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Type: Artigo de periódico
Title: Human papillomavirus testing as an optional screening tool in low-resource settings of Latin America: experience from the Latin American Screening study
Author: Longatto, A
Erzen, M
Branca, M
Roteli-Martins, C
Naud, P
Derchain, SFM
Hammes, L
Sarian, LO
Braganca, JF
Matos, J
Gontijo, R
Lima, T
Maeda, MYS
Tatti, S
Syrjanen, S
Dores, G
Lorincz, A
Syrjanen, K
Abstract: Hybrid capture II (HC II) test for oncogenic human papillomaviruses (HPV) was carried out in a cohort of 4284 women at their first clinical visit. Overall prevalence of HPV was 17.1%, decreasing with age from 33.9% among women below 20 years to only 11.0% among those older than 41 years. HPV prevalence was significantly higher among current smokers (odds ratio [OR] = 1.31; 95% CI 1.1-1.6), in women with two or more lifetime sexual partners (OR = 1.9; 95% CI 1.6-2.4), and those women with two or more sexual partners during the past 12 months prior to examination (OR = 1.6; 95% CI 1.2-2.2). HPV detection increased in parallel with increasing cytologic abnormality, being highest in women with high-grade squamous intraepithelial lesion (P = 0.001). Specificity of the HPV test in detecting histologically confirmed cervical disease was 85% (95% CI 83.9-86.1). Sensitivity of the HPV test in detecting histologic abnormalities increased in parallel with disease severity, ranging from 51.5% for cervical intraepithelial neoplasia (CIN) 1 to 96.5% for CIN 3 and 100.0% for cancer, with respective decline of positive predictive value. These data suggest that HPV testing with HC II assay might be a viable screening tool among this population with relatively high prevalence of cervical disease.
Subject: cervical cancer
HPV testing
resource setting
Country: EUA
Editor: Lippincott Williams & Wilkins
Citation: International Journal Of Gynecological Cancer. Lippincott Williams & Wilkins, v. 16, n. 3, n. 955, n. 962, 2006.
Rights: fechado
Identifier DOI: 10.1111/j.1525-1438.2006.00582.x
Date Issue: 2006
Appears in Collections:Unicamp - Artigos e Outros Documentos

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