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In our published work, host DNA methylation testing has been proved to be sensitive and specific to cervical intraepithelial neoplasia (CIN) 2 or more severe lesions (CIN2+). Its screening effects are independent of high-risk human papillomavirus (hrHPV) status. Based on the results of training and validation sets of our previous work, we perform this multicenter, prospective cohort study in unselected participants asking for cervical cancer screening in a hospital-based community. All eligible participants accept DNA methylation testing, with cytology and/or hrHPV assay. The primary endpoint is the diagnostic accuracy of DNA methylation compared with cytology and/or hrHPV status based on histology results. The accuracy analysis includes sensitivity, specificity, negative predictive value and positive predictive value.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group | Experimental | All eligible participants are included in the study group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Host DNA methylation testing | Diagnostic Test | Host EPB41L3, JAM3 and PAX1 methylation testing by cytology sample |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diagnostic accuracy | The accuracy analysis includes sensitivity, specificity, negative predictive value and positive predictive value. | Two years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lei Li, M.D. | Contact | +8613911988831 | lileigh@163.com |
| Name | Affiliation | Role |
|---|---|---|
| Lei Li, M.D. | Peking Union Medical College Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lei Li | Recruiting | Beijing | Beijing Municipality | 100730 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39603822 | Derived | Kong L, Xiao X, Wu H, You Y, Jin X, Liou Y, Liu P, Lang J, Li L. Triage performance of DNA methylation for women with high-risk human papillomavirus infection. Oncologist. 2025 Mar 10;30(3):oyae324. doi: 10.1093/oncolo/oyae324. |
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| ID | Term |
|---|---|
| D002583 | Uterine Cervical Neoplasms |
| D002578 | Uterine Cervical Dysplasia |
| ID | Term |
|---|---|
| D014594 | Uterine Neoplasms |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
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All eligible participants accept DNA methylation testing, with cytology and/or hrHPV assay in a hospital-based community。
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| Cervical cytology and/or high-risk human papillomavirus assays | Diagnostic Test | Cervical cytology and/or high-risk human papillomavirus assays |
|
| D009369 |
| Neoplasms |
| D002577 | Uterine Cervical Diseases |
| D014591 | Uterine Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D000091662 | Genital Diseases |
| D011230 | Precancerous Conditions |