Visual inspection with acetic acid for cervical cancer screening outside of low-resource settings La inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos
OBJECTIVES: To assess visual inspection with acetic acid (VIA) as a screening tool for use in a well-equipped health center in Peru, to evaluate VIA as an alternative or adjunct to the Papanicolaou (Pap) smear, and to determine if VIA can play a role in settings other than low-resource ones. METHODS...
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Pan American Health Organization
2005
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ftdoajarticles:oai:doaj.org/article:d05be8d54fe842b3a9e9685677c4fdbb 2023-05-15T15:19:20+02:00 Visual inspection with acetic acid for cervical cancer screening outside of low-resource settings La inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos Jose Jeronimo Orlando Morales Jorge Horna José Pariona Javier Manrique Jorge Rubiños Rina Takahashi 2005-01-01T00:00:00Z https://doaj.org/article/d05be8d54fe842b3a9e9685677c4fdbb EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892005000100001 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/d05be8d54fe842b3a9e9685677c4fdbb Revista Panamericana de Salud Pública, Vol 17, Iss 1, Pp 1-5 (2005) Neoplasmas del cuello uterino ácido acético técnicas y procedimientos diagnósticos tamizaje masivo valor predictivo de los tests recursos en salud Cervix neoplasms acetic acid diagnostic techniques and procedures mass screening predictive value of tests health resources Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2005 ftdoajarticles 2022-12-31T14:15:22Z OBJECTIVES: To assess visual inspection with acetic acid (VIA) as a screening tool for use in a well-equipped health center in Peru, to evaluate VIA as an alternative or adjunct to the Papanicolaou (Pap) smear, and to determine if VIA can play a role in settings other than low-resource ones. METHODS: This was a prospective study of 1 921 asymptomatic women living in Lima, Peru, carried out in 1999 and 2000. The study was performed at a cancer center equipped with the latest-generation technology and highly trained oncologists. The women underwent a complete clinical evaluation, including a Pap smear and VIA. Participants with any positive test were referred for colposcopy and biopsy. RESULTS: More women tested positive by VIA than on the Pap smear (6.9% vs. 4.2%; P = 0.0001). There were 35 women with histologic cervical intraepithelial neoplasia grade 1 (CIN 1); of these, 15 were detected by Pap and 20 by VIA (P = 0.4). A diagnosis of CIN 2 or 3 (CIN 2-3) was confirmed in a total of 13 cases; Pap detected 5 of the cases and VIA 11 of the cases (P = 0.06). The positive predictive value for detection of CIN 2+ was 8.3% for VIA and 6.3% for Pap (P = 0.5). Most importantly, while only 2.3% of patients with a positive VIA were lost to follow-up before colposcopy, that was true for 26.3% of the women with a positive Pap smear (P <0.0001). CONCLUSIONS: VIA is useful for detection of precursor lesions of cervical cancer not only in low-resource settings but also in well-equipped health centers and cancer centers. In these non-low-resource settings, VIA has a positive predictive value comparable to the conventional Pap smear, but it is more likely to achieve earlier diagnosis, follow-up, and treatment than cytology- based screening. OBJETIVOS: Determinar si la inspección visual con ácido acético (IVAA) es útil como prueba de tamizaje en un centro de salud peruano con buena dotación de equipo; si se presta para uso en lugar del Papanicolaou o en combinación con él, y si tiene alguna utilidad en lugares donde no hay ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Neoplasmas del cuello uterino ácido acético técnicas y procedimientos diagnósticos tamizaje masivo valor predictivo de los tests recursos en salud Cervix neoplasms acetic acid diagnostic techniques and procedures mass screening predictive value of tests health resources Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Neoplasmas del cuello uterino ácido acético técnicas y procedimientos diagnósticos tamizaje masivo valor predictivo de los tests recursos en salud Cervix neoplasms acetic acid diagnostic techniques and procedures mass screening predictive value of tests health resources Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Jose Jeronimo Orlando Morales Jorge Horna José Pariona Javier Manrique Jorge Rubiños Rina Takahashi Visual inspection with acetic acid for cervical cancer screening outside of low-resource settings La inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos |
topic_facet |
Neoplasmas del cuello uterino ácido acético técnicas y procedimientos diagnósticos tamizaje masivo valor predictivo de los tests recursos en salud Cervix neoplasms acetic acid diagnostic techniques and procedures mass screening predictive value of tests health resources Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVES: To assess visual inspection with acetic acid (VIA) as a screening tool for use in a well-equipped health center in Peru, to evaluate VIA as an alternative or adjunct to the Papanicolaou (Pap) smear, and to determine if VIA can play a role in settings other than low-resource ones. METHODS: This was a prospective study of 1 921 asymptomatic women living in Lima, Peru, carried out in 1999 and 2000. The study was performed at a cancer center equipped with the latest-generation technology and highly trained oncologists. The women underwent a complete clinical evaluation, including a Pap smear and VIA. Participants with any positive test were referred for colposcopy and biopsy. RESULTS: More women tested positive by VIA than on the Pap smear (6.9% vs. 4.2%; P = 0.0001). There were 35 women with histologic cervical intraepithelial neoplasia grade 1 (CIN 1); of these, 15 were detected by Pap and 20 by VIA (P = 0.4). A diagnosis of CIN 2 or 3 (CIN 2-3) was confirmed in a total of 13 cases; Pap detected 5 of the cases and VIA 11 of the cases (P = 0.06). The positive predictive value for detection of CIN 2+ was 8.3% for VIA and 6.3% for Pap (P = 0.5). Most importantly, while only 2.3% of patients with a positive VIA were lost to follow-up before colposcopy, that was true for 26.3% of the women with a positive Pap smear (P <0.0001). CONCLUSIONS: VIA is useful for detection of precursor lesions of cervical cancer not only in low-resource settings but also in well-equipped health centers and cancer centers. In these non-low-resource settings, VIA has a positive predictive value comparable to the conventional Pap smear, but it is more likely to achieve earlier diagnosis, follow-up, and treatment than cytology- based screening. OBJETIVOS: Determinar si la inspección visual con ácido acético (IVAA) es útil como prueba de tamizaje en un centro de salud peruano con buena dotación de equipo; si se presta para uso en lugar del Papanicolaou o en combinación con él, y si tiene alguna utilidad en lugares donde no hay ... |
format |
Article in Journal/Newspaper |
author |
Jose Jeronimo Orlando Morales Jorge Horna José Pariona Javier Manrique Jorge Rubiños Rina Takahashi |
author_facet |
Jose Jeronimo Orlando Morales Jorge Horna José Pariona Javier Manrique Jorge Rubiños Rina Takahashi |
author_sort |
Jose Jeronimo |
title |
Visual inspection with acetic acid for cervical cancer screening outside of low-resource settings La inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos |
title_short |
Visual inspection with acetic acid for cervical cancer screening outside of low-resource settings La inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos |
title_full |
Visual inspection with acetic acid for cervical cancer screening outside of low-resource settings La inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos |
title_fullStr |
Visual inspection with acetic acid for cervical cancer screening outside of low-resource settings La inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos |
title_full_unstemmed |
Visual inspection with acetic acid for cervical cancer screening outside of low-resource settings La inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos |
title_sort |
visual inspection with acetic acid for cervical cancer screening outside of low-resource settings la inspección visual con ácido acético para el tamizaje del cáncer cervicouterino donde no hay escasez de recursos |
publisher |
Pan American Health Organization |
publishDate |
2005 |
url |
https://doaj.org/article/d05be8d54fe842b3a9e9685677c4fdbb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 17, Iss 1, Pp 1-5 (2005) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892005000100001 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/d05be8d54fe842b3a9e9685677c4fdbb |
_version_ |
1766349520214425600 |