Outcomes from 8 years of cervical cancer screening at a rural screen-and-treat site in northern Tanzania.

Autor: Maillie L; Icahn School of Medicine at Mount Sinai, New York, New York, USA., Yussuph A; Department of Oncology, Bugando Medical Centre, Mwanza, Tanzania., Chirangi B; Shirati KMT Council Designated Hospital, Mara, Tanzania., Schroeder K; Department of Oncology, Bugando Medical Centre, Mwanza, Tanzania.; Division of Pediatric Hematology/Oncology, Duke University Medical Center, Durham, North Carolina, USA.; Duke Global Cancer Program, Duke University Medical Center, Durham, North Carolina, USA.
Jazyk: angličtina
Zdroj: International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics [Int J Gynaecol Obstet] 2023 Feb; Vol. 160 (2), pp. 604-611. Date of Electronic Publication: 2022 Sep 10.
DOI: 10.1002/ijgo.14429
Abstrakt: Objective: To examine screening outcomes for a rural screen-and-treat site as well as the referral completion rate, outreach programming, and screening costs.
Methods: A retrospective cross-sectional analysis of demographic information and screening outcomes for all women screened at a rural screen-and-treat site between August 2011 and December 2018 was conducted. Referral completion rate for women with suspected cervical cancer was calculated for 2018.
Results: A total of 10 157 screenings were conducted during the study period. Median age was 35 years and median parity was 5. In all, 545 (5.35%) women were positive on visual inspection with acetic acid (VIA+), and 461 (91.1%) of 506 eligible women received cryotherapy. In 2018, 93 women were referred for suspected cancer to the zonal referral center, but only 10 (10.8%) presented for treatment. Mean screening cost was US$ 6.62 per person.
Conclusion: VIA+ rate was comparable to rates at urban sites in Tanzania, and outreach was an important component of screening. In contrast to other reports, few women suspected of having cancer reached treatment after being referred. Although the low cost of screening highlights the feasibility of rural screen-and-treat sites, additional research is needed to improve completion of referrals to a higher level of care.
(© 2022 International Federation of Gynecology and Obstetrics.)
Databáze: MEDLINE
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