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Self-sampling for HPV testing in cervical cancer screening: A scoping review.
Colonetti, Tamy; Rodrigues Uggioni, Maria Laura; Meller Dos Santos, Ana Luiza; Michels Uggioni, Náiade; Uggioni Elibio, Laura; Balbinot, Eduarda Letícia; Grande, Antonio José; Rosa, Maria Inês.
Afiliação
  • Colonetti T; Laboratory of Translational Biomedicine, University of Extremo Sul Catarinense (UNESC), Criciúma, SC, Brazil.
  • Rodrigues Uggioni ML; Laboratory of Translational Biomedicine, University of Extremo Sul Catarinense (UNESC), Criciúma, SC, Brazil.
  • Meller Dos Santos AL; University of the Extreme South of Santa Catarina (UNESC), Criciúma, SC, Brazil.
  • Michels Uggioni N; University of the Extreme South of Santa Catarina (UNESC), Criciúma, SC, Brazil.
  • Uggioni Elibio L; Laboratory of Translational Biomedicine, University of Extremo Sul Catarinense (UNESC), Criciúma, SC, Brazil.
  • Balbinot EL; Laboratory of Translational Biomedicine, University of Extremo Sul Catarinense (UNESC), Criciúma, SC, Brazil.
  • Grande AJ; Laboratory of Evidence-Based Practice, State University of Mato Grosso do Sul, Av. Dom Antonio Barbosa (MS-080), 4155 - CEP 79115-898, Campo Grande, MS, Brazil.
  • Rosa MI; Laboratory of Translational Biomedicine, University of Extremo Sul Catarinense (UNESC), Criciúma, SC, Brazil. Electronic address: mir@unesc.net.
Eur J Obstet Gynecol Reprod Biol ; 296: 20-51, 2024 May.
Article em En | MEDLINE | ID: mdl-38394715
ABSTRACT
Cervical cancer is the third most common gynecological cancer worldwide. Its origin is linked to intraepithelial lesions caused by high-risk Human Papillomavirus (HPV) types, detected in 99.7% of cases. Early screening is essential to prevent cancer development from these lesions. Molecular methods are more specific and offer the possibility of being performed through a self-collected sample by the patient, thus contributing to increasing screening coverage for this pathology. This study aim was to map the medical-scientific literature on existing protocols for self-sampling for HPV testing in cervical cancer screening. A search strategy was developed using the following keywords and their synonyms "self-sampling," "professional sampling," and "HPV", on the databases MEDLINE, Cochrane Library, Virtual Health Library - BVS, Scopus, National Institute for Health Research NHS EED, Web of Science, and EMBASE. The search strategy was formulated to identify relevant studies and describe their main characteristics, such as patient acceptance of self-sampling, cost differences between the tests used, and the accuracy of self-sampling compared to the gold standard test. A total of 876 studies were found, and 33 of those studies were included in this review. Out of these, 10 studies were domized clinical trials involving 46,751 patients, and 23 observational studies included 142,795 patients. Regarding acceptance, most studies reported a preference for self-sampling. Sensitivity analyses from various studies also showed that the low cost of self-sampling kits generally increased cost-effectiveness. The study concluded that using HPV testing on self-collected samples is a viable strategy for monitoring women with HPV.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Manejo de Espécimes / Neoplasias do Colo do Útero / Infecções por Papillomavirus / Detecção Precoce de Câncer Limite: Female / Humans Idioma: En Revista: Eur J Obstet Gynecol Reprod Biol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irlanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Manejo de Espécimes / Neoplasias do Colo do Útero / Infecções por Papillomavirus / Detecção Precoce de Câncer Limite: Female / Humans Idioma: En Revista: Eur J Obstet Gynecol Reprod Biol Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Irlanda