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El impacto de la prueba de VPH en los programas de tamizaje en América Latina: el caso de Argentina / The impact of the HPV test in screening programs in Latin America: The case of Argentina
Arrossi, Silvina.
  • Arrossi, Silvina; Centro de Estudios de Estado y Sociedad. AR
Salud pública Méx ; 61(1): 86-94, ene.-feb. 2019. tab
Article in Spanish | LILACS | ID: biblio-1043362
RESUMEN
Resumen

Objetivo:

Evaluar el impacto de la prueba de VPH (prueba de VPH) en los problemas que históricamente afectaron al tamizaje de cáncer cervical en América Latina, tomando como caso al Proyecto Demostración para la Introducción de la prueba de VPH en Jujuy (PDJ), Argentina. Material y

métodos:

Se sintetizó la evidencia sobre los problemas del tamizaje cervical en la región. Se analizó el impacto en los problemas a partir de la introducción de la prueba de VPH. El impacto se clasificó en directo/indirecto y positivo/negativo.

Resultados:

El impacto directo-positivo se dio en los problemas de adherencia a la edad/frecuencia de tamizaje, laboratorios de citología, baja/moderada sensibilidad de la citología y baja cobertura. El impacto directo-negativo se vinculó con el triaje de autotoma y el envío/etiquetado de muestras. El impacto indirecto-positivo se relacionó con la reorganización programática realizada para introducir la prueba de VPH.

Conclusiones:

La prueba de VPH representa una ventana de oportunidad para el mejoramiento del tamizaje pero no resuelve los problemas programáticos.
ABSTRACT
Abstract

Objective:

To assess the impact of HPV testing on longstanding problems faced by screening programs in Latin America, using the case of the Jujuy Demonstration Project (JDP) in Argentina. Materials and

methods:

The study measured the level of impact produced by the introduction of HPV-testing on problems faced by cytology programs by analyzing modifications on specific problems produced during the JDP. Impact was classified as direct/indirect, and positive/ negative.

Results:

Direct/positive impact was found in issues concerning age and screening frequency, cytology laboratories and screening sensitivity, and low coverage. Direct/negative impact was mainly related to the adherence to triage cytology by HPV+ women with self-collected-tests, and the delivery and labelling of samples. Indirect impact of HPV-Test was mostly positive, and related to the programmatic reorganization which was facilitated by the introduction of HPV testing.

Conclusions:

HPV testing provides an opportunity window for improving primary screening, but does not solve programmatic problems.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Vaginal Smears / Uterine Cervical Neoplasms / Mass Screening / Papillomavirus Infections / Human Papillomavirus DNA Tests Type of study: Diagnostic study / Evaluation studies / Prognostic study / Screening study Limits: Female / Humans Country/Region as subject: South America / Argentina Language: Spanish Journal: Salud pública Méx Journal subject: Public Health Year: 2019 Type: Article Affiliation country: Argentina Institution/Affiliation country: Centro de Estudios de Estado y Sociedad/AR

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Full text: Available Index: LILACS (Americas) Main subject: Vaginal Smears / Uterine Cervical Neoplasms / Mass Screening / Papillomavirus Infections / Human Papillomavirus DNA Tests Type of study: Diagnostic study / Evaluation studies / Prognostic study / Screening study Limits: Female / Humans Country/Region as subject: South America / Argentina Language: Spanish Journal: Salud pública Méx Journal subject: Public Health Year: 2019 Type: Article Affiliation country: Argentina Institution/Affiliation country: Centro de Estudios de Estado y Sociedad/AR