Document Detail


Cervical screening strategies in resourced and resource-constrained countries.
MedLine Citation:
PMID:  21689987     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Screening for cervical cancer is well established in resourced countries, but in resource-constrained countries, it is almost non-existent at national level. In resourced countries, the Pap test forms the hallmark of screening, with the human papillomavirus DNA test a recent adjunct. In many resourced countries, however, screening for cervical cancer is still far from ideal. A coverage around 50% prevails in some countries, and few have reached the target of 80% or more. Furthermore, the human papillomavirus test and newly developed biomarkers may lead to the development of a 'super test', which could be applied less frequently compared with present-day cytological screening. In resource-constrained countries, the movement is towards a 'screen and treat' approach. The main screening methods under investigation are the visual inspection after diluted acetic acid application test and the human papillomavirus test. Cryotherapy and large loop excision of the transformation zone have been used most often as treatment methods. The ideal seems to be the human papillomavirus test with large loop excision of the transformation zone, provided a low-cost human papillomavirus test becomes available. Coverage is even a greater problem in resource-constrained countries, a problem in need of urgent attention. Resource-constrained countries, however, must curtail the high incidence of cervical cancer, which is often a lower priority than other pressing healthcare needs.
Authors:
H S Cronjé
Related Documents :
21869167 - Testing for uniformity in multidimensional data.
23319537 - Utility of hepatic transaminases in children with concern for abuse.
23281067 - Validation of use of the international consultation on incontinence questionnaire-urina...
24200307 - Comparative effectiveness of nicl2, ni- and nio-nps in controlling oral bacterial growt...
21369497 - How to interpret nutrition drink test.
18391677 - The sensitivity and specificity of the slump and the straight leg raising tests in pati...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-6-18
Journal Detail:
Title:  Best practice & research. Clinical obstetrics & gynaecology     Volume:  -     ISSN:  1532-1932     ISO Abbreviation:  -     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-6-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101121582     Medline TA:  Best Pract Res Clin Obstet Gynaecol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Obstetrics and Gynaecology, University of the Free State, Bloemfontein 9300, PO Box 339 (G71), South Africa.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  An investigation of shoulder forces in active shoulder tackles in rugby union football.
Next Document:  The long-term effect of listening to Mozart K.448 decreases epileptiform discharges in children with...