1. Safety, feasibility, and acceptability of visual inspection with acetic acid and immediate treatment with cryotherapy in rural Laos
- Author
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Phongsavan, Keokedthong, Phengsavanh, Alongkone, Wahlström, Rolf, Marions, Lena, and Wahlström, Rolf
- Subjects
COLD therapy ,FEASIBILITY studies ,MEDICAL screening ,ACETIC acid ,CANCER prevention ,CERVICAL cancer ,PRIMARY care ,CERVIX uteri tumors ,TUMOR prevention ,CERVICAL intraepithelial neoplasia ,CHEMICAL reagents ,COMPARATIVE studies ,DEVELOPING countries ,RESEARCH methodology ,MEDICAL cooperation ,RESEARCH ,RURAL population ,PILOT projects ,EVALUATION research ,PREVENTION ,DIAGNOSIS - Abstract
Objective: To assess the safety, acceptability, and feasibility of visual inspection with acetic acid (VIA) followed by immediate treatment with cryotherapy as a single-visit approach for the prevention of cervical cancer among women in rural Laos.Methods: In 2009, women from 2 provinces in Laos were recruited for cervical cancer screening using VIA. If the inspection of the cervix showed a well-defined acetowhite lesion close to the os, immediate cryotherapy was offered.Results: Of the 1926 women who were included, 134 (7.0%) tested positive on VIA. Of these, 113 (84.3%) underwent immediate cryotherapy and none declined treatment. One year after immediate cryotherapy, 77 (68.1%) women returned for a follow-up assessment and 68 (88.3%) were now VIA-negative. There was no report of a major complication during or after treatment. The acceptance of both VIA and cryotherapy was high.Conclusion: Visual inspection with acetic acid is a simple test that requires minimal infrastructure and expenditure. Integration of VIA with cryotherapy at the primary care level may constitute a feasible program for the prevention of cervical cancer in Laos. [ABSTRACT FROM AUTHOR]- Published
- 2011
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