Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America
Corresponding author: Arianis Tatiana Ramírez, Early Detection, Prevention & Infections Branch, International Agency for Research on Cancer, 25 avenue Tony Garnier, 69007 Lyon, France (ramirezt@iarc.who.int).
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| Format: | article |
| Language: | English |
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2024
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| Online Access: | https://doi.org/10.1093/jnci/djae283 http://hdl.handle.net/20.500.14066/4496 |
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| _version_ | 1870612072465694720 |
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| author | Ramírez, Arianis Tatiana |
| author2 | Mesher, David Baena, Armando Salgado, Yuli Kasamatsu, Elena Satiko Cristaldo, Carmen Álvarez, Rodrigo Rojas, Freddy David Ramírez, Katherine Guyot, Julieta Henríquez, Odessa González Palma, Hans Flores, Bettsy Peñaranda, Jhaquelin Vero, María José Robinson, Isabel Rol, Mary Luz Rodríguez, Guillermo Terán, Carolina Ferrera, Annabelle Picconi, María Alejandra Calderón, Alejandro Mendoza Torres, Laura Patricia Wiesner, Carolina Almonte, Maribel Fatima Herrero, Rolando ESTAMPA Study Group |
| author2_role | author author author author author author author author author author author author author author author author author author author author author author author author author author |
| author_browse | Almonte, Maribel Fatima Baena, Armando Calderón, Alejandro Cristaldo, Carmen ESTAMPA Study Group Ferrera, Annabelle Flores, Bettsy González Palma, Hans Guyot, Julieta Henríquez, Odessa Herrero, Rolando Kasamatsu, Elena Satiko Mendoza Torres, Laura Patricia Mesher, David Peñaranda, Jhaquelin Picconi, María Alejandra Ramírez, Arianis Tatiana Ramírez, Katherine Robinson, Isabel Rodríguez, Guillermo Rojas, Freddy David Rol, Mary Luz Salgado, Yuli Terán, Carolina Vero, María José Wiesner, Carolina Álvarez, Rodrigo |
| author_facet | Ramírez, Arianis Tatiana Mesher, David Baena, Armando Salgado, Yuli Kasamatsu, Elena Satiko Cristaldo, Carmen Álvarez, Rodrigo Rojas, Freddy David Ramírez, Katherine Guyot, Julieta Henríquez, Odessa González Palma, Hans Flores, Bettsy Peñaranda, Jhaquelin Vero, María José Robinson, Isabel Rol, Mary Luz Rodríguez, Guillermo Terán, Carolina Ferrera, Annabelle Picconi, María Alejandra Calderón, Alejandro Mendoza Torres, Laura Patricia Wiesner, Carolina Almonte, Maribel Fatima Herrero, Rolando ESTAMPA Study Group |
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| dc.creator.none.fl_str_mv | Ramírez, Arianis Tatiana Mesher, David Baena, Armando Salgado, Yuli Kasamatsu, Elena Satiko Cristaldo, Carmen Álvarez, Rodrigo Rojas, Freddy David Ramírez, Katherine Guyot, Julieta Henríquez, Odessa González Palma, Hans Flores, Bettsy Peñaranda, Jhaquelin Vero, María José Robinson, Isabel Rol, Mary Luz Rodríguez, Guillermo Terán, Carolina Ferrera, Annabelle Picconi, María Alejandra Calderón, Alejandro Mendoza Torres, Laura Patricia Wiesner, Carolina Almonte, Maribel Fatima Herrero, Rolando ESTAMPA Study Group |
| dc.date.accessioned.none.fl_str_mv | 2025-01-09T13:53:36Z |
| dc.date.available.none.fl_str_mv | 2025-01-09T13:53:36Z |
| dc.date.issued.none.fl_str_mv | 2024-11-12 |
| dc.format.extent.es.fl_str_mv | 10 páginas |
| dc.identifier.citation.en.fl_str_mv | Ramírez, A. T., Mesher, D., Baena, A., Salgado, Y., Kasamatsu, E., Cristaldo, C., Álvarez, R., Rojas, F. D., Ramírez, K., Guyot, J., Henríquez, O., González Palma, H., Flores, B., Peñaranda, J., Vero, M. J., Robinson, I., Rol, M. L., Rodríguez, G., Terán, C., … Herrero, R. (2024). Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America. Journal of the National Cancer Institute, 117(4), 644-652. https://doi.org/10.1093/jnci/djae283 |
| dc.identifier.doi.es.fl_str_mv | 10.1093/jnci/djae283 |
| dc.identifier.essn.es.fl_str_mv | 1460-2105 |
| dc.identifier.issn.es.fl_str_mv | 0027-8874 |
| dc.identifier.other.es.fl_str_mv | https://doi.org/10.1093/jnci/djae283 |
| dc.identifier.uri.none.fl_str_mv | http://hdl.handle.net/20.500.14066/4496 |
| dc.language.iso.es.fl_str_mv | eng |
| dc.publisher.es.fl_str_mv | Oxford University Press |
| dc.relation.institBenef.es.fl_str_mv | Universidad Nacional de Asunción. Instituto de Investigaciones en Ciencias de la Salud |
| dc.relation.projectCONACYT.es.fl_str_mv | 14-INV-036 PINV18-256 |
| dc.rights.*.fl_str_mv | Atribución/Reconocimiento-NoComercial-SinDerivados 4.0 Internacional |
| dc.rights.accessRights.es.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.rights.copyright.es.fl_str_mv | © The Author(s) 2024. Published by Oxford University Press. |
| dc.rights.uri.*.fl_str_mv | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| dc.subject.classification.es.fl_str_mv | 7. Salud 7.2. Abarca desde medicina preventiva, incluyendo todos los aspectos de tratamientos médicos y quirúrgicos, tanto para individuos como para grupos, y las provisiones de hospitales y cuidado domiciliario, medicina social e investigación pediátrica y geriátrica 7.3. Prevención, vigilancia y control de enfermedades transmisibles y no transmisibles |
| dc.subject.mesh.en.fl_str_mv | Colposcopy Cervix uteri Early detection of cancer Uterine cervical dysplasia Vaginal smears Papillomavirus infections Uterine cervical neoplasms Papillomaviridae Middle Aged Human Papillomavirus Viruses |
| dc.subject.mesh.es.fl_str_mv | Colposcopía Cuello del útero Detección precoz del cáncer Displasia del cuello del útero Frotis vaginal Infecciones por papillomavirus Neoplasias del cuello uterino Papillomaviridae Persona de mediana edad Virus del Papiloma Humano |
| dc.subject.ocde.es.fl_str_mv | 3. Ciencias Médicas y de la Salud 3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología) |
| dc.subject.other.en.fl_str_mv | Cervical cytology Cytology Human papillomavirus Latin America |
| dc.title.es.fl_str_mv | Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America |
| dc.type.es.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| description | Corresponding author: Arianis Tatiana Ramírez, Early Detection, Prevention & Infections Branch, International Agency for Research on Cancer, 25 avenue Tony Garnier, 69007 Lyon, France (ramirezt@iarc.who.int). |
| eu_rights_str_mv | openAccess |
| format | article |
| id | CONACYT_d9fcea0bebb047942e1aa2da2c70559f |
| identifier_str_mv | Ramírez, A. T., Mesher, D., Baena, A., Salgado, Y., Kasamatsu, E., Cristaldo, C., Álvarez, R., Rojas, F. D., Ramírez, K., Guyot, J., Henríquez, O., González Palma, H., Flores, B., Peñaranda, J., Vero, M. J., Robinson, I., Rol, M. L., Rodríguez, G., Terán, C., … Herrero, R. (2024). Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America. Journal of the National Cancer Institute, 117(4), 644-652. https://doi.org/10.1093/jnci/djae283 0027-8874 10.1093/jnci/djae283 1460-2105 |
| language | eng |
| network_acronym_str | CONACYT |
| network_name_str | Repositorio Institucional CONACYT |
| oai_identifier_str | oai:repositorio.conacyt.gov.py:20.500.14066/4496 |
| publishDate | 2024 |
| publishDateSort | 2024 |
| repository.mail.fl_str_mv | repositorio.institucional@conacyt.gov.py |
| repository.name.fl_str_mv | Repositorio Institucional CONACYT |
| repository_id_str | |
| rights_invalid_str_mv | Atribución/Reconocimiento-NoComercial-SinDerivados 4.0 Internacional http://creativecommons.org/licenses/by-nc-nd/4.0/ © The Author(s) 2024. Published by Oxford University Press. |
| spelling | ebb14797-f268-4e38-acc7-02ba724de3ae600f4143d74-b076-42f8-9070-4d93eba61ad86003dae0585-6d92-484e-967d-a467832d463c60047209b50-b94f-4430-99a1-8510e251368360062960023406912-10d5-4d8c-84ee-b8e42b372908600f5484b20-403a-42fa-ae4e-f4a3252ec1ec600095cfbda-889a-4878-8406-564b07b9871e60083961256-6840-4fa9-8858-f5b04210aecf600984c4f38-ee58-4dc4-8766-2b712bba2ea06004d382fc9-289d-47e6-9dec-5483b24675ca60081bea9d7-9b9e-4abd-b96e-5085c3297d276003ed524c4-ece3-4992-9d88-9a39ad21708e60000e49be1-eb74-494d-ab4c-a6b72a06df85600d82e99db-40d0-4174-8703-c62bb455cec760081d55ba5-ea5f-45d4-b0e3-54c06afb2bd5600c43daa00-d21c-46ec-a1cc-e87b9118c5f9600eb932c53-1229-4a61-9a1f-83820a411c71600367757c6-4b74-4761-8622-86a237c2158d6004a3f9200-fcac-4eaa-920b-10bc412080d5600e2d8abf3-0f5e-4155-8b32-db1ed81f1749600a37bafe1-8b14-4e25-80be-2baa9e33b8056007426000000-0001-6124-1244332afe94-d5e2-4e94-bcf0-67552dca734e6004060058960045f19e9c-637e-477a-8120-284b99d803306002025-01-09T13:53:36Z2025-01-09T13:53:36Z2024-11-12Ramírez, A. T., Mesher, D., Baena, A., Salgado, Y., Kasamatsu, E., Cristaldo, C., Álvarez, R., Rojas, F. D., Ramírez, K., Guyot, J., Henríquez, O., González Palma, H., Flores, B., Peñaranda, J., Vero, M. J., Robinson, I., Rol, M. L., Rodríguez, G., Terán, C., … Herrero, R. (2024). Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America. Journal of the National Cancer Institute, 117(4), 644-652. https://doi.org/10.1093/jnci/djae2830027-8874https://doi.org/10.1093/jnci/djae283http://hdl.handle.net/20.500.14066/449610.1093/jnci/djae2831460-2105Corresponding author: Arianis Tatiana Ramírez, Early Detection, Prevention & Infections Branch, International Agency for Research on Cancer, 25 avenue Tony Garnier, 69007 Lyon, France (ramirezt@iarc.who.int).Background: Cervical cytology is recommended by the World Health Organization as a triage option in human papillomavirus (HPV)- based cervical cancer screening programs. We assessed the performance of cytology to detect CIN3þ without and with knowledge of HPV positivity. Methods: Women were screened with cytology and HPV across ESTAMPA study centers in Latin America. Screen-positives were referred to colposcopy with biopsy and treatment as needed. Cytology was initially interpreted without knowing HPV results. A subset of cytologies from HPV-positive women were reinterpreted at the same laboratories, with knowledge of HPV status, blinded to previous cytology and histological diagnosis. Performance indicators for cytology to detect CIN3þ without and with knowledge of HPV positivity were estimated. Findings: A total of 4087 women were included, of which 490 had histologically confirmed CIN3þ (455 CIN3 and 35 cancers). Cytology sensitivity without knowledge of HPV positivity for CIN3þ was 47.2% (95% CI ¼ 42.5 to 51.9), whereas with knowledge of HPV positivity, the sensitivity was higher (58.9%, 95% CI ¼ 54.2 to 63.5; P<.0001). The specificity without knowledge of HPV was 89.4% (95% CI ¼ 88.2 to 90.5), whereas with knowledge of HPV positivity was 78.9% (95% CI ¼ 77.4 to 80.4; P<.0001). Performance estimates varied by study center for cytology without knowing the HPV positivity (range ¼ 32.8%-61.5% for sensitivity; range ¼ 80.7%-98.6% for specificity). Similarly, performance varied with knowledge of HPV positivity (36.1%-93.4% for sensitivity; 39.6%-98.6% for specificity). Conclusion: The increase in sensitivity of cytology with HPV knowledge was limited and highly variable, reinforcing the need for alternative triage methods to support cervical cancer elimination goals.Consejo Nacional de Ciencia y TecnologíaPrograma Paraguayo para el Desarrollo de la Ciencia y Tecnología. Proyectos de investigación y desarrollo10 páginasengOxford University PressAtribución/Reconocimiento-NoComercial-SinDerivados 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccess© The Author(s) 2024. Published by Oxford University Press.7. Salud7.2. Abarca desde medicina preventiva, incluyendo todos los aspectos de tratamientos médicos y quirúrgicos, tanto para individuos como para grupos, y las provisiones de hospitales y cuidado domiciliario, medicina social e investigación pediátrica y geriátrica7.3. Prevención, vigilancia y control de enfermedades transmisibles y no transmisiblesColposcopíaCuello del úteroDetección precoz del cáncerDisplasia del cuello del úteroFrotis vaginalInfecciones por papillomavirusNeoplasias del cuello uterinoPapillomaviridaePersona de mediana edadVirus del Papiloma HumanoColposcopyCervix uteriEarly detection of cancerUterine cervical dysplasiaVaginal smearsPapillomavirus infectionsUterine cervical neoplasmsPapillomaviridaeMiddle AgedHuman Papillomavirus VirusesCervical cytologyCytologyHuman papillomavirusLatin America3. Ciencias Médicas y de la Salud3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología)Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin Americainfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion4Journal of the National Cancer Institute64465214-INV-036PINV18-256Universidad Nacional de Asunción. Instituto de Investigaciones en Ciencias de la Salud117Ramírez, Arianis TatianaMesher, DavidBaena, ArmandoSalgado, YuliKasamatsu, Elena SatikoCristaldo, CarmenÁlvarez, RodrigoRojas, Freddy DavidRamírez, KatherineGuyot, JulietaHenríquez, OdessaGonzález Palma, HansFlores, BettsyPeñaranda, JhaquelinVero, María JoséRobinson, IsabelRol, Mary LuzRodríguez, GuillermoTerán, CarolinaFerrera, AnnabellePicconi, María AlejandraCalderón, AlejandroMendoza Torres, Laura PatriciaWiesner, CarolinaAlmonte, Maribel FatimaHerrero, RolandoESTAMPA Study GroupTHUMBNAILImpact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America.jpgImpact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America.jpgArtículo científicoimage/jpeg594317http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4496/9/Impact%20of%20knowledge%20of%20human%20papillomavirus%20positivity%20on%20cervical%20cytology%20performance%20in%20Latin%20America.jpgb1921862fa9fe5ee5781f4855d810ca8MD59ORIGINALImpact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America.pdfImpact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America.pdfArtículo científicoapplication/pdf921256http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4496/8/Impact%20of%20knowledge%20of%20human%20papillomavirus%20positivity%20on%20cervical%20cytology%20performance%20in%20Latin%20America.pdf96cd94688d7e0321bb98a921a732c635MD58Supplementary material.pdfSupplementary material.pdfMaterial Suplementarioapplication/pdf680120http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4496/4/Supplementary%20material.pdf46a4516150c447b352a17e1a290e1366MD54CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; 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| spellingShingle | Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America Ramírez, Arianis Tatiana 7. Salud 7.2. Abarca desde medicina preventiva, incluyendo todos los aspectos de tratamientos médicos y quirúrgicos, tanto para individuos como para grupos, y las provisiones de hospitales y cuidado domiciliario, medicina social e investigación pediátrica y geriátrica 7.3. Prevención, vigilancia y control de enfermedades transmisibles y no transmisibles Colposcopía Cuello del útero Detección precoz del cáncer Displasia del cuello del útero Frotis vaginal Infecciones por papillomavirus Neoplasias del cuello uterino Papillomaviridae Persona de mediana edad Virus del Papiloma Humano Colposcopy Cervix uteri Early detection of cancer Uterine cervical dysplasia Vaginal smears Papillomavirus infections Uterine cervical neoplasms Papillomaviridae Middle Aged Human Papillomavirus Viruses Cervical cytology Cytology Human papillomavirus Latin America 3. Ciencias Médicas y de la Salud 3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología) |
| status_str | publishedVersion |
| title | Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America |
| title_full | Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America |
| title_fullStr | Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America |
| title_full_unstemmed | Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America |
| title_short | Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America |
| title_sort | Impact of knowledge of human papillomavirus positivity on cervical cytology performance in Latin America |
| topic | 7. Salud 7.2. Abarca desde medicina preventiva, incluyendo todos los aspectos de tratamientos médicos y quirúrgicos, tanto para individuos como para grupos, y las provisiones de hospitales y cuidado domiciliario, medicina social e investigación pediátrica y geriátrica 7.3. Prevención, vigilancia y control de enfermedades transmisibles y no transmisibles Colposcopía Cuello del útero Detección precoz del cáncer Displasia del cuello del útero Frotis vaginal Infecciones por papillomavirus Neoplasias del cuello uterino Papillomaviridae Persona de mediana edad Virus del Papiloma Humano Colposcopy Cervix uteri Early detection of cancer Uterine cervical dysplasia Vaginal smears Papillomavirus infections Uterine cervical neoplasms Papillomaviridae Middle Aged Human Papillomavirus Viruses Cervical cytology Cytology Human papillomavirus Latin America 3. Ciencias Médicas y de la Salud 3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología) |
| url | https://doi.org/10.1093/jnci/djae283 http://hdl.handle.net/20.500.14066/4496 |