Stuart Winkler

speaker

394 appearances 1 recordings 1 series first heard Jul 2026 last heard 23 Jul

Stuart Winkler’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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Thinking About Ob/Gyn · Episode 12.2 Cuff Dehiscence and Classic Papers · 23 Jul 2026 podcast

This was a bivalent vaccine against 16 and 18 only, but they and they also had an extra

an indication for use in males for the Gardasil, it didn't come until later.

Then eventually, of course, we had the nine valent vaccine in 2014, which was is the one that we essentially most people have gotten today.

And that's that the that's for men and women up to age forty five.

So in other countries, specifically Australia and some of these

other Nordic countries where there's been a better uptake of the vaccine.

We've seen a ninety percent reduction in cervical cancer rates.

I th I think that's the first thing you do when you design a study.

You have to come up with a name and then you design the study, right?

Yeah.

Yeah, right.

So the CC CAS trial followed about ten thousand women in Canada.

These women received both the HPV test and a PAP test.

And they found that screening with HPV as a primary modality d detected high grade lesions with fewer false po false negatives and than the traditional cytology alone.

The HPV DNA test was more accurate with

with ninety-four point six percent sensitivity compared to fifty five point four percent with the PAP test alone and detecting premalignant lesions.

Yeah.

And I like that.

I mean I a lot of people ask me that as an oncologist.

Are you worried that going away from PAP misses things?

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