Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis
Q1
- Autores:
-
Bruni, Laia
Serrano, Beatriz
Roura, Esther
Alemany, Laia
Cowan, Melanie
Herrero, Rolando
Poljak, Mario
Murillo, Raul
Broutet, Nathalie
Riley, Leanne M.
de Sanjose, Silvia
- Tipo de recurso:
- Review article
- Fecha de publicación:
- 2022
- Institución:
- Pontificia Universidad Javeriana
- Repositorio:
- Repositorio Universidad Javeriana
- Idioma:
- eng
- OAI Identifier:
- oai:repository.javeriana.edu.co:10554/63776
- Acceso en línea:
- https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(22)00241-8/fulltext#%20
http://hdl.handle.net/10554/63776
https://doi.org/10.1016/S2214-109X(22)00241-8
- Palabra clave:
- Rights
- License
- Atribución-NoComercial 4.0 Internacional
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| dc.title.spa.fl_str_mv |
Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis |
| title |
Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis |
| spellingShingle |
Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis |
| title_short |
Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis |
| title_full |
Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis |
| title_fullStr |
Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis |
| title_full_unstemmed |
Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis |
| title_sort |
Cervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysis |
| dc.creator.fl_str_mv |
Bruni, Laia Serrano, Beatriz Roura, Esther Alemany, Laia Cowan, Melanie Herrero, Rolando Poljak, Mario Murillo, Raul Broutet, Nathalie Riley, Leanne M. de Sanjose, Silvia |
| dc.contributor.author.none.fl_str_mv |
Bruni, Laia Serrano, Beatriz Roura, Esther Alemany, Laia Cowan, Melanie Herrero, Rolando Poljak, Mario Murillo, Raul Broutet, Nathalie Riley, Leanne M. de Sanjose, Silvia |
| dc.contributor.corporatename.spa.fl_str_mv |
Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Grupo de Oncología. Centro Javeriano de Oncología |
| dc.contributor.javerianateacher.none.fl_str_mv |
Murillo, Raul |
| description |
Q1 |
| publishDate |
2022 |
| dc.date.created.none.fl_str_mv |
2022-08 |
| dc.date.accessioned.none.fl_str_mv |
2023-03-14T18:39:19Z |
| dc.date.available.none.fl_str_mv |
2023-03-14T18:39:19Z |
| dc.type.local.spa.fl_str_mv |
Artículo de revista |
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http://purl.org/coar/resource_type/c_dcae04bc |
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http://purl.org/coar/resource_type/c_dcae04bc |
| dc.identifier.spa.fl_str_mv |
https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(22)00241-8/fulltext#%20 |
| dc.identifier.issn.spa.fl_str_mv |
2214-109X |
| dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10554/63776 |
| dc.identifier.doi.spa.fl_str_mv |
https://doi.org/10.1016/S2214-109X(22)00241-8 |
| dc.identifier.instname.spa.fl_str_mv |
instname:Pontificia Universidad Javeriana |
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reponame:Repositorio Institucional - Pontificia Universidad Javeriana |
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repourl:https://repository.javeriana.edu.co |
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https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(22)00241-8/fulltext#%20 http://hdl.handle.net/10554/63776 https://doi.org/10.1016/S2214-109X(22)00241-8 |
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2214-109X instname:Pontificia Universidad Javeriana reponame:Repositorio Institucional - Pontificia Universidad Javeriana repourl:https://repository.javeriana.edu.co |
| dc.language.iso.spa.fl_str_mv |
eng |
| language |
eng |
| dc.relation.citationstartpage.spa.fl_str_mv |
1115 |
| dc.relation.citationendpage.spa.fl_str_mv |
1127 |
| dc.relation.ispartofjournal.spa.fl_str_mv |
The Lancet Global Health |
| dc.relation.citationvolume.spa.fl_str_mv |
10 |
| dc.relation.citationissue.spa.fl_str_mv |
8 |
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Atribución-NoComercial 4.0 Internacional |
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http://creativecommons.org/licenses/by-nc/4.0/ |
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http://purl.org/coar/access_right/c_abf2 |
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Atribución-NoComercial 4.0 Internacional http://creativecommons.org/licenses/by-nc/4.0/ http://purl.org/coar/access_right/c_abf2 |
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PDF |
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application/pdf |
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2020-2021 |
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Pontificia Universidad Javeriana |
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Atribución-NoComercial 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc/4.0/http://purl.org/coar/access_right/c_abf2Bruni, LaiaSerrano, BeatrizRoura, EstherAlemany, LaiaCowan, MelanieHerrero, RolandoPoljak, MarioMurillo, RaulBroutet, NathalieRiley, Leanne M.de Sanjose, SilviaPontificia Universidad Javeriana. Facultad de Medicina. Departamento de Medicina Interna. Grupo de Oncología. Centro Javeriano de OncologíaMurillo, Raul2020-20212023-03-14T18:39:19Z2023-03-14T18:39:19Z2022-08https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(22)00241-8/fulltext#%202214-109Xhttp://hdl.handle.net/10554/63776https://doi.org/10.1016/S2214-109X(22)00241-8instname:Pontificia Universidad Javerianareponame:Repositorio Institucional - Pontificia Universidad Javerianarepourl:https://repository.javeriana.edu.coPDFapplication/pdfengCervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide: a review and synthetic analysisArtículo de revistahttp://purl.org/coar/resource_type/c_dcae04bcQ1Q1Background: Cervical cancer screening coverage is a key monitoring indicator of the WHO cervical cancer elimination plan. We present global, regional, and national cervical screening coverage estimates against the backdrop of the 70% coverage target set by WHO. Methods: In this review and synthetic analysis, we searched scientific literature, government websites, and official documentation to identify official national recommendations and coverage data for cervical cancer screening for the 194 WHO member states and eight associated countries and territories published from database inception until Oct 30, 2020, supplemented with a formal WHO country consultation from Nov 27, 2020, to Feb 12, 2021. We extracted data on the year of introduction of recommendations, the existence of individual invitation to participate, financing of screening tests, primary screening and triage tests used, recommended ages and screening intervals, use of selfsampling, and use of screen-and-treat approaches. We also collected coverage data, either administrative or surveybased, as disaggregated as possible by age and for any available screening interval. According to data completeness and representativeness, different statistical models were developed to produce national age-specific coverages by screening interval, which were transformed into single-age datapoints. Missing data were imputed. Estimates were applied to the 2019 population and aggregated by region and income level. Findings: We identified recommendations for cervical screening in 139 (69%) of 202 countries and territories. Cytology was the primary screening test in 109 (78%) of 139 countries. 48 (35%) of 139 countries recommended primary HPV-based screening. Visual inspection with acetic acid was the most recommended test in resource-limited settings. Estimated worldwide coverage in women aged 30–49 years in 2019 was 15% in the previous year, 28% in the previous 3 years, and 32% in the previous 5 years, and 36% ever in lifetime. An estimated 1·6 billion (67%) of 2·3 billion women aged 20–70 years, including 662 million (64%) of 1·0 billion women aged 30–49 years, had never been screened for cervical cancer. 133 million (84%) of 158 million women aged 30–49 years living in high-income countries had been screened ever in lifetime, compared with 194 million (48%) of 404 million women in upper-middle-income countries, 34 million (9%) of 397 million women in lower-middle-income countries, and 8 million (11%) of 74 million in low-income countries. Interpretation: Two in three women aged 30–49 years have never been screened for cervical cancer. Roll-out of screening is very low in low-income and middle-income countries, where the burden of disease is highest. The priority of the WHO elimination campaign should be to increase both screening coverage and treatment of detected lesions; however, expanding the efforts of surveillance systems in both coverage and quality control are major challenges to achieving the WHO elimination target. Funding: Instituto de Salud Carlos III, European Regional Development Fund, Secretariat for Universities and Research of the Department of Business and Knowledge of the Government of Catalonia, and Horizon 2020.https://orcid.org/0000-0001-7187-9946Revista Internacional - IndexadaA1No11151127The Lancet Global Health108ORIGINALCervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide a review and synthetic analysis.pdfCervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide a review and synthetic analysis.pdfArtículoapplication/pdf4477239http://repository.javeriana.edu.co/bitstream/10554/63776/1/Cervical%20cancer%20screening%20programmes%20and%20age-specific%20coverage%20estimates%20for%20202%20countries%20and%20territories%20worldwide%20a%20review%20and%20synthetic%20analysis.pdfed8c585e76eba97007740d8f8be1251eMD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-82603http://repository.javeriana.edu.co/bitstream/10554/63776/2/license.txt2070d280cc89439d983d9eee1b17df53MD52open accessTHUMBNAILCervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide a review and synthetic analysis.pdf.jpgCervical cancer screening programmes and age-specific coverage estimates for 202 countries and territories worldwide a review and synthetic analysis.pdf.jpgIM Thumbnailimage/jpeg14924http://repository.javeriana.edu.co/bitstream/10554/63776/3/Cervical%20cancer%20screening%20programmes%20and%20age-specific%20coverage%20estimates%20for%20202%20countries%20and%20territories%20worldwide%20a%20review%20and%20synthetic%20analysis.pdf.jpgc1e1db4962ea7b20453cabe0fc5649b3MD53open access10554/63776oai:repository.javeriana.edu.co:10554/637762023-03-23 03:08:11.456Repositorio Institucional - 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