Prevention of one case of HPV16-caused cervical cancer required follow-up of 147 HPV16–positive women (number needed to follow-up, NNF).
One case of HPV16-caused cervical cancer could be prevented for every 5,527 women attending screening (number needed to screen, NNS). Historical screening attendance was associated with a 72% reduction of cervical cancer incidence caused by HPV16 (71.6%, 95% confidence interval (CI) ) and a 54% reduction of cancer caused by HPV18 (53.8%, 95% CI ). For each type of HPV, we calculated the number of women needed to screen (NNS) and number of women needing follow-up (NNF) to detect or prevent one cervical cancer case, using the following individual level input data (i) screening and cancer data for all women aged 25 to 80 years, resident in Sweden during 2004 to 2011 (N = 3,568,938) (ii) HPV type-specific prevalences and screening histories among women with cervical cancer in Sweden in 2002 to 2011(N = 4,254) (iii) HPV 16/18/other HPV prevalences in the population-based HPV screening program (N = 656,607) and (iv) exact HPV genotyping in a population-based cohort (n = 12,527).