Using home cervical cancer testing kits can increase diagnosis

London, March 12 : A new research has suggested that more high risk cases of human papilloma virus (HPV) could be detected by offering home testing kits to women who do not come forward for cervical screening.

Although cervical screening programmes have cut deaths, not all women take up the invite from the GP.

Now, a research team in the Netherlands, led by Professor Chris Meijer from the VU University Medical Centre, has investigated whether home-testing kits would improve HPV detection rates.

It has long been established that some strains of HPV are found in most cases of cervical cancer so early discovery is important.

As part of the Dutch cervical screening programme, PROHTECT, the authors identified 28,073 women who had not responded to two invitations for screening.

The researchers invited 27,792 of these women to use the Delphi Screener device to collect a cervical fluid sample at home and return it to the researchers.

The remaining 281 women were recalled for a conventional cervical screening test.

The results show that over a quarter of the self-sampling group fulfilled the request, compared with only 1 in 7 of the recall group.

Participants in both groups whose samples were HPV positive were referred for further tests.

The researchers concluded that using home testing kits for detecting HPV is an effective way to target women who do not attend for cervical screening and that it would lead to twice as many cases of cervical cancer being diagnosed compared with the regular screening programme.

The study has been published on bmj.com.