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宫颈癌:印度政府筛查与管理指南的制定与实施

Cervical Cancer: Formulation and Implementation of Govt of India Guidelines for Screening and Management.

作者信息

Mehrotra Ravi, Yadav Kavita

机构信息

Rollins School of Public Health, Emory University, Atlanta, GA USA.

Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India.

出版信息

Indian J Gynecol Oncol. 2022;20(1):4. doi: 10.1007/s40944-021-00602-z. Epub 2021 Dec 27.

Abstract

PURPOSE

Cervical cancer is the second most common cancers of women in India, despite being largely preventable. This review traces the journey of formulation of the Operational Guidelines for the management of common cancers and its implementation.

METHODS

A literature review was done to document the process of formulation of the guidelines, in addition to inputs from the officials involved in the process of developing them.

RESULTS

The review covers the pre-existing challenges in the National cancer control program and helps in providing recommendations for the future of cervical cancer screening, considering the COVID pandemic and the limitations of the public health system in India.

CONCLUSION

The implementation of early diagnosis of cervical cancer on a national scale as envisaged in the Operational Guidelines for the management of common cancers is a herculean task. A concerted approach for the implementation of cervical cancer control and HPV vaccination will hopefully bring fruitful results going forward.

摘要

目的

宫颈癌是印度女性中第二常见的癌症,尽管在很大程度上是可预防的。本综述追溯了常见癌症管理操作指南的制定过程及其实施情况。

方法

除了参与指南制定过程的官员提供的信息外,还进行了文献综述以记录指南的制定过程。

结果

该综述涵盖了国家癌症控制计划中先前存在的挑战,并有助于在考虑到新冠疫情和印度公共卫生系统的局限性的情况下,为宫颈癌筛查的未来提供建议。

结论

按照常见癌症管理操作指南的设想在全国范围内实施宫颈癌早期诊断是一项艰巨的任务。实施宫颈癌控制和人乳头瘤病毒疫苗接种的协同方法有望在未来取得丰硕成果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d718/8711687/6a3cd7867c7b/40944_2021_602_Fig1_HTML.jpg

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