Managing the transition in cervical screening methods for Taiwan: Policy recommendations and perspectives

Chien Chin Chen, Chyong Huey Lai, Chih Long Chang, Wen Fang Cheng, Raoh Fang Pwu, Jane Tsai, Peng Hui Wang, Jacqueline Whang-Peng, Gi Ming Lai*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

4 Scopus citations


Since government-provided annual cervical cytology testing for all Taiwanese women aged 30 years or older became available in 1995, both cervical cancer incidence and death have decreased significantly. However, with the 2018 introduction of the national immunization program for human papillomavirus (HPV) vaccination in all schoolgirls aged 13–15 years old, the positive predictive value of cytology testing is expected to decrease with rising vaccination rates, and therefore a transition to more sensitive HPV-based testing may be needed. This position paper, derived from discussions by a panel of experts in cervical cancer screening, provides short-, medium-, and long-term policy recommendations to manage the transition between cervical screening methods for Taiwan. The recommendations include concrete suggestions regarding testing procedures, standards, accreditation, monitoring, promotion, and implementation. It is hoped that comprehensive preparation and management of this transition will enable Taiwan to repeat the previous successes of the cervical cytology testing program.

Original languageEnglish
Pages (from-to)1213-1218
Number of pages6
JournalJournal of the Formosan Medical Association
Issue number11
StatePublished - 11 2023
Externally publishedYes

Bibliographical note

Copyright © 2023 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.


  • Cervical cancer
  • Cervical cytology
  • HPV-based testing
  • Human papillomavirus
  • Pap smear
  • Policy
  • Early Detection of Cancer
  • Humans
  • Vaginal Smears
  • Mass Screening
  • Uterine Cervical Neoplasms/diagnosis
  • Adolescent
  • Taiwan
  • Female
  • Papillomavirus Infections/diagnosis


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