1 Faculty of Medicine, University of Geneva , Geneva, Switzerland .
2 Gynecology Division, Geneva University Hospitals , Geneva, Switzerland .
Telemed J E Health. 2018 Apr;24(4):277-282. doi: 10.1089/tmj.2017.0146. Epub 2017 Aug 28.
Barriers to efficient cervical cancer screening in low- and medium-income countries include the lack of systematic monitoring of the participants' data. The aim of this study was to assess the feasibility of a mobile health (m-Health) data collection system to facilitate monitoring of women participating to cervical cancer screening campaign.
Women aged 30-65 years, participating in a cervical cancer screening campaign in Ambanja, Madagascar, were invited to participate in the study. Cervical Cancer Prevention System, an m-Health application, allows the registration of clinical data, while women are undergoing cervical cancer screening. All data registered in the smartphone were transmitted onto a secure, Web-based platform through the use of an Internet connection. Healthcare providers had access to the central database and could use it for the follow-up visits. Quality of data was assessed by computing the percentage of key data missing.
A total of 151 women were recruited in the study. Mean age of participants was 41.8 years. The percentage of missing data for the key variables was less than 0.02%, corresponding to one woman's medical history data, which was not sent to the central database. Technical problems, including transmission of photos, human papillomavirus test results, and pelvic examination data, have subsequently been solved through a system update.
The quality of the data was satisfactory and allowed monitoring of cervical cancer screening data of participants. Larger studies evaluating the efficacy of the system for the women's follow-up are needed in order to confirm its efficiency on a long-term scale.
在中低收入国家，宫颈癌筛查效率低下的障碍包括缺乏对参与者数据的系统监测。本研究旨在评估移动医疗（mHealth）数据收集系统在促进宫颈癌筛查活动中监测女性参与者的可行性。
邀请年龄在 30-65 岁之间的参加马达加斯加安班扎宫颈癌筛查活动的女性参加这项研究。Cervical Cancer Prevention System 是一种 mHealth 应用程序，可在女性进行宫颈癌筛查时记录临床数据。智能手机中注册的所有数据都通过使用互联网连接传输到安全的基于 Web 的平台上。医疗保健提供者可以访问中央数据库，并在后续访问中使用它。通过计算关键数据缺失的百分比来评估数据质量。
共有 151 名女性参加了这项研究。参与者的平均年龄为 41.8 岁。关键变量的缺失数据百分比小于 0.02%，对应于一名女性的病史数据，这些数据未发送到中央数据库。随后通过系统更新解决了包括传输照片、人乳头瘤病毒检测结果和盆腔检查数据在内的技术问题。
数据质量令人满意，允许监测参与者的宫颈癌筛查数据。需要进行更大规模的研究来评估该系统对女性随访的效果，以确认其在长期范围内的效率。
