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一种用于宫颈癌筛查的新型巴西装置:自我采样的可接受性和准确性。

A New Brazilian Device for Cervical Cancer Screening: Acceptability and Accuracy of Self-sampling.

机构信息

Ziel Biosciences, Porto Alegre, RS, Brazil.

Department of Gynecology, Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2023 May;45(5):235-241. doi: 10.1055/s-0043-1770134. Epub 2023 Jun 20.

Abstract

OBJECTIVE

To evaluate the accuracy and patient acceptability toward self-sampling using a new device - SelfCervix® - for detecting HPV-DNA.

METHODS

A total of 73 women aged 25-65 who underwent regular cervical cancer screening from March to October 2016 were included. Women performed self-sampling followed by a physician-sampling, and the samples were analyzed for HPV-DNA. After that, patients were surveyed about their acceptability of self-sampling.

RESULTS

HPV-DNA detection rate of self-sampling presented high accuracy and was similar to physician-collection. Sixty-four (87.7%) patients answered the acceptability survey. Most patients (89%) considered the self-sampling comfortable, and 82.5% preferred self-sampling to physician-sampling. The reasons cited were time-saving and convenience. Fifty-one (79.7%) reported that they would recommend self-sampling.

CONCLUSION

Self-sampling using the new Brazilian device SelfCervix® is not inferior in HPV-DNA detection rate compared with physician-collection, and patients are supportive of the method. Therefore, it might be an option to reach under-screened populations in Brazil.

摘要

目的

评估使用新型设备 SelfCervix® 进行自我采样检测 HPV-DNA 的准确性和患者接受度。

方法

共纳入 73 名年龄在 25-65 岁之间、2016 年 3 月至 10 月间接受常规宫颈癌筛查的女性。这些女性先进行自我采样,然后由医生进行采样,并对 HPV-DNA 进行分析。之后,对患者进行自我采样接受度的调查。

结果

自我采样的 HPV-DNA 检测率呈现出较高的准确性,与医生采集相似。64 名(87.7%)患者回答了接受度调查。大多数患者(89%)认为自我采样舒适,82.5%的患者更喜欢自我采样而非医生采样。他们提到的原因是节省时间和方便。51 名(79.7%)患者表示他们会推荐自我采样。

结论

与医生采集相比,使用新型巴西设备 SelfCervix® 进行自我采样在 HPV-DNA 检测率方面并不逊色,并且患者对此方法表示支持。因此,它可能是巴西未筛查人群的一种选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa02/10281768/0a6ea3439987/10-1055-s-0043-1770134-i230031-1.jpg

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