HPV infection - Screening, diagnosis and management of HPV-induced lesions

Gonçalves, Ana Katherine; Jacyntho, Cláudia; Tso, Fernanda Kesselring; Boldrini, Neide Aparecida Tosato; Speck, Neila Maria de Góis; Peixoto, Raquel Autran Coelho; Zanine, Rita Maíra; Furtado, Yara

doi:10.1055/s-0041-1727285

Cited by 5 publications

(10 citation statements)

References 23 publications

(76 reference statements)

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“…Cervical Cancer (CC) is the third most prevalent type of cancer among women in Brazil, with HPV (Human Papilloma Virus) as the main cause [ 8 ]. Despite the high prevalence, the screening services offered by Unified Health System (SUS), despite being opportune, show a decrease in the incidence of this type of cancer, as well as the mortality caused by it [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Screening and hospitalization of breast and cervical cancer in Brazil from 2010 to 2022: A time-series study

Ferreira,

Capistrano,

Morais

et al. 2023

PLoS ONE

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In Brazil, during the pandemic caused by COVID-19, screening for breast and cervical cancers was postponed or interrupted due to the prevailing health conditions. These neoplasms, however, are responsible for high morbidity and mortality among women in Brazil and have a major impact on the quality of life of this population and public health. Thus, this study aims to evaluate the epidemiological behavior of hospitalization for cervical and breast cancer in Brazilian women, as well as the trend of screening tests of breast and cervical cancer in the years 2010 to 2022 according to the regions of Brazil. This is ecological research of time series, based on secondary data obtained from information systems of the country, about hospital admissions for breast and cervical cancer and screening methods used for these tumors. The data were analyzed in the Joinpoint Regression Program, to obtain the linear regression and temporal analysis of the variables. As a result, between 2010 and 2022, the rates of mammography varied from 36 to 71 exams, while in the pap smear, the variations were 126 and 226 cytopathological exams per 1000 women. Hospitalizations for these cancers peaked in 2019, with 48 hospitalizations for cervical cancer per 100,000 women and 147 hospitalizations for breast cancer for the same population. For both, in the pandemic years, between 2020 and 2022, there is a decrease in Brazil and in all its regions. As for the tracking of these diseases, it was observed that the performance of mammograms and preventive tests showed a similar behavior, in which there is a higher supply of these tests until 2019 and a drop during the pandemic period. This leads to the conclusion that even though Brazil has several policies for the screening of these diseases, there is still instability in the offering of these tests and that there was instability in this area during the pandemic.

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Section: Discussionmentioning

confidence: 99%

Screening and hospitalization of breast and cervical cancer in Brazil from 2010 to 2022: A time-series study

Ferreira,

Capistrano,

Morais

et al. 2023

PLoS ONE

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“…According to Brazilian National Cancer Institute (INCA) estimates, for 2022, about 16,590 women will be affected in new cases, which represents a risk considered to be 15.38 cases per 100,000 women 14 . Despite the high prevalence, the screening services offered by SUS, despite being opportune, show a decrease in the incidence of this type of cancer, as well as the mortality caused by it 15 .…”

Section: Discussionmentioning

confidence: 99%

Screening, diagnosis and hospitalization of breast and cervical cancer in Brazil from 2010 to 2022: a time-series study

Capistrano

Morais

Costa

et al. 2022

Preprint

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In Brazil, during the pandemic caused by COVID-19, screening for breast and cervical cancers was postponed or interrupted due to the prevailing health conditions. These neoplasms, however, are responsible for high morbidity and mortality among women in Brazil and have a major impact on the quality of life of this population and on public health. Thus, this study aims to evaluate the epidemiological behavior of hospitalization for cervical and breast cancer in Brazilian women, as well as the trend of screening tests and diagnosis of breast and cervical cancer in the years 2010 to 2022 in Brazil. This is an ecological research of time series, based on secondary data obtained from information systems of the country, about hospital admissions for breast and cervical cancer and screening methods used for these tumors. The data were analyzed in the Joinpoint Regression Program, to obtain the linear regression and temporal analysis of the variables. As results, there is a decrease in hospitalization rates for cervical cancer between the years 2010 and 2015 and a subsequent increase in 2019. Regarding breast cancer, there was an increase in hospitalizations, until reaching a peak in 2019. For both, in the pandemic years, between 2020 and 2022, there is a decrease in Brazil and in all its regions. As for the tracking of these diseases, it was observed that the performance of mammograms and preventive tests showed a similar behavior, in which there is a higher supply of these tests until 2019 and a drop during the pandemic period. This leads to the conclusion that even though Brazil has several policies for screening and early diagnosis of these diseases, there is still instability in the offer of tests and that there was a precariousness in this area during the pandemic.

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“…Considering that nursing care through health education activities promotes actions related to screening and early detection of these types of cancer, as well as the identification of risk factors and awareness of the population about the importance of these actions. [27,28] Still, it is noteworthy that the patient has the opportunity to observe the structures that make up the female genital organ and the changes visualized in the gynecological physical exam, providing opportunities for promotion, clarification of doubts, and health education regarding the exam that helps in the tracking and prevention of cervical cancer.…”

Section: Discussionmentioning

confidence: 99%

Pap smear collection: Proposal of a low-cost simulator for health education

Martinovski

Knihs²,

Salum³

et al. 2022

JNEP

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Objective: To develop a low-fidelity and low-cost simulator for health education in Pap smears.Methods: This is an experience report of the care practice carried out with nine nurses and twenty-five women, during Pap smears in the office of the Rural Zone Family Health Team. The SQUIRE 2.0 method was used in the following steps Context: the issue was analyzed. Intervention: searches for the existence of a simulator with the same purpose. The simulator was built manually, using low-cost materials. Measurements: an evaluation of the nurses' perception of the technology produced was performed. Afterward, it was used with women undergoing Pap smears. Analysis: evaluation was carried out by means of simple descriptive statistics.Results: A low-cost and fidelity simulator formed by six slides, where the first slide represents a normal cervix; followed by a slide representing a cervix with cervicitis; a cervix with polyp; a cervix with a lesion in the transformation zone; a cervix with malignant neoplasm; and, by a figure equal to the first slide, however, the hole of the endocervix is perforated in order to introduce the brush of the Pap smear kit.Conclusion and implications for practice: A strengthening of cervical cancer preventive strategies in Primary Health Care was obtained. The simulator allows visualization of the main components of the female genital organ when introducing the speculum, configuring a creative and innovative health education strategy for nursing practice.

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HPV infection - Screening, diagnosis and management of HPV-induced lesions

Cited by 5 publications

References 23 publications

Screening and hospitalization of breast and cervical cancer in Brazil from 2010 to 2022: A time-series study

Screening and hospitalization of breast and cervical cancer in Brazil from 2010 to 2022: A time-series study

Screening, diagnosis and hospitalization of breast and cervical cancer in Brazil from 2010 to 2022: a time-series study

Pap smear collection: Proposal of a low-cost simulator for health education

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