Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study
Corresponding author. E-mail address: ramirezt@iarc.who.int (A.T. Ramírez).
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| Language: | English |
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| Online Access: | https://doi.org/10.1016/j.lana.2023.100593 http://hdl.handle.net/20.500.14066/4423 |
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| _version_ | 1870612073897000960 |
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| author | Ramírez, Arianis Tatiana |
| author2 | Valls, Joan Baena, Armando Rojas, Freddy David Ramírez, Katherine Álvarez, Rodrigo Cristaldo, Carmen Henríquez, Odessa Moreno, Adrián Colque Reynaga, Daysi González Palma, Hans Robinson, Isabel Hernández, Diana Carolina Bardales, Rosa Cardinal, Lucía Salgado, Yuly Martínez, Sandra González, Emmanuel Guillén, Diego Fleider, Laura Tatti, Silvio Villagra, Verónica Venegas, Gino Cruz Valdez, Aurelio Valencia, Marleny Rodríguez, Guillermo Terán, Carolina Picconi, María Alejandra Ferrera, Annabelle Kasamatsu, Elena Satiko Mendoza Torres, Laura Patricia Calderón, Alejandro Luciani, Silvana Broutet, Nathalie Darragh, Teresa M. Almonte, Maribel Herrero, Rolando |
| 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 author author author author author author author author author |
| author_browse | Almonte, Maribel Baena, Armando Bardales, Rosa Broutet, Nathalie Calderón, Alejandro Cardinal, Lucía Colque Reynaga, Daysi Cristaldo, Carmen Cruz Valdez, Aurelio Darragh, Teresa M. Ferrera, Annabelle Fleider, Laura González Palma, Hans González, Emmanuel Guillén, Diego Henríquez, Odessa Hernández, Diana Carolina Herrero, Rolando Kasamatsu, Elena Satiko Luciani, Silvana Martínez, Sandra Mendoza Torres, Laura Patricia Moreno, Adrián Picconi, María Alejandra Ramírez, Arianis Tatiana Ramírez, Katherine Robinson, Isabel Rodríguez, Guillermo Rojas, Freddy David Salgado, Yuly Tatti, Silvio Terán, Carolina Valencia, Marleny Valls, Joan Venegas, Gino Villagra, Verónica Álvarez, Rodrigo |
| author_facet | Ramírez, Arianis Tatiana Valls, Joan Baena, Armando Rojas, Freddy David Ramírez, Katherine Álvarez, Rodrigo Cristaldo, Carmen Henríquez, Odessa Moreno, Adrián Colque Reynaga, Daysi González Palma, Hans Robinson, Isabel Hernández, Diana Carolina Bardales, Rosa Cardinal, Lucía Salgado, Yuly Martínez, Sandra González, Emmanuel Guillén, Diego Fleider, Laura Tatti, Silvio Villagra, Verónica Venegas, Gino Cruz Valdez, Aurelio Valencia, Marleny Rodríguez, Guillermo Terán, Carolina Picconi, María Alejandra Ferrera, Annabelle Kasamatsu, Elena Satiko Mendoza Torres, Laura Patricia Calderón, Alejandro Luciani, Silvana Broutet, Nathalie Darragh, Teresa M. Almonte, Maribel Herrero, Rolando |
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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 | Ramírez, Arianis Tatiana Valls, Joan Baena, Armando Rojas, Freddy David Ramírez, Katherine Álvarez, Rodrigo Cristaldo, Carmen Henríquez, Odessa Moreno, Adrián Colque Reynaga, Daysi González Palma, Hans Robinson, Isabel Hernández, Diana Carolina Bardales, Rosa Cardinal, Lucía Salgado, Yuly Martínez, Sandra González, Emmanuel Guillén, Diego Fleider, Laura Tatti, Silvio Villagra, Verónica Venegas, Gino Cruz Valdez, Aurelio Valencia, Marleny Rodríguez, Guillermo Terán, Carolina Picconi, María Alejandra Ferrera, Annabelle Kasamatsu, Elena Satiko Mendoza Torres, Laura Patricia Calderón, Alejandro Luciani, Silvana Broutet, Nathalie Darragh, Teresa M. Almonte, Maribel Herrero, Rolando |
| dc.date.accessioned.none.fl_str_mv | 2024-07-10T20:53:48Z |
| dc.date.available.none.fl_str_mv | 2024-07-10T20:53:48Z |
| dc.date.issued.none.fl_str_mv | 2023-09-20 |
| dc.format.extent.es.fl_str_mv | 11 páginas |
| dc.identifier.citation.en.fl_str_mv | Ramírez, A. T., Valls, J., Baena, A., Rojas, F. D., Ramírez, K., Álvarez, R., Cristaldo, C., Henríquez, O., Moreno, A., Reynaga, D. C., Palma, H. G., Robinson, I., Hernández, D. C., Bardales, R., Cardinal, L., Salgado, Y., Martínez, S., González, E., Guillén, D., Fleider, L., … ESTAMPA Study Group. (2023). Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America: an analysis within the ESTAMPA study. The Lancet Regional Health Americas, 26, Artículo 100593. https://doi.org/10.1016/j.lana.2023.100593 |
| dc.identifier.doi.es.fl_str_mv | 10.1016/j.lana.2023.100593 |
| dc.identifier.essn.es.fl_str_mv | 2667-193X |
| dc.identifier.other.es.fl_str_mv | https://doi.org/10.1016/j.lana.2023.100593 |
| dc.identifier.uri.none.fl_str_mv | http://hdl.handle.net/20.500.14066/4423 |
| dc.language.iso.es.fl_str_mv | eng |
| dc.publisher.es.fl_str_mv | The Lancet |
| dc.relation.projectCONACYT.es.fl_str_mv | 14-INV-036 PINV18-256 |
| dc.rights.*.fl_str_mv | Attribution-NonCommercial-NoDerivs 3.0 Intergovernmental Organization |
| dc.rights.accessRights.es.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.rights.uri.*.fl_str_mv | http://creativecommons.org/licenses/by-nc-nd/3.0/igo/ |
| 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 | América Latina Citología Colposcopía Detección precoz del cáncer Displasia del cuello del útero Infecciones por papillomavirus Neoplasias del cuello uterino Tamizaje masivo Virus del Papiloma Humano Latin America Cytology Colposcopy Early detection of cancer Uterine cervical dysplasia Papillomavirus infections Uterine cervical neoplasms Mass screening Human Papillomavirus Viruses |
| dc.title.es.fl_str_mv | Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study |
| dc.type.es.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| description | Corresponding author. E-mail address: ramirezt@iarc.who.int (A.T. Ramírez). |
| eu_rights_str_mv | openAccess |
| format | article |
| id | CONACYT_ff4bfcdc67ff2b1f455a7dcc502b9e36 |
| identifier_str_mv | Ramírez, A. T., Valls, J., Baena, A., Rojas, F. D., Ramírez, K., Álvarez, R., Cristaldo, C., Henríquez, O., Moreno, A., Reynaga, D. C., Palma, H. G., Robinson, I., Hernández, D. C., Bardales, R., Cardinal, L., Salgado, Y., Martínez, S., González, E., Guillén, D., Fleider, L., … ESTAMPA Study Group. (2023). Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America: an analysis within the ESTAMPA study. The Lancet Regional Health Americas, 26, Artículo 100593. https://doi.org/10.1016/j.lana.2023.100593 10.1016/j.lana.2023.100593 2667-193X |
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| publishDate | 2023 |
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Instituto de Investigaciones en Ciencias de la Salud2024-07-10T20:53:48Z2024-07-10T20:53:48Z2023-09-20Ramírez, A. T., Valls, J., Baena, A., Rojas, F. D., Ramírez, K., Álvarez, R., Cristaldo, C., Henríquez, O., Moreno, A., Reynaga, D. C., Palma, H. G., Robinson, I., Hernández, D. C., Bardales, R., Cardinal, L., Salgado, Y., Martínez, S., González, E., Guillén, D., Fleider, L., … ESTAMPA Study Group. (2023). Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America: an analysis within the ESTAMPA study. The Lancet Regional Health Americas, 26, Artículo 100593. https://doi.org/10.1016/j.lana.2023.100593https://doi.org/10.1016/j.lana.2023.100593http://hdl.handle.net/20.500.14066/442310.1016/j.lana.2023.1005932667-193XCorresponding author. E-mail address: ramirezt@iarc.who.int (A.T. Ramírez).Artículo científico premiado con una Mención Honorífica por el Premio Nacional de Ciencias de la edición 2024, otorgado por la Honorable Cámara de Senadores del Congreso Nacional de la República del Paraguay.Background. Cervical cytology remains widely used as the initial tool in cervical cancer screening worldwide. WHO guidelines recommend replacing cytology with primary HPV testing to reach cervical cancer elimination goals. We assessed the performance of cytology and high-risk HPV testing to detect cervical precancer, cervical intraepithelial neoplasia (CIN) grade 3 or worse (CIN3+) among women aged 30–64 years participating in the ESTAMPA study. Methods. Women were screened with cytology and HPV across ESTAMPA study centres in Latin America. Screen-positives were referred to colposcopy with biopsy collection and treatment as needed. Those with no evident precancer were recalled at 18-months for a second HPV test to complete disease ascertainment. Performance indicators for cytology and HPV to detect CIN3+ were estimated. Findings. 30,606 participants with available cytology and HPV results were included in the analysis. A total of 440 histologically confirmed CIN3s and 30 cancers were diagnosed. Cytology sensitivity for CIN3+ was 48.5% (95% CI: 44.0–53.0), whereas HPV testing had a sensitivity of 98.1% (95% CI: 96.3–96.7). Specificity was 96.5% (95% CI: 96.3–96.7) using cytology and 88.7% (95% CI: 88.3–89.0) with HPV. Performance estimates varied substantially by study centre for cytology (ranging from 32.1% to 87.5% for sensitivity and from 89.2% to 99.5% for specificity) while for HPV results were more consistent across sites (96.7%–100% and 83.6–90.8%, respectively). Interpretation. The limited and highly variable sensitivity of cytology strongly supports transition to the more robust and reproducible HPV-based cervical screening to ensure progress towards global cervical cancer elimination targets in Latin America.Consejo Nacional de Ciencia y TecnologíaPrograma Paraguayo para el Desarrollo de la Ciencia y Tecnología. Proyectos de investigación y desarrollo11 páginasengThe LancetAttribution-NonCommercial-NoDerivs 3.0 Intergovernmental Organizationhttp://creativecommons.org/licenses/by-nc-nd/3.0/igo/info:eu-repo/semantics/openAccess© 2023 Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND IGO license (http://creativecommons.org/licenses/by-nc-nd/3.0/igo/).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 geriátricaAmérica LatinaCitologíaColposcopíaDetección precoz del cáncerDisplasia del cuello del úteroInfecciones por papillomavirusNeoplasias del cuello uterinoTamizaje masivoVirus del Papiloma HumanoLatin AmericaCytologyColposcopyEarly detection of cancerUterine cervical dysplasiaPapillomavirus infectionsUterine cervical neoplasmsMass screeningHuman Papillomavirus Viruses3. Ciencias Médicas y de la Salud3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología)Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA studyinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionThe Lancet Regional Health – Americas14-INV-036PINV18-25626Ramírez, Arianis TatianaValls, JoanBaena, ArmandoRojas, Freddy DavidRamírez, KatherineÁlvarez, RodrigoCristaldo, CarmenHenríquez, OdessaMoreno, AdriánColque Reynaga, DaysiGonzález Palma, HansRobinson, IsabelHernández, Diana CarolinaBardales, RosaCardinal, LucíaSalgado, YulyMartínez, SandraGonzález, EmmanuelGuillén, DiegoFleider, LauraTatti, SilvioVillagra, VerónicaVenegas, GinoCruz Valdez, AurelioValencia, MarlenyRodríguez, GuillermoTerán, CarolinaPicconi, María AlejandraFerrera, AnnabelleKasamatsu, Elena SatikoMendoza Torres, Laura PatriciaCalderón, AlejandroLuciani, SilvanaBroutet, NathalieDarragh, Teresa M.Almonte, MaribelHerrero, RolandoORIGINALPerformance of cervical cytology and HPV testing.pdfPerformance of cervical cytology and HPV testing.pdfArtículo científicoapplication/pdf374812http://repositorio.conacyt.gov.py/bitstream/20.500.14066/4423/1/Performance%20of%20cervical%20cytology%20and%20HPV%20testing.pdfa30a6762d9d0dc21e25c477566e26040MD51Appendix A. 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| spellingShingle | Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study 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 América Latina Citología Colposcopía Detección precoz del cáncer Displasia del cuello del útero Infecciones por papillomavirus Neoplasias del cuello uterino Tamizaje masivo Virus del Papiloma Humano Latin America Cytology Colposcopy Early detection of cancer Uterine cervical dysplasia Papillomavirus infections Uterine cervical neoplasms Mass screening Human Papillomavirus Viruses 3. Ciencias Médicas y de la Salud 3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología) |
| status_str | publishedVersion |
| title | Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study |
| title_full | Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study |
| title_fullStr | Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study |
| title_full_unstemmed | Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study |
| title_short | Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study |
| title_sort | Performance of cervical cytology and HPV testing for primary cervical cancer screening in Latin America : an analysis within the ESTAMPA study |
| 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 América Latina Citología Colposcopía Detección precoz del cáncer Displasia del cuello del útero Infecciones por papillomavirus Neoplasias del cuello uterino Tamizaje masivo Virus del Papiloma Humano Latin America Cytology Colposcopy Early detection of cancer Uterine cervical dysplasia Papillomavirus infections Uterine cervical neoplasms Mass screening Human Papillomavirus Viruses 3. Ciencias Médicas y de la Salud 3.3. Ciencias de la Salud (salud pública, medicina social, higiene, enfermería, epidemiología) |
| url | https://doi.org/10.1016/j.lana.2023.100593 http://hdl.handle.net/20.500.14066/4423 |