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[证据综合与建议:宫颈癌筛查、检测和治疗指南 宫颈癌筛查、检测和治疗指南的证据综合与建议]

[Synthesis of evidence and recommendations: guidelines for cervical cancer screening, detection, and treatmentSíntese de evidências e recomendações: diretrizes para rastreamento, detecção e tratamento do câncer do colo do útero].

出版信息

Rev Panam Salud Publica. 2023 Apr 21;47:e72. doi: 10.26633/RPSP.2023.72. eCollection 2023.

Abstract

OBJECTIVES

Synthesize the recommendations developed by the World Health Organization (WHO) for the screening and treatment of women with pre-cancerous lesions for cervical cancer prevention, with a view to improving the quality of care and health outcomes.

METHODS

The guidelines prepared by WHO follow the GRADE (Grading of Recommendations, Assessment, Development and Evaluation) method for the preparation of guidelines, as set forth in the . A synthesis of the recommendations of two WHO guidelines was carried out. Additionally, a systematic search was conducted in PubMed, Lilacs, Mhealth Systems Evidence, Epistemonikos and gray literature of studies developed in the Americas to identify barriers, facilitators, implementation strategies, and indicators.

RESULTS

A total of 19 recommendations and ten good practices were formulated for screening pre-cancerous lesions of the cervix and treating cervical cancer. Implementation barriers and facilitators were identified, and indicators were created for assessing adherence and outcomes.

CONCLUSIONS

The recommendations provide guidance for the screening and treatment of women with pre-cancerous lesions for cervical cancer prevention, with a view to improving the quality of care and health outcomes. Implementation in Latin America and the Caribbean is considered.

摘要

目标

综合世界卫生组织(WHO)制定的关于筛查和治疗宫颈癌前病变女性以预防宫颈癌的建议,旨在提高护理质量和健康结局。

方法

WHO编写的指南遵循《指南制定的推荐分级、评估、制定和评价》(GRADE)方法,如[具体文献]中所述。对WHO的两份指南的建议进行了综合。此外,还在PubMed、Lilacs、Mhealth Systems Evidence、Epistemonikos以及美洲开展的研究的灰色文献中进行了系统检索,以确定障碍、促进因素、实施策略和指标。

结果

共制定了19条关于筛查宫颈前病变和治疗宫颈癌的建议以及十条良好实践。确定了实施障碍和促进因素,并创建了用于评估依从性和结局的指标。

结论

这些建议为筛查和治疗宫颈癌前病变女性以预防宫颈癌提供了指导,旨在提高护理质量和健康结局。考虑在拉丁美洲和加勒比地区实施。

相似文献

本文引用的文献

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Self-collection for HPV-based cervical screening: a qualitative evidence meta-synthesis.
BMC Public Health. 2021 Aug 4;21(1):1503. doi: 10.1186/s12889-021-11554-6.
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Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.
CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4.
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