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This study found that it would not be either effective or cost-effective to screen with cytology and human papillomavirus (HPV) combined when compared with liquid-based cytology alone. HPV testing, either as triage or as initial test triaged by cytology, would be cheaper than cytology without HPV testing
1 School of Cancer and Imaging Sciences, University of Manchester, St Mary’s Hospital, Manchester, UK
2 Non-Communicable Disease Epidemiology Unit, London School of Hygiene and Tropical Medicine, London, UK
3 Health Economics Research Group, Brunel University, Uxbridge, UK
4 Biostatistics Group, University of Manchester, Manchester, UK
5 Department of Cytology, Central Manchester and Manchester Children’s University Hospitals NHS Trust, Manchester, UK
6 Institute of Cancer Research, Sutton, UK
* Corresponding author Email: henry.kitchener@manchester.ac.uk
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