Development and evaluation of a cervical cancer screening system in Cambodia: A collaborative project of the Cambodian Society of Gynecology and Obstetrics and Japan Society of Obstetrics and Gynecology.
Adult
Cambodia
Colposcopy
/ statistics & numerical data
Early Detection of Cancer
/ methods
Female
Gynecology
/ methods
Health Education
/ methods
Health Plan Implementation
Humans
International Cooperation
Japan
Middle Aged
Papillomaviridae
Papillomavirus Infections
/ diagnosis
Patient Acceptance of Health Care
/ statistics & numerical data
Program Evaluation
Societies, Medical
Uterine Cervical Neoplasms
/ prevention & control
Uterine Cervical Dysplasia
/ prevention & control
Cambodia
cervical cancer screening
human papillomavirus test
low-resource country
polymerase chain reaction
probe-hybridization
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Jul 2019
Jul 2019
Historique:
received:
22
02
2019
accepted:
16
03
2019
pubmed:
13
4
2019
medline:
15
1
2020
entrez:
13
4
2019
Statut:
ppublish
Résumé
In Cambodia, the Japan Society of Obstetrics and Gynecology and the Cambodian Society of Gynecology and Obstetrics have an on-going project, started in 2015, for cervical cancer prevention and treatment. The project, currently aimed at factory workers, includes a women's health education program that leads into cervical cancer prevention by establishment of a system for early detection and treatment. It begins by health education, screening for human papillomavirus (HPV), followed by colposcopy and quicker treatment of earlier precursor lesions. Rates for participant screening, HPV test positivity, cervical intraepithelial neoplasia (CIN) detection and distribution of HPV types were compared between two screening programs, factory-based and hospital-based. Some HPV test samples were divided into two, one of which was sent to Japan for a quality-control check of the Cambodian testing. The factory-based participant screening rate was 19% (128/681). HPV was detected more frequently in the factory-based program participants (12%) than in the hospital-based program participants (5%). Unfortunately, however, the rate of receiving proper secondary colposcopy screening among the HPV-positive females was significantly higher in the hospital-based program (94%) than the factory-based program (40%) (P < 0.001). The Cambodian laboratory HPV testing accuracy was 92.6%. HPV types demonstrated no significant difference between the two prevention programs. We could successfully introduce HPV-based screening, starting from health education. However, low rate of screening, especially secondary screening for HPV positive factory workers was identified. Also, HPV testing could be further improved for accuracy through close monitoring.
Identifiants
pubmed: 30977232
doi: 10.1111/jog.13968
pmc: PMC6618121
doi:
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1260-1267Subventions
Organisme : Japan International Cooperation Agency Partnership Program
Organisme : Ministry of Health, Labour and Welfare
Informations de copyright
© 2019 The Authors. Journal of Obstetrics and Gynaecology Research published by John Wiley & Sons Australia, Ltd on behalf of Japan Society of Obstetrics and Gynecology.
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