Visual inspection with acetic acid and cytology as screening methods for cervical lesions in Cameroon
To assess the accuracy of visual inspection with acetic acid (VIA) as a screening method for cervical lesions. VIA and cytological smears were carried out on the cervices of non-pregnant women aged 30–60 years with no previous history of cervical cancer. Cervices with aceto white lesions or positive...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 2005-05, Vol.89 (2), p.167-173 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Doh, A.S. Nkele, N.N. Achu, P. Essimbi, F. Essame, O. Nkegoum, B. |
| description | To assess the accuracy of visual inspection with acetic acid (VIA) as a screening method for cervical lesions.
VIA and cytological smears were carried out on the cervices of non-pregnant women aged 30–60 years with no previous history of cervical cancer. Cervices with aceto white lesions or positive Pap smears, and one in ten negative cervices (control), were biopsied.
5010 women were enrolled, 4813 (96.1%) were screened. 4767 (99.%) had adequate cytology smears. 574 (11.9%) had colposcopy. 1743 biopsies were obtained of which 528 were controls. The sensitivity of VIA was 70.4% versus 47.7% for Pap smear. VIA specificity was 77.6% versus 94.2% for Pap smear; PPV for VIA was 44.0% versus 67.2% for Pap smear; and NPV for VIA was 91.3% versus 87.8% for Pap smear.
VIA has acceptable test qualities and may in low resource settings be implemented as a large scale screening method. |
| doi_str_mv | 10.1016/j.ijgo.2004.12.040 |
| format | Article |
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VIA and cytological smears were carried out on the cervices of non-pregnant women aged 30–60 years with no previous history of cervical cancer. Cervices with aceto white lesions or positive Pap smears, and one in ten negative cervices (control), were biopsied.
5010 women were enrolled, 4813 (96.1%) were screened. 4767 (99.%) had adequate cytology smears. 574 (11.9%) had colposcopy. 1743 biopsies were obtained of which 528 were controls. The sensitivity of VIA was 70.4% versus 47.7% for Pap smear. VIA specificity was 77.6% versus 94.2% for Pap smear; PPV for VIA was 44.0% versus 67.2% for Pap smear; and NPV for VIA was 91.3% versus 87.8% for Pap smear.
VIA has acceptable test qualities and may in low resource settings be implemented as a large scale screening method.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/j.ijgo.2004.12.040</identifier><identifier>PMID: 15847890</identifier><identifier>CODEN: IJGOAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Acetic Acid ; Adult ; Biological and medical sciences ; Biopsy, Needle ; Cameroon ; Cervical dysplasia ; Cervix Uteri - pathology ; Colposcopy ; Cross-Sectional Studies ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Indicators and Reagents ; Mass Screening - methods ; Medical sciences ; Middle Aged ; Pap smear ; Papanicolaou Test ; Predictive Value of Tests ; Screening ; Sensitivity and Specificity ; Uterine Cervical Neoplasms - diagnosis ; Vaginal Smears ; VIA</subject><ispartof>International journal of gynecology and obstetrics, 2005-05, Vol.89 (2), p.167-173</ispartof><rights>2005 International Federation of Gynecology and Obstetrics</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4327-79a0144097e9770733141b67de2ab451635b40405e279ead7a0bfb107efffb1b3</citedby><cites>FETCH-LOGICAL-c4327-79a0144097e9770733141b67de2ab451635b40405e279ead7a0bfb107efffb1b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2Fj.ijgo.2004.12.040$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2Fj.ijgo.2004.12.040$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16742792$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15847890$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Doh, A.S.</creatorcontrib><creatorcontrib>Nkele, N.N.</creatorcontrib><creatorcontrib>Achu, P.</creatorcontrib><creatorcontrib>Essimbi, F.</creatorcontrib><creatorcontrib>Essame, O.</creatorcontrib><creatorcontrib>Nkegoum, B.</creatorcontrib><title>Visual inspection with acetic acid and cytology as screening methods for cervical lesions in Cameroon</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>To assess the accuracy of visual inspection with acetic acid (VIA) as a screening method for cervical lesions.
VIA and cytological smears were carried out on the cervices of non-pregnant women aged 30–60 years with no previous history of cervical cancer. Cervices with aceto white lesions or positive Pap smears, and one in ten negative cervices (control), were biopsied.
5010 women were enrolled, 4813 (96.1%) were screened. 4767 (99.%) had adequate cytology smears. 574 (11.9%) had colposcopy. 1743 biopsies were obtained of which 528 were controls. The sensitivity of VIA was 70.4% versus 47.7% for Pap smear. VIA specificity was 77.6% versus 94.2% for Pap smear; PPV for VIA was 44.0% versus 67.2% for Pap smear; and NPV for VIA was 91.3% versus 87.8% for Pap smear.
VIA has acceptable test qualities and may in low resource settings be implemented as a large scale screening method.</description><subject>Acetic Acid</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Cameroon</subject><subject>Cervical dysplasia</subject><subject>Cervix Uteri - pathology</subject><subject>Colposcopy</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Indicators and Reagents</subject><subject>Mass Screening - methods</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pap smear</subject><subject>Papanicolaou Test</subject><subject>Predictive Value of Tests</subject><subject>Screening</subject><subject>Sensitivity and Specificity</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Vaginal Smears</subject><subject>VIA</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkbFu2zAQhomiQeOmfYEOBZd2k3KkaJ0EdCmMNEkRIEvSlaCok0NDIl1STuC3Lw0byBZ0uuX7_-N9ZOyLgFKAqC83pdusQykBVClkCQresYVosC0qhe17tgCQUKBs5Tn7mNIGAAQK8YGdi2WjsGlhweiPSzszcufTluzsgucvbn7ixtLsbB6u58b33O7nMIb1npvEk41E3vk1n2h-Cn3iQ4jcUnx2NleNlHJNypV8ZSaKIfhP7GwwY6LPp3nBHn9dPaxuirv769vVz7vCqkpiga0BoRS0SC0iYFUJJboae5KmU0tRV8tO5TOXJLEl06OBbugEIA1Dnl11wb4fe7cx_N1RmvXkkqVxNJ7CLukasRHYYAblEbQxpBRp0NvoJhP3WoA-yNUbfZCrD3K1kDpvzaGvp_ZdN1H_GjnZzMC3E2BSNjFE461Lr1yNKj9cZg6P3Isbaf8fq_Xt7-v7HM_JH8ckZYvPjqJO1pG31LuYv0_3wb11wT8ztam0</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Doh, A.S.</creator><creator>Nkele, N.N.</creator><creator>Achu, P.</creator><creator>Essimbi, F.</creator><creator>Essame, O.</creator><creator>Nkegoum, B.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>200505</creationdate><title>Visual inspection with acetic acid and cytology as screening methods for cervical lesions in Cameroon</title><author>Doh, A.S. ; Nkele, N.N. ; Achu, P. ; Essimbi, F. ; Essame, O. ; Nkegoum, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4327-79a0144097e9770733141b67de2ab451635b40405e279ead7a0bfb107efffb1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Acetic Acid</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle</topic><topic>Cameroon</topic><topic>Cervical dysplasia</topic><topic>Cervix Uteri - pathology</topic><topic>Colposcopy</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Indicators and Reagents</topic><topic>Mass Screening - methods</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pap smear</topic><topic>Papanicolaou Test</topic><topic>Predictive Value of Tests</topic><topic>Screening</topic><topic>Sensitivity and Specificity</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Vaginal Smears</topic><topic>VIA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Doh, A.S.</creatorcontrib><creatorcontrib>Nkele, N.N.</creatorcontrib><creatorcontrib>Achu, P.</creatorcontrib><creatorcontrib>Essimbi, F.</creatorcontrib><creatorcontrib>Essame, O.</creatorcontrib><creatorcontrib>Nkegoum, B.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Doh, A.S.</au><au>Nkele, N.N.</au><au>Achu, P.</au><au>Essimbi, F.</au><au>Essame, O.</au><au>Nkegoum, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual inspection with acetic acid and cytology as screening methods for cervical lesions in Cameroon</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2005-05</date><risdate>2005</risdate><volume>89</volume><issue>2</issue><spage>167</spage><epage>173</epage><pages>167-173</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><coden>IJGOAL</coden><abstract>To assess the accuracy of visual inspection with acetic acid (VIA) as a screening method for cervical lesions.
VIA and cytological smears were carried out on the cervices of non-pregnant women aged 30–60 years with no previous history of cervical cancer. Cervices with aceto white lesions or positive Pap smears, and one in ten negative cervices (control), were biopsied.
5010 women were enrolled, 4813 (96.1%) were screened. 4767 (99.%) had adequate cytology smears. 574 (11.9%) had colposcopy. 1743 biopsies were obtained of which 528 were controls. The sensitivity of VIA was 70.4% versus 47.7% for Pap smear. VIA specificity was 77.6% versus 94.2% for Pap smear; PPV for VIA was 44.0% versus 67.2% for Pap smear; and NPV for VIA was 91.3% versus 87.8% for Pap smear.
VIA has acceptable test qualities and may in low resource settings be implemented as a large scale screening method.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>15847890</pmid><doi>10.1016/j.ijgo.2004.12.040</doi><tpages>7</tpages></addata></record> |
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| ispartof | International journal of gynecology and obstetrics, 2005-05, Vol.89 (2), p.167-173 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Acetic Acid Adult Biological and medical sciences Biopsy, Needle Cameroon Cervical dysplasia Cervix Uteri - pathology Colposcopy Cross-Sectional Studies Female Gynecology. Andrology. Obstetrics Humans Indicators and Reagents Mass Screening - methods Medical sciences Middle Aged Pap smear Papanicolaou Test Predictive Value of Tests Screening Sensitivity and Specificity Uterine Cervical Neoplasms - diagnosis Vaginal Smears VIA |
| title | Visual inspection with acetic acid and cytology as screening methods for cervical lesions in Cameroon |
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