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New cheaper human papilloma virus mass screening strategy reduces cervical cancer incidence in Changsha city:A clinical trial

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World Journal of Clinical Oncology 2024年第12期15卷 1491-1500页

作者： Yue-E Zu Si-Feng Wang Xing-Xing Peng Yong-Chun Wen Xue-Xiang Shen Xiao-Lan Wang Wen-Bo Liao Ding Jia Ji-Yang Liu Xiang-Wen Peng Hunan Provincial Key Laboratory of Regional Hereditary Birth Defects Prevention and Control Changsha Hospital for Maternal&Child Health CareHunan Normal UniversityChangsha 410001Hunan ProvinceChina Changsha Hospital for Maternal&Child Health Care Affiliated Hunan Normal UniversityChangsha 410001Hunan ProvinceChina Department of Administrative Office Hunan Provincial Health CommissionChangsha 410001Hunan ProvinceChina

BACKGROUND Cervical cancer is the second leading cause of death in women worldwide,second only to breast *** 80%of women have been infected with human papillomavirus(HPV)in their *** screening and treatment are effective means of preventing cervical cancer,but due to economic reasons,many parts of the world do not have free screening programs to protect women’s *** To increase HPV cervical cancer screening in Changsha and reduce the incidence of cervical *** Cervical cancer screening included gynecological examination,vaginal secretion examination and HPV high-risk typing *** cytology examination(thinprep cytology test)was performed for individuals who test positive for HPV types other than 16 and *** colposcopy examination was performed for HPV16 and 18 positive individuals,as well as for those who were positive for thinprep cytology *** the results of vaginal colposcopy examination were abnormal,histopathological examination was *** conducted a cost-benefit analysis after 4 *** From 2019 to 2022,523437 women aged 35-64 years in Changsha city were screened and 73313 were positive,with a 14%positive *** detection rate of precancerous lesions of cervical cancer was 0.6%and the detection rate of cervical cancer was 0.037%.Among 311212 patients who underwent two cancers examinations,the incidence rate was reduced by more than half in the second *** average screening cost per woman was 120 *** average cost of detecting early cases was 10619 RMB,with an early detection cost coefficient of *** Our screening strategy was effective and cost-effective,making it valuable for early diagnosis and treatment of cervical *** is worth promoting in economically limited areas.

关键词： Cervical cancer screening Human papillomavirus thinprep cytology test Cost-effective New cheaper screening strategy

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Relationship between the Type of Reproductive Tract HPV Infection and Cervical Lesion in Qinghai Area: A Retrospective Study

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世界最新医学信息文摘 2019年第93期19卷 7-11页

作者： Ifrah·Abdullah GUO Gui-lan Graduate school of Qinghai University Affiliated hospital of Qinghai university

Objective(1) To explore the correlation between HPV genotype versus biopsy pathological diagnosis by using Fisher exact test.(2) To explore the correlation between extent of TCT cytological abnormality versus biopsy pathological diagnosis by using gamma correlation test.(3) To explore the demographic distribution of TCT-HPV positive diagnosis among Qinghai women by their age specific prevalence. Methods This study retrospectively utilized hospital records at Qinghai Hospital, patients attending the department of obstetrics and gynecology, between April 2014 to December 2018. The exposure of interest was HPV positive diagnosis measured by TCT. For all patients that fit criteria for age(18-70 years) and non-comorbid to other gynecological cancers were sorted for data collection. Their cervical screening results, HPV-genotyping and biopsy's pathological diagnoses were recorded. HPV distribution among eligible participants was descriptively illustrated by age-specific prevalence. The correlation between extent of TCT cytological abnormality versus biopsy pathological diagnosis by using gamma correlation test. A computer software SPSS 24.0 was used. Also, the correlation between HPV genotype versus biopsy pathological diagnosis by using Fisher exact test. Results A total of 1120 patients fulfilled criteria for participation in the study(mean age of 45.43+/-5 years). HPV-16 was the most prevalent genotype, accounting for 26.70% of all the people tested, followed by HPV-58 and HPV-52, accounting for 17.50% and 17.32, Age group 21-30 accounted for highest prevalence of HPV positive *** correlation between extent of TCT cytological abnormality versus biopsy pathological diagnosis showed, gamma correlation test of 0.561(Ptest of P-value<0.005. Conclusion Accounting for highest prevalence, 41-50-year age-group is mostly associated with HPV-16 genotype and mostly ca

关键词： Cervical screening Human papilloma virus thinprep cytology test

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