Meta-analysis reveals lower sensitivity for detecting high-grade cervical lesions in self-collected samples, suggesting further strategies are needed.
In conclusion, while specificity is comparable, this meta-analysis demonstrates that self-collected samples have significantly lower sensitivity for detecting HR-HPV and high-grade cervical lesions compared to clinician-collected samples. This suggests that self-sampling, in its current form, may be best utilized with complementary triage strategies or in settings where its logistical advantages outweigh the modest reduction in sensitivity for increasing screening coverage.
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Lima et al. (2026) studied this question.
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