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EARLY DETECTION OF CERVICAL CANCER IN CHILE: TIME FOR CHANGE

Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio

dc.contributoren-US
dc.contributorEste artículo se realizó dentro del marco del estudio FONDECYT N° 1090597es-ES
dc.creatorLéniz Martelli, Javiera; Facultad de Medicina. Pontificia Universidad Católica de Chile
dc.creatorVan De Wyngard, Vanessa; Facultad de Medicina. Pontificia Universidad Católica de Chile
dc.creatorLagos, Marcela; Facultad de Medicina. Pontificia Universidad Católica de Chile
dc.creatorBarriga, María Isabel; Facultad de Medicina. Pontificia Universidad Católica de Chile
dc.creatorPuschel Illanes, Klaus; Facultad de Medicina. Pontificia Universidad Católica de Chile
dc.creatorFerreccio Readi, Catterina; Facultad de Medicina. Pontificia Universidad Católica de Chile
dc.date2014-08-11
dc.date.accessioned2019-11-11T18:27:28Z
dc.date.available2019-11-11T18:27:28Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3064
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111160
dc.descriptionMortality rates for cervical cancer (CC) in Chile are higher than those of developed countries and it has an unequal socioeconomic distribution. The recognition of human papilloma virus (HPV) as the causal agent of cervical cancer in the early 80's changed the prevention paradigms. Current goals are to prevent HPV infection by vaccination before the onset of sexual activity and to detect HPV infection in women older than 30 years. This article reviews CC prevention and early detection methods, discusses relevant evidence to support a change in Chile and presents an innovation proposal. A strategy of primary screening based on HPV detection followed by triage of HPV-positive women by colposcopy in primary care or by cytological or molecular reflex testing is proposed. Due to the existence in Chile of a well-organized nationwide CC prevention program, the replacement of a low-sensitivity screening test such as the Papanicolau test with a highly sensitive one such as HPV detection, could quickly improve the effectiveness of the program. The program also has a network of personnel qualified to conduct naked-eye inspections of the cervix, who could easily be trained to perform triage colposcopy. The incorporation of new prevention strategies could reduce the deaths of Chilean women and correct inequities.en-US
dc.descriptionMortality rates for cervical cancer (CC) in Chile are higher than those of developed countries and it has an unequal socioeconomic distribution. The recognition of human papilloma virus (HPV) as the causal agent of cervical cancer in the early 80's changed the prevention paradigms. Current goals are to prevent HPV infection by vaccination before the onset of sexual activity and to detect HPV infection in women older than 30 years. This article reviews CC prevention and early detection methods, discusses relevant evidence to support a change in Chile and presents an innovation proposal. A strategy of primary screening based on HPV detection followed by triage of HPV-positive women by colposcopy in primary care or by cytological or molecular reflex testing is proposed. Due to the existence in Chile of a well-organized nationwide CC prevention program, the replacement of a low-sensitivity screening test such as the Papanicolau test with a highly sensitive one such as HPV detection, could quickly improve the effectiveness of the program. The program also has a network of personnel qualified to conduct naked-eye inspections of the cervix, who could easily be trained to perform triage colposcopy. The incorporation of new prevention strategies could reduce the deaths of Chilean women and correct inequities.es-ES
dc.formatapplication/unknown
dc.languagespa
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/3064/486
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dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/3064/14686
dc.sourceRevista Médica de Chile; Vol. 142, núm. 8 (2014): AGOSTO 2014es-ES
dc.source0034-9887
dc.subjectDelivery of health care; Early detection of cancer; Human papiloma virus; Uterine cervical neoplasmsen-US
dc.subjectDelivery of health care; Early detection of cancer; Human papiloma virus; Uterine cervical neoplasmses-ES
dc.titleEARLY DETECTION OF CERVICAL CANCER IN CHILE: TIME FOR CHANGEen-US
dc.titleDetección precoz del cáncer cervicouterino en Chile: tiempo para el cambioes-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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