INVESTIGADORES
ARROSSI Silvina Paula
congresos y reuniones científicas
Título:
Comprehensive approach to shifting from Pap to HPV-based screening: Results from the Argentinean Demonstration Project
Autor/es:
ARROSSI S
Reunión:
Congreso; 5to. Congreso Internacional de Control de Cáncer; 2013
Resumen:
In Argentina, in
2011, Argentina launched a Demonstration Project to introduce HPV testing as a
primary screening tool, which was implemented in the Province of Jujuy, one of
the provinces with highest cervical cancer mortality rates; it involved
introducing HPV Testing in the public health system for women aged 30 and over,
and triage with cytology for HPV+ women.
The project was
led by the National Cancer Institute in collaboration with the National Program
of Cervical Cancer Prevention In 2011 key activities were planned and
implemented through a consensus process that involved main stakeholders and
decision-makers. The screening phase began in 2012 and it is planned to take
place during 2012-2014. The goal is to screen 22000 women annually during three
years, to reach 80% coverage.
Consensus to
introduce HPV Testing was agreed with scientific societies, representatives
from provincial ministries of health, and key opinion leaders. A HPV-laboratory
was organized at Jujuy?s
main hospital, as a laboratory depending of the Cytho-pathology Service. At
present, of the 300 provincial health care centers, 100% is offering HPV
testing to women aged 30 and over. During 2012, 23175 women were HPV-screened
at the public health care system; 2,8% of them were younger than 30. Among the 22589 women aged 30 and over who
were screened, 12,7% tested HPV+, of whom 921 had an abnormal Pap smear. By May
31, 2013, 51% of HPV-positive women with an abnormal Pap have had colposcopies
and biopsies if needed. Based on these diagnoses, detection rate of hystologically
confirmed CIN2+ was 1,04% (239/22589).
Introduction of
HPV testing in Argentina
was successfully implemented, and based on these results, the Ministry of
Health is expanding the strategy to all 24 provinces. This project demonstrates
that HPV testing can be introduced at programmatic level in middle-low income
countries.