Health outcomes in women attending with clinical guideline PROGYNE to a primary care center for cervical cancer prevention
Aim The objective of the current study was to analyze the health outcomes of women attending with a clinical guideline to consultations for cervical cancer (CC) prevention in a primary care center. Methods A cross‐sectional design was used, and data were collected from March to July 2016 with a samp...
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Veröffentlicht in: | The journal of obstetrics and gynaecology research 2021-12, Vol.47 (12), p.4371-4380 |
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creator | Gomes, Maria Luziene de Sousa Vieira, Neiva Francenely Cunha Sousa, Deise Maria do Nascimento Moura, Nádya dos Santos Rodrigues, Ivana Rios Rodrigues, Dafne Paiva Silva, Bárbara Gomes Santos Oriá, Mônica Oliveira Batista |
description | Aim
The objective of the current study was to analyze the health outcomes of women attending with a clinical guideline to consultations for cervical cancer (CC) prevention in a primary care center.
Methods
A cross‐sectional design was used, and data were collected from March to July 2016 with a sample of 87 women in Fortaleza, Brazil.
Results
The following correlations were found: previous history of sexually transmitted infection (p = 0.025), women who used oral contraceptives (p = 0.035), and undergo the Papanicolaou test annually; having black skin color (p = 0.031) and attending to the first gynecological consultation; being single (p = 0.031), family history of cancer (p |
doi_str_mv | 10.1111/jog.15017 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2571921536</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2604923187</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3377-184e0134e5b72ef5043ee72f44bf60c83fe1c0451561d38be0ef0ee60ca2a6e43</originalsourceid><addsrcrecordid>eNp1kU9LAzEQxYMo_j_4BSTgRQ-rySbZbI8i2ipiRfTgaUnT2ZqyTTTZtdRP72irB8G5zAvzm0eGR8gBZ6cc62waJqdcMa7XyDaXUmdMq2IdtZA8K5kutshOSlOGRI-Xm2RLSMWUEGKbfAzANO0LDV1rwwwSdZ7OUXhq2hb82PkJnTsEbOO8s6ahk86NAR9A7x-G_ee7S9oGauhrdDMTF9SaCNSCbyHSOkSU8f17zxqPGjl4x6kLfo9s1KZJsL_qu-Tp6vLxYpDdDvvXF-e3mRVC64yXEhheAmqkc6gVkwJA57WUo7pgthQ1cMuk4qrgY1GOgEHNAHBkclOAFLvkeOn7GsNbB6mtZi5ZaBrjIXSpypXmvZwrUSB69Aedhi56_F2VF0z2csFLjdTJkrIxpBShrlbHV5xVX4Hg1qT6DgTZw5VjN5rB-Jf8SQCBsyUwdw0s_neqbob9peUnWvqU4w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2604923187</pqid></control><display><type>article</type><title>Health outcomes in women attending with clinical guideline PROGYNE to a primary care center for cervical cancer prevention</title><source>Wiley-Blackwell Journals</source><source>MEDLINE</source><creator>Gomes, Maria Luziene de Sousa ; Vieira, Neiva Francenely Cunha ; Sousa, Deise Maria do Nascimento ; Moura, Nádya dos Santos ; Rodrigues, Ivana Rios ; Rodrigues, Dafne Paiva ; Silva, Bárbara Gomes Santos ; Oriá, Mônica Oliveira Batista</creator><creatorcontrib>Gomes, Maria Luziene de Sousa ; Vieira, Neiva Francenely Cunha ; Sousa, Deise Maria do Nascimento ; Moura, Nádya dos Santos ; Rodrigues, Ivana Rios ; Rodrigues, Dafne Paiva ; Silva, Bárbara Gomes Santos ; Oriá, Mônica Oliveira Batista</creatorcontrib><description>Aim
The objective of the current study was to analyze the health outcomes of women attending with a clinical guideline to consultations for cervical cancer (CC) prevention in a primary care center.
Methods
A cross‐sectional design was used, and data were collected from March to July 2016 with a sample of 87 women in Fortaleza, Brazil.
Results
The following correlations were found: previous history of sexually transmitted infection (p = 0.025), women who used oral contraceptives (p = 0.035), and undergo the Papanicolaou test annually; having black skin color (p = 0.031) and attending to the first gynecological consultation; being single (p = 0.031), family history of cancer (p < 0.001), and undergoing the first Papanicolaou test within the first 3 years of sexual activity; age up to 30 years and positive colposcopy (p = 0.027); and being single and positive colposcopy (p = 0.021). CC was characterized by the presence of intraepithelial lesion detected on colposcopy (gold standard). Receiver operating characteristic curves were used to evaluate the diagnostic accuracy of visual inspection with Lugol's iodine, digital cervicography, and Papanicolaou test. The area under the curve values were as follows: digital cervicography: 0.558, p = 0.509; Lugol's iodine: 0.491, p = 0.919; and Papanicolaou test: 0.697, p = 0.024.
Conclusion
Colposcopy in primary care provided a faster diagnosis of pre‐cancerous lesions. Understanding the health outcomes of women who underwent consultations for CC prevention, as well as the screening and diagnosis methods used, is essential to the service and national health system of the less developed countries.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/jog.15017</identifier><identifier>PMID: 34505333</identifier><language>eng</language><publisher>Kyoto, Japan: John Wiley & Sons Australia, Ltd</publisher><subject>Cervical cancer ; Cervical Intraepithelial Neoplasia ; Cervix ; Colposcopy ; Contraceptives ; Cross-Sectional Studies ; Diagnosis ; early detection of cancer ; Female ; Humans ; Iodine ; Lugol's iodine ; Mass Screening ; Oral contraceptives ; Outcome Assessment, Health Care ; Papanicolaou Test ; Pregnancy ; Primary care ; Primary Health Care ; screening ; Skin tests ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - prevention & control ; Vaginal Smears ; Womens health</subject><ispartof>The journal of obstetrics and gynaecology research, 2021-12, Vol.47 (12), p.4371-4380</ispartof><rights>2021 Japan Society of Obstetrics and Gynecology.</rights><rights>2021 Japan Society of Obstetrics and Gynecology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3377-184e0134e5b72ef5043ee72f44bf60c83fe1c0451561d38be0ef0ee60ca2a6e43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjog.15017$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjog.15017$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34505333$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gomes, Maria Luziene de Sousa</creatorcontrib><creatorcontrib>Vieira, Neiva Francenely Cunha</creatorcontrib><creatorcontrib>Sousa, Deise Maria do Nascimento</creatorcontrib><creatorcontrib>Moura, Nádya dos Santos</creatorcontrib><creatorcontrib>Rodrigues, Ivana Rios</creatorcontrib><creatorcontrib>Rodrigues, Dafne Paiva</creatorcontrib><creatorcontrib>Silva, Bárbara Gomes Santos</creatorcontrib><creatorcontrib>Oriá, Mônica Oliveira Batista</creatorcontrib><title>Health outcomes in women attending with clinical guideline PROGYNE to a primary care center for cervical cancer prevention</title><title>The journal of obstetrics and gynaecology research</title><addtitle>J Obstet Gynaecol Res</addtitle><description>Aim
The objective of the current study was to analyze the health outcomes of women attending with a clinical guideline to consultations for cervical cancer (CC) prevention in a primary care center.
Methods
A cross‐sectional design was used, and data were collected from March to July 2016 with a sample of 87 women in Fortaleza, Brazil.
Results
The following correlations were found: previous history of sexually transmitted infection (p = 0.025), women who used oral contraceptives (p = 0.035), and undergo the Papanicolaou test annually; having black skin color (p = 0.031) and attending to the first gynecological consultation; being single (p = 0.031), family history of cancer (p < 0.001), and undergoing the first Papanicolaou test within the first 3 years of sexual activity; age up to 30 years and positive colposcopy (p = 0.027); and being single and positive colposcopy (p = 0.021). CC was characterized by the presence of intraepithelial lesion detected on colposcopy (gold standard). Receiver operating characteristic curves were used to evaluate the diagnostic accuracy of visual inspection with Lugol's iodine, digital cervicography, and Papanicolaou test. The area under the curve values were as follows: digital cervicography: 0.558, p = 0.509; Lugol's iodine: 0.491, p = 0.919; and Papanicolaou test: 0.697, p = 0.024.
Conclusion
Colposcopy in primary care provided a faster diagnosis of pre‐cancerous lesions. Understanding the health outcomes of women who underwent consultations for CC prevention, as well as the screening and diagnosis methods used, is essential to the service and national health system of the less developed countries.</description><subject>Cervical cancer</subject><subject>Cervical Intraepithelial Neoplasia</subject><subject>Cervix</subject><subject>Colposcopy</subject><subject>Contraceptives</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis</subject><subject>early detection of cancer</subject><subject>Female</subject><subject>Humans</subject><subject>Iodine</subject><subject>Lugol's iodine</subject><subject>Mass Screening</subject><subject>Oral contraceptives</subject><subject>Outcome Assessment, Health Care</subject><subject>Papanicolaou Test</subject><subject>Pregnancy</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>screening</subject><subject>Skin tests</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - prevention & control</subject><subject>Vaginal Smears</subject><subject>Womens health</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9LAzEQxYMo_j_4BSTgRQ-rySbZbI8i2ipiRfTgaUnT2ZqyTTTZtdRP72irB8G5zAvzm0eGR8gBZ6cc62waJqdcMa7XyDaXUmdMq2IdtZA8K5kutshOSlOGRI-Xm2RLSMWUEGKbfAzANO0LDV1rwwwSdZ7OUXhq2hb82PkJnTsEbOO8s6ahk86NAR9A7x-G_ee7S9oGauhrdDMTF9SaCNSCbyHSOkSU8f17zxqPGjl4x6kLfo9s1KZJsL_qu-Tp6vLxYpDdDvvXF-e3mRVC64yXEhheAmqkc6gVkwJA57WUo7pgthQ1cMuk4qrgY1GOgEHNAHBkclOAFLvkeOn7GsNbB6mtZi5ZaBrjIXSpypXmvZwrUSB69Aedhi56_F2VF0z2csFLjdTJkrIxpBShrlbHV5xVX4Hg1qT6DgTZw5VjN5rB-Jf8SQCBsyUwdw0s_neqbob9peUnWvqU4w</recordid><startdate>202112</startdate><enddate>202112</enddate><creator>Gomes, Maria Luziene de Sousa</creator><creator>Vieira, Neiva Francenely Cunha</creator><creator>Sousa, Deise Maria do Nascimento</creator><creator>Moura, Nádya dos Santos</creator><creator>Rodrigues, Ivana Rios</creator><creator>Rodrigues, Dafne Paiva</creator><creator>Silva, Bárbara Gomes Santos</creator><creator>Oriá, Mônica Oliveira Batista</creator><general>John Wiley & Sons Australia, Ltd</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>202112</creationdate><title>Health outcomes in women attending with clinical guideline PROGYNE to a primary care center for cervical cancer prevention</title><author>Gomes, Maria Luziene de Sousa ; Vieira, Neiva Francenely Cunha ; Sousa, Deise Maria do Nascimento ; Moura, Nádya dos Santos ; Rodrigues, Ivana Rios ; Rodrigues, Dafne Paiva ; Silva, Bárbara Gomes Santos ; Oriá, Mônica Oliveira Batista</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3377-184e0134e5b72ef5043ee72f44bf60c83fe1c0451561d38be0ef0ee60ca2a6e43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cervical cancer</topic><topic>Cervical Intraepithelial Neoplasia</topic><topic>Cervix</topic><topic>Colposcopy</topic><topic>Contraceptives</topic><topic>Cross-Sectional Studies</topic><topic>Diagnosis</topic><topic>early detection of cancer</topic><topic>Female</topic><topic>Humans</topic><topic>Iodine</topic><topic>Lugol's iodine</topic><topic>Mass Screening</topic><topic>Oral contraceptives</topic><topic>Outcome Assessment, Health Care</topic><topic>Papanicolaou Test</topic><topic>Pregnancy</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>screening</topic><topic>Skin tests</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - prevention & control</topic><topic>Vaginal Smears</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gomes, Maria Luziene de Sousa</creatorcontrib><creatorcontrib>Vieira, Neiva Francenely Cunha</creatorcontrib><creatorcontrib>Sousa, Deise Maria do Nascimento</creatorcontrib><creatorcontrib>Moura, Nádya dos Santos</creatorcontrib><creatorcontrib>Rodrigues, Ivana Rios</creatorcontrib><creatorcontrib>Rodrigues, Dafne Paiva</creatorcontrib><creatorcontrib>Silva, Bárbara Gomes Santos</creatorcontrib><creatorcontrib>Oriá, Mônica Oliveira Batista</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gomes, Maria Luziene de Sousa</au><au>Vieira, Neiva Francenely Cunha</au><au>Sousa, Deise Maria do Nascimento</au><au>Moura, Nádya dos Santos</au><au>Rodrigues, Ivana Rios</au><au>Rodrigues, Dafne Paiva</au><au>Silva, Bárbara Gomes Santos</au><au>Oriá, Mônica Oliveira Batista</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health outcomes in women attending with clinical guideline PROGYNE to a primary care center for cervical cancer prevention</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2021-12</date><risdate>2021</risdate><volume>47</volume><issue>12</issue><spage>4371</spage><epage>4380</epage><pages>4371-4380</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Aim
The objective of the current study was to analyze the health outcomes of women attending with a clinical guideline to consultations for cervical cancer (CC) prevention in a primary care center.
Methods
A cross‐sectional design was used, and data were collected from March to July 2016 with a sample of 87 women in Fortaleza, Brazil.
Results
The following correlations were found: previous history of sexually transmitted infection (p = 0.025), women who used oral contraceptives (p = 0.035), and undergo the Papanicolaou test annually; having black skin color (p = 0.031) and attending to the first gynecological consultation; being single (p = 0.031), family history of cancer (p < 0.001), and undergoing the first Papanicolaou test within the first 3 years of sexual activity; age up to 30 years and positive colposcopy (p = 0.027); and being single and positive colposcopy (p = 0.021). CC was characterized by the presence of intraepithelial lesion detected on colposcopy (gold standard). Receiver operating characteristic curves were used to evaluate the diagnostic accuracy of visual inspection with Lugol's iodine, digital cervicography, and Papanicolaou test. The area under the curve values were as follows: digital cervicography: 0.558, p = 0.509; Lugol's iodine: 0.491, p = 0.919; and Papanicolaou test: 0.697, p = 0.024.
Conclusion
Colposcopy in primary care provided a faster diagnosis of pre‐cancerous lesions. Understanding the health outcomes of women who underwent consultations for CC prevention, as well as the screening and diagnosis methods used, is essential to the service and national health system of the less developed countries.</abstract><cop>Kyoto, Japan</cop><pub>John Wiley & Sons Australia, Ltd</pub><pmid>34505333</pmid><doi>10.1111/jog.15017</doi><tpages>10</tpages></addata></record> |
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subjects | Cervical cancer Cervical Intraepithelial Neoplasia Cervix Colposcopy Contraceptives Cross-Sectional Studies Diagnosis early detection of cancer Female Humans Iodine Lugol's iodine Mass Screening Oral contraceptives Outcome Assessment, Health Care Papanicolaou Test Pregnancy Primary care Primary Health Care screening Skin tests Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - prevention & control Vaginal Smears Womens health |
title | Health outcomes in women attending with clinical guideline PROGYNE to a primary care center for cervical cancer prevention |
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