Risk factors as the basis for triage in low-resource cervical cancer screening programs

L. Gaffikin, Saifuddin Ahmed, Y. Q. Chen, J. M. McGrath, P. D. Blumenthal

Research output: Contribution to journalArticle

Abstract

Objectives: Several studies have shown impressive sensitivity and specificity of visual inspection using acetic acid wash (VIA) in detecting cervical dysplasia. This study examines how risk-factor based triage, using clinical history-taking to limit the testing to those at highest risk of disease, improves the clinical utility of VIA. Methods: The study population included 2206 woman aged 25-56 from peri-urban primary care clinics in Zimbabwe. Three risk factors variables [age, lifetime number of sexual partners and history of a sexually transmitted infection (STI)] were selected as the basis for computer-simulated patient triage. Criteria for selecting risk factors were biological relevance, programmatic feasibility, historical evidence in the scientific literature as a risk factor for cervical cancer and a significant (P

Original languageEnglish (US)
Pages (from-to)41-47
Number of pages7
JournalInternational Journal of Gynecology and Obstetrics
Volume80
Issue number1
DOIs
StatePublished - Jan 1 2003
Externally publishedYes

Fingerprint

Triage
Early Detection of Cancer
Uterine Cervical Neoplasms
Uterine Cervical Dysplasia
Literature
Zimbabwe
Sexual Partners
Sexually Transmitted Diseases
Acetic Acid
Primary Health Care
Sensitivity and Specificity
Population

Keywords

  • Cervical cancer screening
  • Risk factors
  • Triage
  • Visual inspection

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Risk factors as the basis for triage in low-resource cervical cancer screening programs. / Gaffikin, L.; Ahmed, Saifuddin; Chen, Y. Q.; McGrath, J. M.; Blumenthal, P. D.

In: International Journal of Gynecology and Obstetrics, Vol. 80, No. 1, 01.01.2003, p. 41-47.

Research output: Contribution to journalArticle

Gaffikin, L. ; Ahmed, Saifuddin ; Chen, Y. Q. ; McGrath, J. M. ; Blumenthal, P. D. / Risk factors as the basis for triage in low-resource cervical cancer screening programs. In: International Journal of Gynecology and Obstetrics. 2003 ; Vol. 80, No. 1. pp. 41-47.
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