A Cervical Cancer Decision Model to Inform Recommendations About Preventive Services. Perspective of the Decision Modeler Shalini Kulasingam, PhD Duke University Durham, NC. The Natural History of Cervical Cancer. Clearance. HPV infected Cervix. Regression. Invasion. Normal Cervix.
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Perspective of the Decision ModelerShalini Kulasingam, PhDDuke UniversityDurham, NC
(CIN 1, CIN 2?)
3 screening tests *
15 different ages to start screening *
8 different ages to end screening =
1 big headache + insufficient funds
Year About Preventive Services
2%State Transition Model
Screening affects transitions
for CIN 1, CIN 2-3
and cancer (Stage I)