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dc.contributor.author
Arrossi, Silvina
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dc.contributor.author
Thouyaret, Laura
dc.contributor.author
Laudi, Rosa
dc.contributor.author
Marín, Oscar
dc.contributor.author
Ramírez, Josefina
dc.contributor.author
Paolino, Melisa Delia
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dc.contributor.author
Herrero, Rolando
dc.contributor.author
Campanera, Alicia
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dc.date.available
2018-03-08T22:41:12Z
dc.date.issued
2015-03
dc.identifier.citation
Arrossi, Silvina; Thouyaret, Laura; Laudi, Rosa; Marín, Oscar; Ramírez, Josefina; et al.; Implementation of HPV-testing for cervical cancer screening in programmatic contexts: The Jujuy demonstration project in Argentina; John Wiley & Sons Inc; International Journal of Cancer. Journal International du Cancer; 137; 7; 3-2015; 1709-1718
dc.identifier.issn
0020-7136
dc.identifier.uri
http://hdl.handle.net/11336/38384
dc.description.abstract
The aim of this article is to present results of programmatic introduction of HPV testing with cytologic triage among women 30 years and older in the province of Jujuy, Argentina, including description of the planning phase and results of program performance during the first year. We describe the project implementation process, and calculate key performance indicators using SITAM, the national screening information system. We also compare disease detection rates of HPV testing in 2012 with cytology as performed during the previous year. HPV testing with cytology triage was introduced through a consensus-building process. Key activities included establishment of algorithms and guidelines, creating the HPV laboratory, training of health professionals, information campaigns for women and designing the referral network. By the end of 2012, 100% (n = 270) of public health care centers were offering HPV testing and 22,834 women had been HPV tested, 98.5% (n = 22,515) were 30+. HPV positivity among women over 30 was 12.7%, 807 women were HPV+ and had abnormal cytology, and 281 CIN2+ were identified. CIN2+ detection rates was 1.25 in 2012 and 0.62 in 2011 when the program was cytology based (p = 0.0002). This project showed that effective introduction of HPV testing in programmatic contexts of low-middle income settings is feasible and detects more disease than cytology.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
John Wiley & Sons Inc
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.subject
Argentina
dc.subject
Cervical Cancer Prevention
dc.subject
Hpv Test
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Screening
dc.subject.classification
Otras Ciencias Sociales
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dc.subject.classification
Otras Ciencias Sociales
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CIENCIAS SOCIALES
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dc.title
Implementation of HPV-testing for cervical cancer screening in programmatic contexts: The Jujuy demonstration project in Argentina
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2018-03-08T19:04:12Z
dc.journal.volume
137
dc.journal.number
7
dc.journal.pagination
1709-1718
dc.journal.pais
Estados Unidos
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dc.journal.ciudad
Nueva York
dc.description.fil
Fil: Arrossi, Silvina. Centro de Estudios de Estado y Sociedad; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
dc.description.fil
Fil: Thouyaret, Laura. Instituto Nacional del Cáncer. Programa Nacional de Prevención de Cáncer Cervicouterino; Argentina. Provincia de Buenos Aires. Ministerio de Salud; Argentina
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Fil: Laudi, Rosa. Provincia de Buenos Aires. Ministerio de Salud; Argentina. Instituto Nacional del Cáncer. Programa Nacional de Prevención de Cáncer Cervicouterino; Argentina
dc.description.fil
Fil: Marín, Oscar. Provincia de Buenos Aires. Ministerio de Salud; Argentina. Provincia de Jujuy. Hospital Pablo Soria; Argentina
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Fil: Ramírez, Josefina. Provincia de Jujuy. Ministerio de Salud; Argentina
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Fil: Paolino, Melisa Delia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Provincia de Buenos Aires. Ministerio de Salud; Argentina. Instituto Nacional del Cáncer. Programa Nacional de Prevención de Cáncer Cervicouterino; Argentina
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Fil: Herrero, Rolando. International Agency for Research on Cancer; Francia
dc.description.fil
Fil: Campanera, Alicia. Provincia de Buenos Aires. Ministerio de Salud; Argentina
dc.journal.title
International Journal of Cancer. Journal International du Cancer
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/http://onlinelibrary.wiley.com/doi/10.1002/ijc.29530/abstract
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1002/ijc.29530
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