Author/Authors :
Arab, Maliheh Imam Hossein Medical Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Moridi, Atefeh Imam Hossein Medical Center - Shahid Beheshti University of Medical Sciences, Tehran, Iran , Maktabi, Maryam Department of Obstetrics and Gynecology - Tehran University of Medical Sciences, Tehran, Iran , Safaei, Nazanin Department of Obstetrics and Gynecology - Tehran University of Medical Sciences, Tehran, Iran , Ghavami, Behnaz Department of Obstetrics and Gynecology - Tehran University of Medical Sciences, Tehran, Iran , Sanati, Mahdie Science and Research University of Tehran, Tehran, Iran
Abstract :
Introduction: The effectiveness of cervical cancer screening programs is an issue of concern in developing countries. It is a goal of researchers to find another solution or screening method to solve this problem. The current study aimed to compare the cost-effectiveness of the colposcopy and HPV-Pap test approaches.
Methods: This cross-sectional study examined 1944 asymptomatic women aged 30-70 years who had undergone colposcopy from 2013-2015. The cost of finding each CIN2 case was obtained and compared with the cost of the HPV-Pap test finding.
Results: A pathology of CIN2 or greater cases were reported in 43 cases (2.2%). The cost of finding each case by colposcopy was 2,456 USD and by PCR-Pap was 2,966 USD (P<0.0001).
Conclusion: The cost of finding each CIN2 or greater case by HPV-Pap test was 1.32 times that of a colposcopy. Colposcopy in this setting was more cost-effective and should be considered in similar settings.
Keywords :
Colposcopy , HPV-Pap Test , CIN2 , Iran , Cost-effectiveness
