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

Mortality 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...

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Autores principales:	Léniz Martelli,Javiera, Van De Wyngard,Vanessa, Lagos,Marcela, Barriga,María Isabel, Puschel Illanes,Klaus, Ferreccio Readi,Catterina
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2014
Materias:	Delivery of health care Early detection of cancer Human papiloma virus Uterine cervical neoplasms
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000800012
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spelling	oai:scielo:S0034-988720140008000122014-12-12Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambioLéniz Martelli,JavieraVan De Wyngard,VanessaLagos,MarcelaBarriga,María IsabelPuschel Illanes,KlausFerreccio Readi,Catterina Delivery of health care Early detection of cancer Human papiloma virus Uterine cervical neoplasms Mortality 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.142 n.8 20142014-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000800012es10.4067/S0034-98872014000800012
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Delivery of health care Early detection of cancer Human papiloma virus Uterine cervical neoplasms
spellingShingle	Delivery of health care Early detection of cancer Human papiloma virus Uterine cervical neoplasms Léniz Martelli,Javiera Van De Wyngard,Vanessa Lagos,Marcela Barriga,María Isabel Puschel Illanes,Klaus Ferreccio Readi,Catterina Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio
description	Mortality 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.
author	Léniz Martelli,Javiera Van De Wyngard,Vanessa Lagos,Marcela Barriga,María Isabel Puschel Illanes,Klaus Ferreccio Readi,Catterina
author_facet	Léniz Martelli,Javiera Van De Wyngard,Vanessa Lagos,Marcela Barriga,María Isabel Puschel Illanes,Klaus Ferreccio Readi,Catterina
author_sort	Léniz Martelli,Javiera
title	Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio
title_short	Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio
title_full	Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio
title_fullStr	Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio
title_full_unstemmed	Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio
title_sort	detección precoz del cáncer cervicouterino en chile: tiempo para el cambio
publisher	Sociedad Médica de Santiago
publishDate	2014
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000800012
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Detección precoz del cáncer cervicouterino en Chile: tiempo para el cambio

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