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Use of risk-based cervical screening programs in resource-limited settings.

Authors :
Perkins RB
Smith DL
Jeronimo J
Campos NG
Gage JC
Hansen N
Rodriguez AC
Cheung LC
Egemen D
Befano B
Novetsky AP
Martins S
Kalpathy-Cramer J
Inturrisi F
Ahmed SR
Marcus J
Wentzensen N
de Sanjose S
Schiffman M
Source :
Cancer epidemiology [Cancer Epidemiol] 2023 Jun; Vol. 84, pp. 102369. Date of Electronic Publication: 2023 Apr 25.
Publication Year :
2023

Abstract

Cervical cancer screening and management in the U.S. has adopted a risk-based approach. However, the majority of cervical cancer cases and deaths occur in resource-limited settings, where screening and management are not widely available. We describe a conceptual model that optimizes cervical cancer screening and management in resource-limited settings by utilizing a risk-based approach. The principles of risk-based screening and management in resource limited settings include (1) ensure that the screening method effectively separates low-risk from high-risk patients; (2) directing resources to populations at the highest cancer risk; (3) screen using HPV testing via self-sampling; (4) utilize HPV genotyping to improve risk stratification and better determine who will benefit from treatment, and (5) automated visual evaluation with artificial intelligence may further improve risk stratification. Risk-based screening and management in resource limited settings can optimize prevention by focusing triage and treatment resources on the highest risk patients while minimizing interventions in lower risk patients.<br />Competing Interests: Declaration of Competing Interest No authors have a conflict of interest to declare related to this work.<br /> (Copyright © 2023. Published by Elsevier Ltd.)

Details

Language :
English
ISSN :
1877-783X
Volume :
84
Database :
MEDLINE
Journal :
Cancer epidemiology
Publication Type :
Academic Journal
Accession number :
37105017
Full Text :
https://doi.org/10.1016/j.canep.2023.102369