Cervical cancer control in Latin America: A call to action

Brittany L. Bychkovsky, Mayra E. Ferreyra, Kathrin Strasser-Weippl, Christina I. Herold, Gilberto De Lima Lopes, Don S. Dizon, Kathleen M. Schmeler, Marcela Del Carmen, Tom C. Randall, Angelica Nogueira-Rodrigues, Aknar Freire De Carvalho Calabrich, Jessica St. Louis, Caroline M. Vail, Paul E. Goss

Research output: Contribution to journalReview article

Abstract

Cervical cancer (CC) is second most common cause of cancer in Latin America and is a leading cause of cancer mortality among women. In 2015, an estimated 74,488 women will be diagnosed with CC in Latin America and 31,303 will die of the disease. CC mortality is projected to increase by 45% by 2030 despite human papillomavirus (HPV) vaccination and screening efforts. In this setting, the goal was of the current study was to examine CC control efforts in Latin America and identify deficiencies in these efforts that could be addressed to reduce CC incidence and mortality. The authors found that HPV vaccination has been introduced in the majority of Latin American countries, and there is now a need to monitor the success (or shortcomings) of these programs and to ensure that these programs are sustainable. This topic was also reviewed in light of emerging data demonstrating that visual inspection with acetic acid and HPV DNA testing without Papanicolaou tests have efficacy from a screening perspective and are good alternatives to cytology-based screening programs. Overall, there is a need to build capacity for CC control in Latin America and the best strategy will depend on the country/region and must be tailored to meet the needs of the population as well as available resources.

Original languageEnglish (US)
Pages (from-to)502-514
Number of pages13
JournalCancer
Volume122
Issue number4
DOIs
StatePublished - Feb 15 2016

Keywords

  • Latin America
  • cervical cancer
  • human papillomavirus (HPV)
  • screening
  • vaccination

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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  • Cite this

    Bychkovsky, B. L., Ferreyra, M. E., Strasser-Weippl, K., Herold, C. I., De Lima Lopes, G., Dizon, D. S., Schmeler, K. M., Del Carmen, M., Randall, T. C., Nogueira-Rodrigues, A., De Carvalho Calabrich, A. F., St. Louis, J., Vail, C. M., & Goss, P. E. (2016). Cervical cancer control in Latin America: A call to action. Cancer, 122(4), 502-514. https://doi.org/10.1002/cncr.29813