Maillie Luke, Yussuph Amina, Chirangi Bwire, Schroeder Kristin
Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Department of Oncology, Bugando Medical Centre, Mwanza, Tanzania.
Int J Gynaecol Obstet. 2023 Feb;160(2):604-611. doi: 10.1002/ijgo.14429. Epub 2022 Sep 10.
To examine screening outcomes for a rural screen-and-treat site as well as the referral completion rate, outreach programming, and screening costs.
A retrospective cross-sectional analysis of demographic information and screening outcomes for all women screened at a rural screen-and-treat site between August 2011 and December 2018 was conducted. Referral completion rate for women with suspected cervical cancer was calculated for 2018.
A total of 10 157 screenings were conducted during the study period. Median age was 35 years and median parity was 5. In all, 545 (5.35%) women were positive on visual inspection with acetic acid (VIA+), and 461 (91.1%) of 506 eligible women received cryotherapy. In 2018, 93 women were referred for suspected cancer to the zonal referral center, but only 10 (10.8%) presented for treatment. Mean screening cost was US$ 6.62 per person.
VIA+ rate was comparable to rates at urban sites in Tanzania, and outreach was an important component of screening. In contrast to other reports, few women suspected of having cancer reached treatment after being referred. Although the low cost of screening highlights the feasibility of rural screen-and-treat sites, additional research is needed to improve completion of referrals to a higher level of care.
研究农村筛查与治疗点的筛查结果、转诊完成率、外展项目及筛查成本。
对2011年8月至2018年12月期间在某农村筛查与治疗点接受筛查的所有女性的人口统计学信息和筛查结果进行回顾性横断面分析。计算了2018年疑似宫颈癌女性的转诊完成率。
研究期间共进行了10157次筛查。中位年龄为35岁，中位产次为5次。共有545名（5.35%）女性醋酸目视检查呈阳性（VIA+），506名符合条件的女性中有461名（91.1%）接受了冷冻治疗。2018年，93名疑似癌症的女性被转诊至区域转诊中心，但只有10名（10.8%）前来接受治疗。平均筛查成本为每人6.62美元。
VIA+率与坦桑尼亚城市地区的比率相当，外展是筛查的重要组成部分。与其他报告不同的是，很少有疑似癌症的女性在转诊后接受治疗。尽管筛查成本低凸显了农村筛查与治疗点的可行性，但仍需要进一步研究以提高转诊至更高护理水平的完成率。
