The Health Information and Quality Authority (HIQA) has advised that CervicalCheck, Ireland’s national cervical screening programme, should change its primary screening method to HPV testing. HIQA carried out a health technology assessment (HTA) to assess the impact of changing from the current policy of primary screening with liquid-based cytology to primary screening with HPV testing.
They found that switching to primary HPV testing would reduce the number of screenings each woman has in her lifetime, while providing improving accuracy in detecting precancerous abnormalities and early stage invasive cervical cancer.
HIQA’s Director of Health Technology Assessment and Deputy Chief Executive Dr Máirín Ryan said: “Where a woman is found to be HPV-positive following primary HPV screening, a follow-up test using liquid-based cytology will be carried out on that same sample to inspect for cellular abnormalities. If any abnormalities are detected, a more detailed examination of the cervix (colposcopy) is needed. Women with a negative HPV test can be reassured that they are at very low risk of developing precancerous abnormalities in the next five years”.
HIQA claim that implementing primary HPV screening five-yearly, between the ages of 25 and 60, would mean two fewer screening tests over a woman’s lifetime, while women would experience no change in how the cervical screening sample is collected.