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Correspondence
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Volume 361:304-306 July 16, 2009 Number 3
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HPV Screening for Cervical Cancer in Rural India

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by Sankaranarayanan, R.
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To the Editor: Sankaranarayanan et al. (April 2 issue)1 report no significant differences in rates of detection of high-risk cervical neoplasia among women who underwent screening by cytologic testing, testing for human papillomavirus (HPV) with the Hybrid Capture II assay, or visual inspection of the cervix with acetic acid (VIA). Reductions in mortality from cervical cancer were observed only among women screened by HPV testing. The unexpected lack of a correlation between detection rates reported for the screening tests and subsequent mortality rates requires careful consideration. Sankaranarayanan et al. acknowledge that unidentified differences in follow-up care, rather than differences in . . . [Full Text of this Article]



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