Follow-up after abnormal cervical cancer screening in immigrants compared with Danish-born women – A nationwide register study

Abstract Background: Aboriginal women experience disproportionately higher rates of cervical cancer mortality yet are less likely to participate in screening for early detection. This study sought to determine whether a community-based HPV self-sampling service model can effectively recruit never-screened and under-screened Aboriginal women to participate in cervical cancer screening; assess the clinical outcomes; and explore the acceptability of the model from the perspective of the participants.Methods: Aboriginal women aged 25-69 years of age were recruited from eight rural and remote communities in New South Wales, Australia to participate in HPV self-sampling via a community-based service model. Outcome measures were: number of women screened by HPV self-sampling, their prior cervical screening status (under-screened or never-screened), clinical outcomes and participation in follow-up pathways of care, and satisfaction with the service model.Results: In total, 215 women conducted a HPV self-sampling test and 200 evaluation surveys were completed. One-fifth of participants (n=46) were never-screened and one-third (n=69) were under-screened. Many were unsure of their screening status. Nine women were HPV 16/18 positive and eight had completed all follow up by the conclusion of the study. A further 30 women tested positive for a high risk type other than HPV 16/18 (HPV other), of which 14 had completed follow up at the conclusion of the study. Satisfaction with the HPV self-sampling kit, the process of self-sampling and the service model was high (>92% satisfied on all items). Many women had difficulty understanding their official HPV results and placed high importance on the nurse explaining it to them.Conclusions: A community-based service model that respects Aboriginal Women’s Business can effectively recruit under-screened and never-screened Aboriginal women to complete cervical cancer screening. Furthermore, this service model supports them to complete recommended follow-up care and engage with their local existing health services.

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Community navigators for breast and cervical cancer screening and follow-up

Implementation Science ◽

10.1186/1748-5908-10-s1-a58 ◽

2015 ◽

Vol 10 (S1) ◽

Author(s):

Melissa A Simon ◽

Laura S Tom ◽

Erika E de la Riva ◽

Emily L Malin ◽

Joe Feinglass

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Breast And Cervical Cancer

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Recall Efforts Successfully Increase Follow-Up for Cervical Cancer Screening Among Women With Human Papillomavirus in Honduras

Global Health Science and Practice ◽

10.9745/ghsp-d-19-00404 ◽

2020 ◽

Vol 8 (2) ◽

pp. 290-299

Author(s):

Kerry A. Thomson ◽

Manuel Sandoval ◽

Carolyn Bain ◽

Francesca Holme ◽

Pooja Bansil ◽

...

Keyword(s):

Cervical Cancer ◽

Human Papillomavirus ◽

Cancer Screening ◽

Cervical Cancer Screening

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A review of follow up of cervical cancer screening results in a primary health program in Cape Town, South Africa

Annals of Global Health ◽

10.1016/j.aogh.2015.02.934 ◽

2015 ◽

Vol 81 (1) ◽

pp. 189

Author(s):

J. Chamish ◽

E. Dufort ◽

M. Waxman ◽

M. Phillips

Keyword(s):

South Africa ◽

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Health Program ◽

Cape Town ◽

Primary Health

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Pathways to diagnosis of cervical cancer: screening history, delay in follow up, and smear reading

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/j.1471-0528.2006.01207.x ◽

2007 ◽

Vol 114 (4) ◽

pp. 398-407 ◽

Cited By ~ 15

Author(s):

P Priest ◽

L Sadler ◽

J Peters ◽

S Crengle ◽

P Bethwaite ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Screening History

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The prevalence of hrHPV among the isolated community in the Highland of Bario, Sarawak, East Malaysia

10.21203/rs.2.17048/v1 ◽

2019 ◽

Author(s):

Abigail Rembui Jerip ◽

Mardiana Kipli ◽

Cheng-Siang Tan

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Outreach Program ◽

Low Resource Settings ◽

Dna Test ◽

Hpv Dna ◽

Low Resource ◽

Cervical Swab

Abstract Background Malaysia has introduced the free Pap smear as the primary cervical cancer screening program since the 1960s but has only achieved the national coverage of 22%. The coverage would be much lower in the rural communities especially in Sarawak where many villages are still inaccessible by road, and communities are living in low resource settings. In this study, we have evaluated Qiagen’s careHPV system as a point-of-care HPV diagnostic test together with the visualization using acetic acid (VIA) in the isolated community in the Highland of Bario which are predominantly from the Kelabit ethnicity. Methods Women attending the cervical cancer outreach program were recruited. Consent was obtained and a cervical swab was clinician-collected and screened for High-risk HPV DNA using the careHPV system. Cervical examination using VIA was offered to all women age <50-year. hrHPV positive women were recruited during their follow-up session and the second cervical swab was collected for HPV genotyping using consensus primer-nested PCR to elucidate the infecting HPV genotypes. Results Seventy-five women from the age of 27-83 (mean age 55) attended the cervical cancer screening clinic and 8% (n=6/75) of them were positive for hrHPV. Only 33 women were screened using VIA and 21.2% (n=7/33) were found to be positive. A majority of the women (58.6%) were above the age of 50-year and not recommended for VIA to be performed. Thus, it was not feasible to correlate the results obtained from the HPV DNA test and VIA. Only four hrHPV positive women returned for follow-up and genotyping revealed HPV52 in 2 of four women tested suggesting that HPV52 may be the predominant genotype in Bario. Conclusions The careHPV system is portable and can be used in low resource settings as long as reliable electricity is available. We found that careHPV DNA test is more objective compared to VIA and can be used to screen women outside the recommended eligible age. This is especially true for older women in the rural who have never had any form of cervical cancer screening before.

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Screen, Notify, See, and Treat: Initial Results of Cervical Cancer Screening and Treatment in Rwanda

JCO Global Oncology ◽

10.1200/go.20.00147 ◽

2021 ◽

pp. 632-638

Author(s):

Marie-Aimee Muhimpundu ◽

Fidele Ngabo ◽

Felix Sayinzoga ◽

Jean Paul Balinda ◽

John Rusine ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Service Delivery ◽

Cervical Cancer Screening ◽

Health Workers ◽

Screening Program ◽

Public Awareness ◽

Cervical Lesions ◽

District Hospitals

PURPOSE To describe the first year results of Rwanda's Screen, Notify, See, and Treat cervical cancer screening program, including challenges encountered and revisions made to improve service delivery. METHODS Through public radio broadcasts, meetings of local leaders, church networks, and local women's groups, public awareness of cervical cancer screening opportunities was increased and community health workers were enlisted to recruit and inform eligible women of the locations and dates on which services would be available. Screening was performed using human papillomavirus (HPV) DNA testing technology, followed by visual inspection with acetic acid (VIA), and cryotherapy, biopsy, and surgical treatment for those who tested HPV-positive. These services were provided by five district hospitals and 15 health centers to HIV-negative women of age 35-45 and HIV-positive women of age 30-50. Service utilization data were collected from the program's initiation in September 2013 to October 2014. RESULTS Of 7,520 cervical samples tested, 874 (11.6%) screened HPV-positive, leading 780 (89%) patients to undergo VIA. Cervical lesions were found in 204 patients (26.2%) during VIA; of these, 151 were treated with cryoablation and 15 were referred for biopsies. Eight patients underwent complete hysterectomy to treat advanced cervical cancer. Challenges to service delivery included recruitment of eligible patients, patient loss to follow-up, maintaining HIV status confidentiality, and efficient use of consumable resources. CONCLUSION Providing cervical cancer screening services through public health facilities is a feasible and valuable component of comprehensive women's health care in resource-limited settings. Special caution is warranted in ensuring proper adherence to follow-up and maintaining patient confidentiality.

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Lost-to-follow-up for cervical cancer screening

Cancer Research, Statistics, and Treatment ◽

10.4103/crst.crst_46_21 ◽

2021 ◽

Vol 4 (1) ◽

pp. 159

Author(s):

SP Somashekhar ◽

Geetu Bhandoria ◽

Vijay Ahuja

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Lost To Follow Up

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