Screening for Cancer in Low- and Middle-Income Countries

Sankaranarayanan, R

doi:10.1016/j.aogh.2014.09.014

Cited by 482 publications

(550 citation statements)

References 31 publications

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“…These tools allow for combined screening and treatment, known as the screen-and-treat approach that can be performed at the same sitting (Denny et al, 2005). Hence, there is a need to design an effective screening and treatment strategy that targets high-risk women once or twice in their lifetime, using a highly sensitive test, with emphasis on high coverage (>80%) of the targeted population (Sankaranarayanan et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

Situation Analysis of Existing Facilities for Screening, Treatment and Prevention of Cervical Cancer in Hospitals/Primary health Centers of Delhi-NCR Region, India

Chawla¹,

Chawla²,

Shrivastava³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Section: Discussionmentioning

confidence: 99%

Situation Analysis of Existing Facilities for Screening, Treatment and Prevention of Cervical Cancer in Hospitals/Primary health Centers of Delhi-NCR Region, India

Chawla¹,

Chawla²,

Shrivastava³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…31,32 Scientists have suggested that these new screening methods may well be more cost-effective and useful in countries with limited resources where the majority of the existing screening programmes have not shown clinically significant reductions in the incidence of cervical cancer. 26,31,33 Recently, the American Cancer Society released new guidelines for the early detection of cervical precancerous lesions and cancer, recommending concurrent screening using both the Pap smear and the HPV test. 34 However, in South Africa, even if the government does incorporate new screening methods into the national cervical screening policy, the existing low screening coverage rates will remain a considerable hindrance to the success of the screening programme.…”

Section: Discussionmentioning

confidence: 99%

Cervical cancer screening programme in Limpopo province: January 2007 to December 2010

Mamahlodi

Kuonza

Candy

2013

Southern African Journal of Gynaecological Oncology

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(72.7%) were within the recommended screening age (30 years and older). Annual screening coverage rates ranged from 2.9-4.2% of the population of women aged 30 years and older. The cumulative screening coverage during the four years was 13.7%. The mean smear adequacy rate during this time was 98.5%. Of the 202 251 smears, 5 237 (2.5%) reflected high-grade squamous intraepithelial lesions, while 238 (0.2%) contained malignant lesions. Conclusion:The cervical cancer screening programme in Limpopo improved during the study period, but still fell short of national goals. Key areas that require strengthening include low screening coverage and the screening of young women who are at less risk of acquiring cervical cancer.

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“…1 Programa de Pós-Graduação em Saúde Pública da UFC -Fortaleza (CE), Brasil. 2 Faculdade de Medicina da UNIFOR -Fortaleza (CE), Brasil. 3 Departamento de Saúde Materno-Infantil da UFC -Fortaleza (CE), Brasil.…”

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“…Essa característica torna a neoplasia maligna de controle efetivo por meio de rastreamento adequado. Programas de rastreio populacional sistemático e tratamento precoce das lesões precursoras podem reduzir em até 80% a mortalidade pelo câncer de colo. Para tanto, a cobertura mínima deve atingir 80% da população vulnerável e seguir protocolos preconizados 2 . O Ministério da Saúde recomenda que o rastreamento seja feito por meio do exame citopatológico, a intervalos anuais, e após dois exames consecutivos negativos, a intervalos trienais.…”

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Fatores associados à realização de citologia para prevenção de câncer do colo uterino em uma comunidade urbana de baixa renda

Falcão¹,

Ibiapina

Feitosa

et al. 2014

Cad. saúde colet.

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Cad. Saúde Colet., 2014, Rio de Janeiro, 22 (2): 165-72 165 Artigo OriginalResumo Objetivo: Avaliar a prevalência de realização da prevenção do câncer do colo uterino e fatores associados à coleta anual. Métodos: Estudo transversal conduzido entre agosto de 2010 e junho de 2011 por meio de entrevistas domiciliares com 144 mulheres de 25 a 52 anos em uma comunidade de baixa renda em Fortaleza (CE). Utilizou-se o teste do χ 2 de Pearson e a aná-lise de variância (ANOVA) na comparação entre os grupos que nunca realizaram coleta, realizaram não anualmente e aquelas que o fizeram com frequência anual. As variáveis com valores de p<0,20 foram submetidas à regressão logística para estimativa da razão de chances (odds ratio − OR). Resultados: A proporção de mulheres que relatou coleta anual foi de 59,3%. Trabalho remunerado (p=0,04) e renda familiar (p<0,01) mostraram associação significativa. Na regressão logística simples, o trabalho remunerado (OR=2,15), a classe econômica (OR=3,32) e a ocorrência de no máximo uma gestação (OR=2,73) e, na regressão logística múltipla, o trabalho remunerado (OR=2,63) e ocorrência no máximo de uma gestação (OR=2,60) mostraram-se associados à realização da coleta anual. Conclusão: Mulheres com trabalho remunerado e que tiveram no máximo uma gestação apresentaram uma chance maior de realização da citologia anual para prevenção do câncer de colo uterino.Palavras-chave: saúde da mulher; detecção precoce de câncer; câncer do colo do útero; citologia; programas de rastreamento. AbstractObjective: To evaluate the prevalence of prevention of cervical cancer and the factors associated with annual collection. Methods: Cross-sectional study conducted between August 2010 and June 2011 through interviews with 144 women 25−52 years old in a low income urban community in Fortaleza (CE). Were used the χ 2 test and ANOVA comparing the groups never did collect, held annually and not those who made an annual basis. Variables with p values <0.20 were subjected to logistic regression to estimate odds ratios (OR). Results: The proportion of women who reported annual collection was 59.3%. Remunerated employment (p=0.04), and family income (p<0.01) showed significant association. In simple logistic regression, remunerated employment (OR=2.15), economic status (OR=3.32) and the having had the maximum of one pregnancy (OR=2.73) and, in multiple logistic regression, remunerated employment (OR=2.63) and the having had the maximum of one pregnancy (OR=2.60) were associated with annually periodicity for cervicovaginal smear. Conclusion: Women with remunerated employment and had no more than one pregnancy had a greater chance of achieving an annual frequency of cytology for preventing cervical cancer.

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Screening for Cancer in Low- and Middle-Income Countries

Cited by 482 publications

References 31 publications

Situation Analysis of Existing Facilities for Screening, Treatment and Prevention of Cervical Cancer in Hospitals/Primary health Centers of Delhi-NCR Region, India

Situation Analysis of Existing Facilities for Screening, Treatment and Prevention of Cervical Cancer in Hospitals/Primary health Centers of Delhi-NCR Region, India

Cervical cancer screening programme in Limpopo province: January 2007 to December 2010

Fatores associados à realização de citologia para prevenção de câncer do colo uterino em uma comunidade urbana de baixa renda

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