Use of risk-based cervical screening programs in resource-limited settings
Copyright © 2023. Published by Elsevier Ltd..
Cervical cancer screening and management in the U.S. has adopted a risk-based approach. However, the majority of cervical cancer cases and deaths occur in resource-limited settings, where screening and management are not widely available. We describe a conceptual model that optimizes cervical cancer screening and management in resource-limited settings by utilizing a risk-based approach. The principles of risk-based screening and management in resource limited settings include (1) ensure that the screening method effectively separates low-risk from high-risk patients; (2) directing resources to populations at the highest cancer risk; (3) screen using HPV testing via self-sampling; (4) utilize HPV genotyping to improve risk stratification and better determine who will benefit from treatment, and (5) automated visual evaluation with artificial intelligence may further improve risk stratification. Risk-based screening and management in resource limited settings can optimize prevention by focusing triage and treatment resources on the highest risk patients while minimizing interventions in lower risk patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:84 |
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| Enthalten in: |
Cancer epidemiology - 84(2023) vom: 15. Juni, Seite 102369 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Perkins, Rebecca B [VerfasserIn] |
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| Links: |
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| Themen: |
Automated visual. evaluation |
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| Anmerkungen: |
Date Completed 19.05.2023 Date Revised 25.05.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.canep.2023.102369 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a Cervical cancer screening and management in the U.S. has adopted a risk-based approach. However, the majority of cervical cancer cases and deaths occur in resource-limited settings, where screening and management are not widely available. We describe a conceptual model that optimizes cervical cancer screening and management in resource-limited settings by utilizing a risk-based approach. The principles of risk-based screening and management in resource limited settings include (1) ensure that the screening method effectively separates low-risk from high-risk patients; (2) directing resources to populations at the highest cancer risk; (3) screen using HPV testing via self-sampling; (4) utilize HPV genotyping to improve risk stratification and better determine who will benefit from treatment, and (5) automated visual evaluation with artificial intelligence may further improve risk stratification. Risk-based screening and management in resource limited settings can optimize prevention by focusing triage and treatment resources on the highest risk patients while minimizing interventions in lower risk patients | ||
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| 650 | 4 | |a Automated visual. evaluation | |
| 650 | 4 | |a Cervical cancer prevention | |
| 650 | 4 | |a HPV testing | |
| 650 | 4 | |a Resource-limited settings | |
| 650 | 4 | |a Risk-based screening | |
| 700 | 1 | |a Smith, Debi L |e verfasserin |4 aut | |
| 700 | 1 | |a Jeronimo, Jose |e verfasserin |4 aut | |
| 700 | 1 | |a Campos, Nicole G |e verfasserin |4 aut | |
| 700 | 1 | |a Gage, Julia C |e verfasserin |4 aut | |
| 700 | 1 | |a Hansen, Natasha |e verfasserin |4 aut | |
| 700 | 1 | |a Rodriguez, Ana Cecilia |e verfasserin |4 aut | |
| 700 | 1 | |a Cheung, Li C |e verfasserin |4 aut | |
| 700 | 1 | |a Egemen, Didem |e verfasserin |4 aut | |
| 700 | 1 | |a Befano, Brian |e verfasserin |4 aut | |
| 700 | 1 | |a Novetsky, Akiva P |e verfasserin |4 aut | |
| 700 | 1 | |a Martins, Sandro |e verfasserin |4 aut | |
| 700 | 1 | |a Kalpathy-Cramer, Jayashree |e verfasserin |4 aut | |
| 700 | 1 | |a Inturrisi, Federica |e verfasserin |4 aut | |
| 700 | 1 | |a Ahmed, Syed Rakin |e verfasserin |4 aut | |
| 700 | 1 | |a Marcus, Jenna |e verfasserin |4 aut | |
| 700 | 1 | |a Wentzensen, Nicolas |e verfasserin |4 aut | |
| 700 | 1 | |a de Sanjose, Silvia |e verfasserin |4 aut | |
| 700 | 1 | |a Schiffman, Mark |e verfasserin |4 aut | |
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