title: Comparative models of cervical cancer screening in Manitoba.
abstract: The laboratory system in Manitoba for routine cervical screening is outdated and costly. We developed a costing framework for the implementation of new cervical cancer screening technology models. The direct healthcare costs in the baseline model, the conventional Papanicolaou smear test, were compared with estimates of two newer technology platforms, liquid-based cytology and human papillomavirus (HPV) testing. The findings revealed that HPV testing as a primary screening model for women aged 30 years and older represented the least-cost strategy. Liquid-based cytology would be used for routine screening of women under 30 years of age and to triage women 30 years and older whose results were HPV positive.
authors.affiliation: Associate professor of Public Policy and Public Administration in the Department of Politics at the University of Winnipeg in Winnipeg, Manitoba.
authors.forename: Linda
authors.initials: L
authors.lastname: DeRiviere
authors.affiliation: HPV project manager at Manitoba Health and Health Living in the Public Health Division, Communicable Disease Control Branch in Winnipeg, Manitoba.
authors.forename: Shelley
authors.initials: S
authors.lastname: Stopera
authors.affiliation: Medical director of the Cadham Provincial Laboratory and associate professor at the University of Manitoba in Winnipeg, Manitoba.
authors.forename: Paul Van
authors.initials: PV
authors.lastname: Caeseele
authors.affiliation: Medical director in the Manitoba Cervical Cancer Screening Program at CancerCare Manitoba in Winnipeg, Manitoba.
authors.forename: Robert
authors.initials: R
authors.lastname: Lotocki
mesh_terms: D000328:Adult; D017046:Cost Savings; D003362:Cost-Benefit Analysis; D003955:Diagnostic Tests, Routine / Q000191:economics; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D006801:Humans; D008350:Manitoba; D008962:Models, Theoretical; D027383:Papillomaviridae / Q000302:isolation & purification*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis*; D014626:Vaginal Smears / Q000191:economics; D055815:Young Adult