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
Hauptverfasser: 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
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container_end_page 4380
container_issue 12
container_start_page 4371
container_title The journal of obstetrics and gynaecology research
container_volume 47
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
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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 &lt; 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 &amp; 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 &amp; 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 &lt; 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 &amp; 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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 &amp; 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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 &lt; 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 &amp; Sons Australia, Ltd</pub><pmid>34505333</pmid><doi>10.1111/jog.15017</doi><tpages>10</tpages></addata></record>
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source Wiley-Blackwell Journals; MEDLINE
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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