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Cited by 23Cervical Cancer and HPV ResearchWomen's cancer prevention and managementReproductive tract infections research

HPV detection-based cervical cancer screening program in low-resource setting: lessons learnt from a community-based demonstration project in India

Mittal, Srabani, Mandal, Ranajit, Banerjee, Dipanwita, Das, Pradip, Ghosh, Ishita, Panda, Chinmay, Biswas, Jaydip, Basu, Partha·2016·Cancer Causes & Control
DOI 10.1007/s10552-015-0708-z
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Abstract

Purpose A demonstration project was conducted to assess feasibility of implementing HPV detection-based cervical cancer screening in primary care settings in India and to generate local evidence on feasibility and effectiveness of HPV detection in primary screening. Methods The project was implemented by setting up screening clinics at primary health centers. Eligible women were screened by HPV DNA test (Hybrid capture 2). All samples were processed and tested in a single laboratory. Colposcopy services were provided to screen-positive women at the same community clinics. Project utilized services of community health workers for community mobilization, recall of screen-positive and disease-positive women. Women with ≥CIN2 diagnosis were treated at tertiary hospital. Results Totally, 44,110 women were screened and HPV positivity was 4.7 %. Compliance to recall of HC2-positive women for colposcopy was 78 %. Detection rate of CIN3+ by HPV test was 3.9/1,000 women. Compliance of women to treatment was 80.1 %. However, compliance of HPV-positive women for follow-up at 1 year was poor (23.2 %). Concurrent use of VIA to screen the women did not have any advantage but increased number of unnecessary colposcopies and biopsies. Conclusions Our project demonstrated that it was possible to implement HPV detection-based screening using existing primary healthcare infrastructure. Performing colposcopy at primary setting is feasible, improves compliance and reduces over-treatment. In settin…

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Authors
Mittal, S., Mandal, R., Banerjee, D., Das, P., Ghosh, I., Panda, C., Biswas, J., & Basu, P.
Affiliations
Chittaranjan National Cancer Institute (IN)
Corresponding author
Basu, Partha
ORCID
Venue
Cancer Causes & Control
Publisher
Springer Science and Business Media LLC
Published
2015-12-28
Volume
27
Issue
3
Pages
351-358
ISSN
  • 0957-5243 (ISSN-L)
  • 1573-7225
DOI
10.1007/s10552-015-0708-z
OpenAlex
W2201619862
Cited by
23
References
12
Citations by year
2025: 3 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 6 · 2018: 2 · 2017: 2 · 2016: 1
FWCI
1.31
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Cancer Causes & Control (publishedVersion)
  • PubMed (publishedVersion)
Funders
Qiagen India
Topics
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Keywords
HPV testing, cervical cancer screening, Hybrid Capture 2, primary care, colposcopy, community health workers, visual inspection with acetic acid, cervical intraepithelial neoplasia, resource-limited settings, India
MeSH terms
Adult, Biopsy, Uterine Cervical Dysplasia, Uterine Cervical Neoplasms, Colposcopy, Female, Humans, India, Mass Screening, Middle Aged, Papillomavirus Infections, Early Detection of Cancer

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