (€), direct medical costs (screening tests, colposcopy with biopsy and office visit) per woman screened; costs for annual follow-ups and treatments for CIN were not included. *Colposcopy with biopsy.

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Fig 2 Expand

Fig 3.

Second strategy: HPV test as primary screening test with 16/18 genotyping.

Triage with a) Cytology b) p16/ki-67dual stain. Cytology, LBC; Costs in Euros (€), direct medical costs (screening tests, colposcopy with biopsy and office visit) per woman screened; costs for annual follow-ups and treatments for CIN were not included. *Colposcopy with biopsy.

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Fig 3 Expand

Fig 4.

Third strategy: Co-testing as primary screening.

Triage with p16/ki-67 dual stain. Cytology, LBC; Costs in Euros (€), direct medical costs (screening tests, colposcopy with biopsy and office visit) per woman screened; costs for annual follow-ups and treatments for CIN were not included. *Colposcopy with biopsy.

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Fig 4 Expand

Fig 5.

HR-HPV genotypes distribution in the study population.

The bars represent a single or multiple type infection, whilst in multiple types the case is classified according to the highest risk type for its constituents.

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Table 3.

Odds ratio for CIN2+ histological diagnosis for each HR-HPV genotype.

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Table 3 Expand

Table 4.

Correlation of HPV 16/18, p16/ki-67, colposcopy and combination of HPV 16/18/ p16/ki-67 with biopsy results in our population study.

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Table 4 Expand

Table 5.

Diagnostic ability of HR-HPV test, colposcopy & p16/ki-67 for the detection of CIN2+.

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Fig 6.

Evaluation of the two methods, HR-HPV test and p16/ki-67 by ROC curve analysis.

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Table 6.

Total direct medical costs, from a healthcare perspective, of the three screening strategies.

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Table 6 Expand