The Effectiveness of Pap and Visual Inspection With Acetic Acid (VIAA) Tests in Cervical Dysplasia Screenings During the COVID-19 Pandemic

Abstract

This study was aimed at analyzing the validity and reliability of the Papanicolaou (Pap) test and visual inspection with acetic acid (VIAA) tests for cervical dysplasia screenings during the COVID-19 pandemic. Material and methodsThis was a retrospective study of patients 21 years or older seen at the Luis Negreiros Primary Care Center in Lima, Peru between 2020 and 2021, who underwent cervical dysplasia screening (Pap or VIAA). Relevant information regarding patient age, date of service, and Pap and VIAA results were collected. Parallel form reliability was analyzed with chi-square tests, and phi, contingency and Cramer's V coefficients. The validity of these tests was analyzed through the calculation of the sensitivity, specificity, and positive and negative predictive values with confidence intervals. A p-value less than 0.05 indicated statistical significance. ResultsFrom 4,503 records, the sensitivity, specificity, and positive and negative predictive values for Pap were 0.87 (0.

Repercussões Da Pandemia De Covid-19 Sobre a Realização Do Exame Preventivo De Câncer De Colo Uterino: Uma Revisão Integrativa

“…Verificou-se, na análise dos estudos, que cinco artigos (Masson, 2021;Oliveira et al, 2022;Rojas-Zumaran et al, 2022;Lagos-Castillo et al, 2022;Amram et al, 2022) apresentaram reduções no rastreamento do câncer de colo do útero. O motivo principal dessa diminuição dos atendimentos foi a redução dos serviços de saúde durante a pandemia, onde se prioriza atendimentos emergenciais.…”

“…Durante a pandemia de COVID-19 os testes de Papanicolau foram afetados negativamente. Estes efeitos consideram os programas de rastreio desta doença em estado de crise, além de mostrarem um número crescente de mulheres diagnosticadas com lesões prémalignas (Lagos-Castillo et al, 2022).…”