Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2018 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo de conferência |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/44737 |
Resumo: | A . Ribeiro - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento. |
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Saturnino, Ana Conceição Ribeiro DantasMartins, T. R.Rodriguez, A. C.Gage, J. C.Torres, K. L.Leal, A.Martins, S. J.Moreira Júnior, Edson Duarte2020-12-08T13:47:37Z2020-12-08T13:47:37Z2018RIBEIRO, A. et al. Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on. In: INTERNATIONAL PAPILLOMAVIRUS CONFERENCE, 32., 2018., Anais [...]. Sydney: IPVC, 2018. p. [844]. Abstract.https://www.arca.fiocruz.br/handle/icict/44737A . Ribeiro - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento.Federal University of Rio Grande do Norte. Department of Clinical Analyses and Toxicology. Natal, RN, Brazil.National Cancer Institute. National Institutes of Health. Division of Cancer Epidemiology and Genetics. Rockville, MD, United States.Fundação Centro de Controle de Oncologia do Estado do Amazonas. Centro de Ensino e Pesquisa. Manaus, AM, Brazil.Ministério da Saúde. Coordenação-Geral de Atenção Especializada. Brasília, DF, Brazil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil.Background and Aims: Cervical cancer mortality remains high in North, Northeast and Midwest Brazil, despite the Universal Health Care System (SUS) that provides free cytology-based cervical cancer screening and treatment. In 2014, Brazil started nationwide HPV vaccination among girls aged 9-14. Cytology performance is inferior to HPV testing and even worse among vaccinated women, pressing for a change in cervical screening strategy. Since HPV testing may be introduced soon, the challenges to the current screening program were identified in three cities with an elevated burden of cervical cancer. Methods: Barriers to implementing a successful comprehensive screening program were identified through visits and interviews with personnel at primary screening clinics, laboratories, and referral hospitals. Results: Several unique challenges were found in some cities. Access to screening was limited by excessive travel required to access clinics, inconvenient service hours, and lack of public education. Cytology had many unsatisfactory results and low positivity. Follow-up was incomplete at all steps. Laboratories provided delayed cytology and biopsy results (3+ months). Screening clinics did not arrange or track colposcopy referrals; colposcopy clinics received no information from referring clinics. Queues for colposcopy and treatment were long. Treatment services were offered in tertiary hospitals. Electronic medical records have not yet replaced paper recordkeeping, leading to errors and loss of medical records. Some services were excessive with women outside targeted age range and over-referral to colposcopy (i.e. minor abnormalities).Conclusions: Cities are already improving program with additional clinic hours, educational campaigns and improved coordination. Further consideration of HPV testing will require consideration of these barriers.engIPVCNeoplasias do colo do úteroHPVCervical cancerPapillomavirus InfectionsPapillomaviridaeNeoplasias do Colo do ÚteroInfecções por PapillomavirusPapillomaviridaeChallenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving oninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/conferenceObjectinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/44737/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALChallenges to implementing a comprehensive cervical cancer screening program in Brazil.pdfChallenges to implementing a comprehensive cervical cancer screening program in Brazil.pdfapplication/pdf274348https://www.arca.fiocruz.br/bitstream/icict/44737/2/Challenges%20to%20implementing%20a%20comprehensive%20cervical%20cancer%20screening%20program%20in%20Brazil.pdf8343ad34fcc4a78088b438df867038f4MD52TEXTChallenges to implementing a comprehensive cervical cancer screening program in Brazil.pdf.txtChallenges to implementing a comprehensive cervical cancer screening program in Brazil.pdf.txtExtracted texttext/plain2812https://www.arca.fiocruz.br/bitstream/icict/44737/3/Challenges%20to%20implementing%20a%20comprehensive%20cervical%20cancer%20screening%20program%20in%20Brazil.pdf.txt1ac4e2cafefa97ab8be270238fd27531MD53icict/447372020-12-09 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| dc.title.pt_BR.fl_str_mv |
Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on |
| title |
Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on |
| spellingShingle |
Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on Saturnino, Ana Conceição Ribeiro Dantas Neoplasias do colo do útero HPV Cervical cancer Papillomavirus Infections Papillomaviridae Neoplasias do Colo do Útero Infecções por Papillomavirus Papillomaviridae |
| title_short |
Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on |
| title_full |
Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on |
| title_fullStr |
Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on |
| title_full_unstemmed |
Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on |
| title_sort |
Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on |
| author |
Saturnino, Ana Conceição Ribeiro Dantas |
| author_facet |
Saturnino, Ana Conceição Ribeiro Dantas Martins, T. R. Rodriguez, A. C. Gage, J. C. Torres, K. L. Leal, A. Martins, S. J. Moreira Júnior, Edson Duarte |
| author_role |
author |
| author2 |
Martins, T. R. Rodriguez, A. C. Gage, J. C. Torres, K. L. Leal, A. Martins, S. J. Moreira Júnior, Edson Duarte |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
Saturnino, Ana Conceição Ribeiro Dantas Martins, T. R. Rodriguez, A. C. Gage, J. C. Torres, K. L. Leal, A. Martins, S. J. Moreira Júnior, Edson Duarte |
| dc.subject.other.pt_BR.fl_str_mv |
Neoplasias do colo do útero HPV |
| topic |
Neoplasias do colo do útero HPV Cervical cancer Papillomavirus Infections Papillomaviridae Neoplasias do Colo do Útero Infecções por Papillomavirus Papillomaviridae |
| dc.subject.en.pt_BR.fl_str_mv |
Cervical cancer Papillomavirus Infections Papillomaviridae |
| dc.subject.decs.pt_BR.fl_str_mv |
Neoplasias do Colo do Útero Infecções por Papillomavirus Papillomaviridae |
| description |
A . Ribeiro - Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento. |
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2018 |
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2018 |
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RIBEIRO, A. et al. Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on. In: INTERNATIONAL PAPILLOMAVIRUS CONFERENCE, 32., 2018., Anais [...]. Sydney: IPVC, 2018. p. [844]. Abstract. |
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RIBEIRO, A. et al. Challenges to implementing a comprehensive cervical cancer screening program in Brazil: lessons from three cities to consider when moving on. In: INTERNATIONAL PAPILLOMAVIRUS CONFERENCE, 32., 2018., Anais [...]. Sydney: IPVC, 2018. p. [844]. Abstract. |
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