Cover image for Cervical Cancer Screening in developing countries : report of a WHO consultation.
Cervical Cancer Screening in developing countries : report of a WHO consultation.
Title:
Cervical Cancer Screening in developing countries : report of a WHO consultation.
Author:
Organization, World Health.
ISBN:
9789240680173
Personal Author:
Physical Description:
1 online resource (89 pages)
Contents:
References -- Investigations of tests in primary screening -- Tests used in the diagnosis and management of minimal cervical abnormalities -- Appendix:Epidemiological Issues in the Evaluation of Alternative Screening Tests -- Recommendations on the designs of studies on HPV testing for cervical screening -- HPV in quality control of cytology-based screening programmes -- Opportunities for self-sampling in screening and triage -- The ALTS trial -- The Kaiser Permanente study -- HPV tests in the triage of minimal cervical abnormalities -- Impact of HIV status and age on performance of HPV DNA -- HR-HPV testing and HPV type-specific testing performance in screening -- HPV tests in primary screening programmes -- Natural history studies and case control studies -- Uses of HPV testing in screening -- HPV testing systems: developments for the near future -- Sample preparation / handling -- Tests available and results to date -- HPV testing systems: current methods for screening -- Rationale for using HPV testing in cervical screening -- Introduction -- HPV Tests in Cervical Screening Programmes -- Possible Role in Middle-Income Countries -- Conclusion on VIA -- Research issues -- Advantages and limitations of VIA -- Training issues -- Diagnostic evaluation and management of lesions detected by VIA -- Definition and reporting of test outcomes -- Test characteristics and current level of evidence for VIA as an alternative screening approach -- Visual Inspection with Acetic Acid Application (VIA) as an Alternative Approach to Cytology Screening in Low-Income Countries -- Research issues on cervical cytology in developing countries -- Research issues on cervical screening programmes in developing countries -- The circumstances when cervical screening programmes should be recommended -- The implications of different methods of smear reading.

The implications of different methods of sampling -- The strengths of the conventional cervical cytology test -- Elements that interfere with the development of successful cervical screening programmes -- The essential elements for successful cytology screening programmes -- The validity of cervical cytology as a screening test -- Cervical cytology as an effective screening test -- Cytology Screening in Middle-income Countries -- Fundamental components essentialfor an organized programme -- The essential elements for successful cervical screening -- Programme Organization -- Epidemiological Status Of Cervical Cancer -- Introduction -- Executive Summary -- Preface.
Abstract:
This publication is the product of a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It is part of WHO's commitment to provide evidence-based guidelines to decision makers and a recognition of the priority that should be given to cervical cancer screening and treatment as an essential component of any comprehensive national cancer control programme. The report focuses particularly on the situation in low and middle income countries - countries in which cervical cytology screening may not be feasible or cost effective. It documents the current state of evidence concerning alternative tests - Visual inspection with Acetic acid (VIA) and Human Papillomavirus (HPV) testing. It reviews trials that are currently being undertaken, and gives policy makers an indication of developments that are likely to emerge in the near future. However, it also emphasizes that the efficient and effective functioning of the system in its entirety is central to the success of any screening programme, irrespective of the screening method chosen.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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