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Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach

INTRODUCTION: India fights massive cervical cancer burden. This article highlights an innovative feasible approach enabling tertiary hospitals to contribute to cancer prevention without compromising their primary mandate to provide treatment. METHODOLOGY: Since 1979, National Institute of Cancer Pre...

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Autores principales: Dhanasekaran, Kavitha, Verma, Chandresh, Kumar, Vipin, Hariprasad, Roopa, Gupta, Ruchika, Gupta, Sanjay, Mehrotra, Ravi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: West Asia Organization for Cancer Prevention 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948876/
https://www.ncbi.nlm.nih.gov/pubmed/31030504
http://dx.doi.org/10.31557/APJCP.2019.20.4.1265
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author Dhanasekaran, Kavitha
Verma, Chandresh
Kumar, Vipin
Hariprasad, Roopa
Gupta, Ruchika
Gupta, Sanjay
Mehrotra, Ravi
author_facet Dhanasekaran, Kavitha
Verma, Chandresh
Kumar, Vipin
Hariprasad, Roopa
Gupta, Ruchika
Gupta, Sanjay
Mehrotra, Ravi
author_sort Dhanasekaran, Kavitha
collection PubMed
description INTRODUCTION: India fights massive cervical cancer burden. This article highlights an innovative feasible approach enabling tertiary hospitals to contribute to cancer prevention without compromising their primary mandate to provide treatment. METHODOLOGY: Since 1979, National Institute of Cancer Prevention and Research (NICPR) support a tertiary hospital in cervical cancer screening through a satellite clinic. Record review of 5328 attendees of this clinic between January-December 2016 was done. Pap-smear testing and reporting were performed by trained NICPR personnel. Patients’ demographics, reproductive history, Pap-test date, cytology results were recorded and results were communicated to respective units for further management. RESULTS: Among 5328 women screened, 2% (96/5328) had abnormal cytology, which included malignancy(33%; 32/96), Atypical Squamous Cells-Undetermined Significance(ASC-US) (20%; 19/96), Atypical Glandular Cells(AGC) (23%; 22/96) with complaints of pain in lower abdomen 65.6%(59/90), white discharge per vaginum 46.7%(42/90) and backache 23.3%(21/90). In which, Muslims- 67% (65/96), illiterates- 58% (56/96). Age>35(p<0.001), parity>3(p<0.05), illiteracy (p<0.05), Muslim women (p<0.05) had positive association with abnormal cytology. CONCLUSION: Awareness about cervical cancer screening is the immediate need in resource-limited countries. Government hospitals in such countries should house dedicated preventive oncology unit for cancer screening.
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spelling pubmed-69488762020-02-04 Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach Dhanasekaran, Kavitha Verma, Chandresh Kumar, Vipin Hariprasad, Roopa Gupta, Ruchika Gupta, Sanjay Mehrotra, Ravi Asian Pac J Cancer Prev Research Article INTRODUCTION: India fights massive cervical cancer burden. This article highlights an innovative feasible approach enabling tertiary hospitals to contribute to cancer prevention without compromising their primary mandate to provide treatment. METHODOLOGY: Since 1979, National Institute of Cancer Prevention and Research (NICPR) support a tertiary hospital in cervical cancer screening through a satellite clinic. Record review of 5328 attendees of this clinic between January-December 2016 was done. Pap-smear testing and reporting were performed by trained NICPR personnel. Patients’ demographics, reproductive history, Pap-test date, cytology results were recorded and results were communicated to respective units for further management. RESULTS: Among 5328 women screened, 2% (96/5328) had abnormal cytology, which included malignancy(33%; 32/96), Atypical Squamous Cells-Undetermined Significance(ASC-US) (20%; 19/96), Atypical Glandular Cells(AGC) (23%; 22/96) with complaints of pain in lower abdomen 65.6%(59/90), white discharge per vaginum 46.7%(42/90) and backache 23.3%(21/90). In which, Muslims- 67% (65/96), illiterates- 58% (56/96). Age>35(p<0.001), parity>3(p<0.05), illiteracy (p<0.05), Muslim women (p<0.05) had positive association with abnormal cytology. CONCLUSION: Awareness about cervical cancer screening is the immediate need in resource-limited countries. Government hospitals in such countries should house dedicated preventive oncology unit for cancer screening. West Asia Organization for Cancer Prevention 2019 /pmc/articles/PMC6948876/ /pubmed/31030504 http://dx.doi.org/10.31557/APJCP.2019.20.4.1265 Text en This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (http://creativecommons.org/licenses/by/3.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Dhanasekaran, Kavitha
Verma, Chandresh
Kumar, Vipin
Hariprasad, Roopa
Gupta, Ruchika
Gupta, Sanjay
Mehrotra, Ravi
Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach
title Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach
title_full Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach
title_fullStr Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach
title_full_unstemmed Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach
title_short Cervical Cancer Screening Services at Tertiary Healthcare Facility: An Alternative Approach
title_sort cervical cancer screening services at tertiary healthcare facility: an alternative approach
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948876/
https://www.ncbi.nlm.nih.gov/pubmed/31030504
http://dx.doi.org/10.31557/APJCP.2019.20.4.1265
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