4.3 Editorial Material

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

Related references

Note: Only part of the references are listed.
Article Oncology

The development of automated visual evaluation for cervical cancer screening: The promise and challenges in adapting deep-learning for clinical testing

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Summary: Limited access to effective cervical cancer screening programs in resource-limited settings leads to high cervical cancer burden. Human papillomavirus (HPV) testing is recognized as the preferable primary screening approach, providing long-term reassurance and adaptability to self-sampling. Visual inspection with acetic acid (VIA) is widely used in resource-limited settings, but it is subjective and inaccurate.

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Summary: This study implemented a 5-year cervical cancer screening program in Cameroon and provided a specific training framework, supervision, and effectiveness evaluation. The results show that training, supervision, and a focus on cervical cancer screening effectiveness contribute to improving healthcare provider competence and delivering high-quality healthcare services.

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Summary: Accelerated cervical cancer control requires widespread HPV vaccination and screening. A redesigned 13-type assay (ScreenFire) has shown high agreement with reference testing in identifying HPV types with the highest carcinogenic risk.

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Summary: This study evaluated the clinical performance, treatment completion rates, adverse events profile, and acceptability of a fully integrated strategy for screening cervical cancer in women in Papua New Guinea. The results showed that the strategy, which included point-of-care HPV testing and same-day treatment, was effective, acceptable, and safe. This has important implications for the control and elimination of cervical cancer in low-income and middle-income countries.

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Summary: This study aimed to investigate whether combined examination by naked-eye and digital VIA/VILI improves the detection of CIN2+. The results showed that the addition of digital VIA/VILI may be associated with improved identification of CIN2+, but further studies are needed to confirm these findings.

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Veronique Bouvard et al.

Summary: This article reviews the best methods of screening for cervical cancer, with HPV nucleic acid testing being superior whether used alone or in combination with other methods.

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