New Approaches to Cervical Cancer Screening in Latin America and the Caribbean

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dc.contributor.authorHerrero, Rolando
dc.contributor.authorFerreccio, Catterina
dc.contributor.authorSalmeron, Jorge
dc.contributor.authorAlmonte, Maribel
dc.contributor.authorInes Sanchez, Gloria
dc.contributor.authorLazcano Ponce, Eduardo
dc.contributor.authorJeronimo, Jose
dc.date.accessioned2024-01-10T12:06:53Z
dc.date.available2024-01-10T12:06:53Z
dc.date.issued2008
dc.description.abstractCervical cancer remains an important public health problem in the Latin America and Caribbean region (LAC), with an expected significant increase in disease burden in the next decades as a result of population ageing. Prophylactic human papillomavirus (HPV) vaccine is currently unaffordable in LAC countries, However, even if vaccination was implemented, an additional two decades will be required to observe its impact on HPV related disease and cancer. With some exceptions, cytology-based screening programs have been largely ineffective to control the problem in the region, and there is a need for new approaches to the organization of screening and for use of newly developed techniques. Several research groups in LAC have conducted research on new screening methods, some of which are summarized in this paper. A recommendation to reorganize screening programs is presented considering visual inspection for very low resource areas, improvement of cytology where it is operating successfully and HPV DNA testing followed by visual inspection with acetic acid (VIA) or cytology as soon as this method becomes technically and economically sustainable. This could be facilitated by the incorporation of new, low-cost HPV DNA testing methods and the use of self-collected vaginal specimens for selected groups of the population. An important requisite for screening based on HPV testing will be the quality assurance of the laboratory and the technique by validation and certification measures. (C) 2008 Elsevier Ltd. All rights reserved.
dc.fechaingreso.objetodigital16-04-2024
dc.format.extent10 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.vaccine.2008.05.025
dc.identifier.eissn1873-2518
dc.identifier.issn0264-410X
dc.identifier.pubmedidMEDLINE:18945402
dc.identifier.urihttps://doi.org/10.1016/j.vaccine.2008.05.025
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76218
dc.identifier.wosidWOS:000260322900006
dc.information.autorucMedicina;Ferreccio C;S/I;99684
dc.language.isoen
dc.nota.accesoContenido parcial
dc.publisherELSEVIER SCI LTD
dc.revistaVACCINE
dc.rightsacceso restringido
dc.subjectHPV
dc.subjectHPV testing
dc.subjectLatin America
dc.subjectCaribbean
dc.subjectCervical cancer
dc.subjectScreening
dc.subjectCytology
dc.subjectRANDOMIZED CONTROLLED-TRIAL
dc.subjectHUMAN-PAPILLOMAVIRUS DNA
dc.subjectLOW-RESOURCE SETTINGS
dc.subjectVISUAL INSPECTION
dc.subjectACETIC-ACID
dc.subjectHIGH-RISK
dc.subjectINTRAEPITHELIAL NEOPLASIA
dc.subjectCONVENTIONAL CYTOLOGY
dc.subjectDEVELOPING-COUNTRIES
dc.subjectCOSTA-RICA
dc.subject.ods05 Gender Equality
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa05 Igualdad de género
dc.subject.odspa03 Salud y bienestar
dc.titleNew Approaches to Cervical Cancer Screening in Latin America and the Caribbean
dc.typeartículo
dc.volumen26
sipa.codpersvinculados99684
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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