title: Human papillomavirus testing and reporting rates in 2012: results of a College of American Pathologists national survey.
abstract: BACKGROUND
  College of American Pathologists (CAP) surveys are used to establish national benchmarks for laboratory parameters.
  
  
  OBJECTIVE
  To evaluate changes in laboratory human papillomavirus (HPV) testing patterns in laboratories incorporating HPV testing with Papanicolaou tests in 2012.
  
  
  METHODS
  Data were analyzed from the CAP HPV Supplemental Questionnaire distributed to 1771 laboratories participating in either CAP HPV or CAP Papanicolaou proficiency testing in 2013.
  
  
  RESULTS
  A total of 1022 laboratories (58%) responded. There were more high-risk (HR) HPV tests performed per institution as compared to previous surveys. There were more HPV tests performed within an institution as compared to previous surveys. Hybrid Capture 2 (HC2) remains the most common method (42.4%, 239 of 564); Cervista and cobas methods are used in 37.2% (210 of 564) and 14.9% (84 of 564) of laboratories, respectively. Human papillomavirus testing is offered as a reflex test after a Papanicolaou test result of atypical squamous cells of undetermined significance (ASC-US) in 89.6% of laboratories (476 of 531); as a cotest for women aged 30 years and older in 60.3% (404 of 531); as reflex testing after atypical squamous cells, cannot exclude high-grade squamous intraepithelial lesion (ASC-H) in 42.7% (320 of 531); and as reflex testing after atypical glandular cells (AGC) in 27.3% (145 of 531). The HPV-positive rates for ASC-US and ASC-H were similar in 2012 and 2006. Cervista (49.2%, 88 of 179) and Roche cobas (27.4%, 49 of 179) are the most common methods used for genotyping. Most laboratories use the CAP Human Papillomavirus for Cytology Program for proficiency testing.
  
  
  CONCLUSIONS
  There was an increase in annual volume of HR-HPV testing with a shift toward in-house HR-HPV testing. Genotyping volumes also increased. HC2 and Cervista are most commonly used, with an increasing volume of Roche cobas testing. The most common indication for HPV testing among all laboratories was ASC-US reflex testing, but an increase in HPV cotesting was observed. The data provide an update into persisting and newer trends in HPV testing practices.
authors.affiliation: From the Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (Dr Zhao); the Department of Esoteric Testing, AmeriPath Indiana, Indianapolis (Dr Moriarty); the Department of Pathology, PeaceHealth Laboratories, Vancouver, Washington (Dr Ghofrani); Clinical Sciences, University of Central Florida, Orlando (Dr Husain); the Department of Pathology, Massachusetts General Hospital, Boston (Dr Tambouret); the Department of Pathology, Baylor College of Medicine, Houston, Texas (Dr Laucirica); the Department of Pathology, North Shore-LIJ Health System, New Hyde Park, New York (Dr Laser); the Department of Pathology, University of Massachusetts Medical School, Worcester (Dr Fischer); the Department of Pathology, Mayo Clinic, Scottsdale, Arizona (Dr Ocal); Biostatistics, College of American Pathologists, Northfield, Illinois (Ms Souers); the Department of Pathology, University of Rochester Medical Center, Rochester, New York (Ms Russell); the Department of Pathology, University of Kansas Medical Center, Kansas City (Dr Fan); and the Department of Pathology, Walter Reed National Military Medical Center, Bethesda, Maryland (Dr Crothers).
authors.forename: Chengquan
authors.initials: C
authors.lastname: Zhao
authors.forename: Ann T
authors.initials: AT
authors.lastname: Moriarty
authors.forename: Mohiedean
authors.initials: M
authors.lastname: Ghofrani
authors.forename: Mujtaba
authors.initials: M
authors.lastname: Husain
authors.forename: Rosemary H
authors.initials: RH
authors.lastname: Tambouret
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Laucirica
authors.forename: Alice
authors.initials: A
authors.lastname: Laser
authors.forename: Andrew
authors.initials: A
authors.lastname: Fischer
authors.forename: Idris T
authors.initials: IT
authors.lastname: Ocal
authors.forename: Rhona J
authors.initials: RJ
authors.lastname: Souers
authors.forename: Donna K
authors.initials: DK
authors.lastname: Russell
authors.forename: Fang
authors.initials: F
authors.lastname: Fan
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Crothers
mesh_terms: D000328:Adult; D000368:Aged; D019411:Clinical Laboratory Techniques / Q000379:methods / Q000706:statistics & numerical data*; D003625:Data Collection / Q000379:methods / Q000592:standards; D005260:Female; D005838:Genotype; D054884:Host-Pathogen Interactions; D006801:Humans; D059021:Laboratory Proficiency Testing / Q000706:statistics & numerical data; D008875:Middle Aged; D065006:Papanicolaou Test / Q000379:methods / Q000706:statistics & numerical data*; D027383:Papillomaviridae / Q000235:genetics / Q000502:physiology; D030361:Papillomavirus Infections / Q000175:diagnosis / Q000821:virology; D010338:Pathology, Clinical / Q000379:methods / Q000458:organization & administration / Q000706:statistics & numerical data*; D012958:Societies, Scientific; D065310:Squamous Intraepithelial Lesions of the Cervix / Q000175:diagnosis / Q000821:virology; D011795:Surveys and Questionnaires; D014481:United States; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000821:virology; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis / Q000821:virology