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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
West Asia Organization for Cancer Prevention
2019
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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. |
format | Online Article Text |
id | pubmed-6948876 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | West Asia Organization for Cancer Prevention |
record_format | MEDLINE/PubMed |
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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