Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol

Correspondence to Dr Maribel Almonte; almontem@iarc.fr

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Main Author: Almonte, Maribel (author)
Other Authors: Murillo, Raúl (author), Sánchez, Gloria Inés (author), González, Paula (author), Ferrera, Annabelle (author), Picconi, María Alejandra (author), Wiesner, Carolina (author), Cruz Valdez, Aurelio (author), Lazcano Ponce, Eduardo (author), Jerónimo, José (author), Ferreccio, Catterina (author), Kasamatsu, Elena Satiko (author), Mendoza Torres, Laura Patricia (author), Rodríguez, Guillermo (author), Calderón, Alejandro (author), Venegas, Gino (author), Villagra Carrón, Verónica (author), Tatti, Silvio (author), Fleider, Laura (author), Terán, Carolina (author), Baena, Armando (author), Hernández, María de la Luz (author), Rol, Mary Luz (author), Lucas, Eric (author), Barbier, Sylvaine (author), Ramírez, Arianis Tatiana (author), Arrossi, Silvina (author), Rodríguez Riveros, María Isabel (author), González, Emmanuel (author), Celis, Marcela (author), Martínez, Sandra (author), Salgado, Yuly (author), Ortega, Marina (author), Beracochea, Andrea Verónica (author), Pérez, Natalia (author), Rodríguez de la Peña, Margarita (author), Ramón, María (author), Hernández Nevarez, Pilar (author), Arboleda Naranjo, Margarita (author), Cabrera, Yessy (author), Salgado, Brenda (author), García, Laura (author), Retana, Marco Antonio (author), Colucci, María Celeste (author), Arias Stella, Javier (author), Bellido Fuentes, Yenny (author), Bobadilla Frizzola, María Liz (author), Olmedo, Gladys (author), Brito García, Ivone (author), Méndez Herrera, Armando (author), Cardinal, Lucía (author), Flores, Betsy (author), Peñaranda, Jhacquelin (author), Martínez Better, Josefina (author), Soilan, Ana María (author), Figueroa, Jacqueline (author), Caserta, Benedicta (author), Sosa, Carlos (author), Moreno, Adrián (author), Mural, Juan (author), Doimi, Franco (author), Giménez, Diana (author), Rodríguez, Hernando (author), Lora, Oscar (author), Luciani, Silvana (author), Broutet, Nathalie (author), Darragh, Teresa M. (author), Herrero, Rolando (author)
Format: article
Language:English
Published: 2020
Subjects:
Online Access:https://doi.org/10.1136/bmjopen-2019-035796
http://hdl.handle.net/20.500.14066/4422
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author Almonte, Maribel
author2 Murillo, Raúl
Sánchez, Gloria Inés
González, Paula
Ferrera, Annabelle
Picconi, María Alejandra
Wiesner, Carolina
Cruz Valdez, Aurelio
Lazcano Ponce, Eduardo
Jerónimo, José
Ferreccio, Catterina
Kasamatsu, Elena Satiko
Mendoza Torres, Laura Patricia
Rodríguez, Guillermo
Calderón, Alejandro
Venegas, Gino
Villagra Carrón, Verónica
Tatti, Silvio
Fleider, Laura
Terán, Carolina
Baena, Armando
Hernández, María de la Luz
Rol, Mary Luz
Lucas, Eric
Barbier, Sylvaine
Ramírez, Arianis Tatiana
Arrossi, Silvina
Rodríguez Riveros, María Isabel
González, Emmanuel
Celis, Marcela
Martínez, Sandra
Salgado, Yuly
Ortega, Marina
Beracochea, Andrea Verónica
Pérez, Natalia
Rodríguez de la Peña, Margarita
Ramón, María
Hernández Nevarez, Pilar
Arboleda Naranjo, Margarita
Cabrera, Yessy
Salgado, Brenda
García, Laura
Retana, Marco Antonio
Colucci, María Celeste
Arias Stella, Javier
Bellido Fuentes, Yenny
Bobadilla Frizzola, María Liz
Olmedo, Gladys
Brito García, Ivone
Méndez Herrera, Armando
Cardinal, Lucía
Flores, Betsy
Peñaranda, Jhacquelin
Martínez Better, Josefina
Soilan, Ana María
Figueroa, Jacqueline
Caserta, Benedicta
Sosa, Carlos
Moreno, Adrián
Mural, Juan
Doimi, Franco
Giménez, Diana
Rodríguez, Hernando
Lora, Oscar
Luciani, Silvana
Broutet, Nathalie
Darragh, Teresa M.
Herrero, Rolando
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author_browse Almonte, Maribel
Arboleda Naranjo, Margarita
Arias Stella, Javier
Arrossi, Silvina
Baena, Armando
Barbier, Sylvaine
Bellido Fuentes, Yenny
Beracochea, Andrea Verónica
Bobadilla Frizzola, María Liz
Brito García, Ivone
Broutet, Nathalie
Cabrera, Yessy
Calderón, Alejandro
Cardinal, Lucía
Caserta, Benedicta
Celis, Marcela
Colucci, María Celeste
Cruz Valdez, Aurelio
Darragh, Teresa M.
Doimi, Franco
Ferreccio, Catterina
Ferrera, Annabelle
Figueroa, Jacqueline
Fleider, Laura
Flores, Betsy
García, Laura
Giménez, Diana
González, Emmanuel
González, Paula
Hernández Nevarez, Pilar
Hernández, María de la Luz
Herrero, Rolando
Jerónimo, José
Kasamatsu, Elena Satiko
Lazcano Ponce, Eduardo
Lora, Oscar
Lucas, Eric
Luciani, Silvana
Martínez Better, Josefina
Martínez, Sandra
Mendoza Torres, Laura Patricia
Moreno, Adrián
Mural, Juan
Murillo, Raúl
Méndez Herrera, Armando
Olmedo, Gladys
Ortega, Marina
Peñaranda, Jhacquelin
Picconi, María Alejandra
Pérez, Natalia
Ramírez, Arianis Tatiana
Ramón, María
Retana, Marco Antonio
Rodríguez Riveros, María Isabel
Rodríguez de la Peña, Margarita
Rodríguez, Guillermo
Rodríguez, Hernando
Rol, Mary Luz
Salgado, Brenda
Salgado, Yuly
Soilan, Ana María
Sosa, Carlos
Sánchez, Gloria Inés
Tatti, Silvio
Terán, Carolina
Venegas, Gino
Villagra Carrón, Verónica
Wiesner, Carolina
author_facet Almonte, Maribel
Murillo, Raúl
Sánchez, Gloria Inés
González, Paula
Ferrera, Annabelle
Picconi, María Alejandra
Wiesner, Carolina
Cruz Valdez, Aurelio
Lazcano Ponce, Eduardo
Jerónimo, José
Ferreccio, Catterina
Kasamatsu, Elena Satiko
Mendoza Torres, Laura Patricia
Rodríguez, Guillermo
Calderón, Alejandro
Venegas, Gino
Villagra Carrón, Verónica
Tatti, Silvio
Fleider, Laura
Terán, Carolina
Baena, Armando
Hernández, María de la Luz
Rol, Mary Luz
Lucas, Eric
Barbier, Sylvaine
Ramírez, Arianis Tatiana
Arrossi, Silvina
Rodríguez Riveros, María Isabel
González, Emmanuel
Celis, Marcela
Martínez, Sandra
Salgado, Yuly
Ortega, Marina
Beracochea, Andrea Verónica
Pérez, Natalia
Rodríguez de la Peña, Margarita
Ramón, María
Hernández Nevarez, Pilar
Arboleda Naranjo, Margarita
Cabrera, Yessy
Salgado, Brenda
García, Laura
Retana, Marco Antonio
Colucci, María Celeste
Arias Stella, Javier
Bellido Fuentes, Yenny
Bobadilla Frizzola, María Liz
Olmedo, Gladys
Brito García, Ivone
Méndez Herrera, Armando
Cardinal, Lucía
Flores, Betsy
Peñaranda, Jhacquelin
Martínez Better, Josefina
Soilan, Ana María
Figueroa, Jacqueline
Caserta, Benedicta
Sosa, Carlos
Moreno, Adrián
Mural, Juan
Doimi, Franco
Giménez, Diana
Rodríguez, Hernando
Lora, Oscar
Luciani, Silvana
Broutet, Nathalie
Darragh, Teresa M.
Herrero, Rolando
author_role author
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dc.contributor.other.es.fl_str_mv Universidad Nacional de Asunción. Instituto de Investigaciones en Ciencias de la Salud
dc.creator.none.fl_str_mv Almonte, Maribel
Murillo, Raúl
Sánchez, Gloria Inés
González, Paula
Ferrera, Annabelle
Picconi, María Alejandra
Wiesner, Carolina
Cruz Valdez, Aurelio
Lazcano Ponce, Eduardo
Jerónimo, José
Ferreccio, Catterina
Kasamatsu, Elena Satiko
Mendoza Torres, Laura Patricia
Rodríguez, Guillermo
Calderón, Alejandro
Venegas, Gino
Villagra Carrón, Verónica
Tatti, Silvio
Fleider, Laura
Terán, Carolina
Baena, Armando
Hernández, María de la Luz
Rol, Mary Luz
Lucas, Eric
Barbier, Sylvaine
Ramírez, Arianis Tatiana
Arrossi, Silvina
Rodríguez Riveros, María Isabel
González, Emmanuel
Celis, Marcela
Martínez, Sandra
Salgado, Yuly
Ortega, Marina
Beracochea, Andrea Verónica
Pérez, Natalia
Rodríguez de la Peña, Margarita
Ramón, María
Hernández Nevarez, Pilar
Arboleda Naranjo, Margarita
Cabrera, Yessy
Salgado, Brenda
García, Laura
Retana, Marco Antonio
Colucci, María Celeste
Arias Stella, Javier
Bellido Fuentes, Yenny
Bobadilla Frizzola, María Liz
Olmedo, Gladys
Brito García, Ivone
Méndez Herrera, Armando
Cardinal, Lucía
Flores, Betsy
Peñaranda, Jhacquelin
Martínez Better, Josefina
Soilan, Ana María
Figueroa, Jacqueline
Caserta, Benedicta
Sosa, Carlos
Moreno, Adrián
Mural, Juan
Doimi, Franco
Giménez, Diana
Rodríguez, Hernando
Lora, Oscar
Luciani, Silvana
Broutet, Nathalie
Darragh, Teresa M.
Herrero, Rolando
dc.date.accessioned.none.fl_str_mv 2024-07-10T18:59:59Z
dc.date.available.none.fl_str_mv 2024-07-10T18:59:59Z
dc.date.issued.none.fl_str_mv 2020-05-24
dc.format.extent.es.fl_str_mv 14 páginas
dc.identifier.citation.en.fl_str_mv Almonte, M., Murillo, R., Sánchez, G. I., González, P., Ferrera, A., Picconi, M. A., Wiesner, C., Cruz-Valdez, A., Lazcano-Ponce, E., Jerónimo, J., Ferreccio, C., Kasamatsu, E., Mendoza, L., Rodríguez, G., Calderón, A., Venegas, G., Villagra, V., Tatti, S., Fleider, L., Terán, C., … Herrero, R. (2020). Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America: the ESTAMPA screening study protocol. BMJ open, 10(5), e035796. https://doi.org/10.1136/bmjopen-2019-035796
dc.identifier.doi.es.fl_str_mv 10.1136/bmjopen-2019-035796
dc.identifier.essn.es.fl_str_mv 2044-6055
dc.identifier.other.es.fl_str_mv https://doi.org/10.1136/bmjopen-2019-035796
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.14066/4422
dc.language.iso.es.fl_str_mv eng
dc.publisher.es.fl_str_mv BMJ Publishing Group
dc.relation.projectCONACYT.es.fl_str_mv 14-INV-036
PINV18-256
dc.rights.*.fl_str_mv Atribución 4.0 Internacional
dc.rights.accessRights.es.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.copyright.es.fl_str_mv © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by/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
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.es.fl_str_mv Alphapapillomavirus/aislamiento & purificación
América Latina
Colposcopía
Detección precoz del cáncer
Displasia del cuello del útero/diagnóstico
Infecciones por papillomavirus/diagnóstico
Neoplasias del cuello uterino/diagnóstico
Persona de mediana edad
Triaje
Alphapapillomavirus/isolation & purification
Latin America
Colposcopy
Early detection of cancer
Uterine cervical dysplasia/diagnosis
Papillomavirus infections/diagnosis
Papillomavirus infections/diagnosis
Uterine cervical neoplasms/diagnosis
Middle Aged
Triage
dc.title.es.fl_str_mv Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol
dc.type.es.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
description Correspondence to Dr Maribel Almonte; almontem@iarc.fr
eu_rights_str_mv openAccess
format article
id CONACYT_e1c40c7cebd3df7af0c7ab4de7ffd33d
identifier_str_mv Almonte, M., Murillo, R., Sánchez, G. I., González, P., Ferrera, A., Picconi, M. A., Wiesner, C., Cruz-Valdez, A., Lazcano-Ponce, E., Jerónimo, J., Ferreccio, C., Kasamatsu, E., Mendoza, L., Rodríguez, G., Calderón, A., Venegas, G., Villagra, V., Tatti, S., Fleider, L., Terán, C., … Herrero, R. (2020). Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America: the ESTAMPA screening study protocol. BMJ open, 10(5), e035796. https://doi.org/10.1136/bmjopen-2019-035796
10.1136/bmjopen-2019-035796
2044-6055
language eng
network_acronym_str CONACYT
network_name_str Repositorio Institucional CONACYT
oai_identifier_str oai:repositorio.conacyt.gov.py:20.500.14066/4422
publishDate 2020
publishDateSort 2020
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 4.0 Internacional
http://creativecommons.org/licenses/by/4.0/
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
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Instituto de Investigaciones en Ciencias de la Salud2024-07-10T18:59:59Z2024-07-10T18:59:59Z2020-05-24Almonte, M., Murillo, R., Sánchez, G. I., González, P., Ferrera, A., Picconi, M. A., Wiesner, C., Cruz-Valdez, A., Lazcano-Ponce, E., Jerónimo, J., Ferreccio, C., Kasamatsu, E., Mendoza, L., Rodríguez, G., Calderón, A., Venegas, G., Villagra, V., Tatti, S., Fleider, L., Terán, C., … Herrero, R. (2020). Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America: the ESTAMPA screening study protocol. BMJ open, 10(5), e035796. https://doi.org/10.1136/bmjopen-2019-035796https://doi.org/10.1136/bmjopen-2019-035796http://hdl.handle.net/20.500.14066/442210.1136/bmjopen-2019-0357962044-6055Correspondence to Dr Maribel Almonte; almontem@iarc.frIntroduction. Human papillomavirus (HPV) testing is replacing cytology in primary screening. Its limited specificity demands using a second (triage) test to better identify women at high-risk of cervical disease. Cytology represents the immediate triage but its low sensitivity might hamper HPV testing sensitivity, particularly in low-income and middle-income countries (LMICs), where cytology performance has been suboptimal. The ESTAMPA (EStudio multicéntrico de TAMizaje y triaje de cáncer de cuello uterino con pruebas del virus del PApiloma humano; Spanish acronym) study will: (1) evaluate the performance of different triage techniques to detect cervical precancer and (2) inform on how to implement HPV-based screening programmes in LMIC. Methods and analysis. Women aged 30–64 years are screened with HPV testing and Pap across 12 study centres in Latin America. Screened positives have colposcopy with biopsy and treatment of lesions. Women with no evident disease are recalled 18 months later for another HPV test; those HPV-positive undergo colposcopy with biopsy and treatment as needed. Biological specimens are collected in different visits for triage testing, which is not used for clinical management. The study outcome is histological high-grade squamous intraepithelial or worse lesions (HSIL+) under the lower anogenital squamous terminology. About 50 000 women will be screened and 500 HSIL+ cases detected (at initial and 18 months screening). Performance measures (sensitivity, specificity and predictive values) of triage techniques to detect HSIL+ will be estimated and compared with adjustment by age and study centre. Ethics and dissemination. The study protocol has been approved by the Ethics Committee of the International Agency for Research on Cancer (IARC), of the Pan American Health Organisation (PAHO) and by those in each participating centre. A Data and Safety Monitoring Board (DSMB) has been established to monitor progress of the study, assure participant safety, advice on scientific conduct and analysis and suggest protocol improvements. Study findings will be published in peer-reviewed journals and presented at scientific meetings.Consejo Nacional de Ciencia y TecnologíaPrograma Paraguayo para el Desarrollo de la Ciencia y Tecnología. Proyectos de investigación y desarrollo14 páginasengBMJ Publishing GroupAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccess© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.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 geriátricaAlphapapillomavirus/aislamiento & purificaciónAmérica LatinaColposcopíaDetección precoz del cáncerDisplasia del cuello del útero/diagnósticoInfecciones por papillomavirus/diagnósticoNeoplasias del cuello uterino/diagnósticoPersona de mediana edadTriajeAlphapapillomavirus/isolation & purificationLatin AmericaColposcopyEarly detection of cancerUterine cervical dysplasia/diagnosisPapillomavirus infections/diagnosisPapillomavirus infections/diagnosisUterine cervical neoplasms/diagnosisMiddle AgedTriage3. Ciencias Médicas y de la Salud3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología)Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocolinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion5BMJ Open14-INV-036PINV18-25610Almonte, MaribelMurillo, RaúlSánchez, Gloria InésGonzález, PaulaFerrera, AnnabellePicconi, María AlejandraWiesner, CarolinaCruz Valdez, AurelioLazcano Ponce, EduardoJerónimo, JoséFerreccio, CatterinaKasamatsu, Elena SatikoMendoza Torres, Laura PatriciaRodríguez, GuillermoCalderón, AlejandroVenegas, GinoVillagra Carrón, VerónicaTatti, SilvioFleider, LauraTerán, CarolinaBaena, ArmandoHernández, María de la LuzRol, Mary LuzLucas, EricBarbier, SylvaineRamírez, Arianis TatianaArrossi, SilvinaRodríguez Riveros, María IsabelGonzález, EmmanuelCelis, MarcelaMartínez, SandraSalgado, YulyOrtega, MarinaBeracochea, Andrea VerónicaPérez, NataliaRodríguez de la Peña, MargaritaRamón, MaríaHernández Nevarez, PilarArboleda Naranjo, MargaritaCabrera, YessySalgado, BrendaGarcía, LauraRetana, Marco AntonioColucci, María CelesteArias Stella, JavierBellido Fuentes, YennyBobadilla Frizzola, María LizOlmedo, GladysBrito García, IvoneMéndez Herrera, ArmandoCardinal, LucíaFlores, BetsyPeñaranda, JhacquelinMartínez Better, JosefinaSoilan, Ana MaríaFigueroa, JacquelineCaserta, BenedictaSosa, CarlosMoreno, AdriánMural, JuanDoimi, FrancoGiménez, DianaRodríguez, HernandoLora, OscarLuciani, SilvanaBroutet, NathalieDarragh, Teresa M.Herrero, RolandoTHUMBNAILMulticentric study of cervical cancer screening with human papillomavirus.jpgMulticentric study of cervical cancer screening with human papillomavirus.jpgPortadaimage/jpeg1274972http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4422/4/Multicentric%20study%20of%20cervical%20cancer%20screening%20with%20human%20papillomavirus.jpg9635e6cc8811649c20641edcc4e0fbfeMD54CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8908http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4422/2/license_rdf0175ea4a2d4caec4bbcc37e300941108MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81698http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4422/3/license.txt858b22fda432bd774e469302988c1974MD53ORIGINALMulticentric study of cervical cancer screening with human papillomavirus.pdfMulticentric study of cervical cancer screening with human papillomavirus.pdfArtículo científicoapplication/pdf2400851http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4422/1/Multicentric%20study%20of%20cervical%20cancer%20screening%20with%20human%20papillomavirus.pdf7c0c60c6874efbcf59d43e3ed9c1c9f7MD51Sample size calculation. 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spellingShingle Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol
Almonte, Maribel
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
Alphapapillomavirus/aislamiento & purificación
América Latina
Colposcopía
Detección precoz del cáncer
Displasia del cuello del útero/diagnóstico
Infecciones por papillomavirus/diagnóstico
Neoplasias del cuello uterino/diagnóstico
Persona de mediana edad
Triaje
Alphapapillomavirus/isolation & purification
Latin America
Colposcopy
Early detection of cancer
Uterine cervical dysplasia/diagnosis
Papillomavirus infections/diagnosis
Papillomavirus infections/diagnosis
Uterine cervical neoplasms/diagnosis
Middle Aged
Triage
3. Ciencias Médicas y de la Salud
3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología)
status_str publishedVersion
title Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol
title_full Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol
title_fullStr Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol
title_full_unstemmed Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol
title_short Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol
title_sort Multicentric study of cervical cancer screening with human papillomavirus testing and assessment of triage methods in Latin America : the ESTAMPA screening study protocol
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
Alphapapillomavirus/aislamiento & purificación
América Latina
Colposcopía
Detección precoz del cáncer
Displasia del cuello del útero/diagnóstico
Infecciones por papillomavirus/diagnóstico
Neoplasias del cuello uterino/diagnóstico
Persona de mediana edad
Triaje
Alphapapillomavirus/isolation & purification
Latin America
Colposcopy
Early detection of cancer
Uterine cervical dysplasia/diagnosis
Papillomavirus infections/diagnosis
Papillomavirus infections/diagnosis
Uterine cervical neoplasms/diagnosis
Middle Aged
Triage
3. Ciencias Médicas y de la Salud
3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología)
url https://doi.org/10.1136/bmjopen-2019-035796
http://hdl.handle.net/20.500.14066/4422