1887

n South African Medical Journal - Utilisation and outcomes of cervical cancer prevention services among HIV-infected women in Cape Town : original article

USD

 

Abstract

. An audit of outcomes of cervical cancer screening and prevention services for HIV-positive women in Cape Town, South Africa.


. Retrospective review of clinic registers, patient records and pathology databases at three HIV primary health clinics and a tertiary colposcopy referral centre.
. Women recently diagnosed with HIV at three primary health clinics between 2006 and 2008 (=2 240); new patients seen for colposcopy at a tertiary referral centre between 2006 and 2009 (=2 031).
. The proportion of women undergoing cervical cancer screening after HIV diagnosis at primary health clinics, demographic characteristics of women referred for colposcopy at a tertiary centre, and outcomes of therapy for precancerous lesions of the cervix.
. The proportion of women undergoing at least one Pap smear at HIV primary health clinics after HIV diagnosis was low (13.1%). Women referred for colposcopy tended to be HIV-positive and over the age of 30 years, and in most (70.2%) cytological examination revealed high-grade cervical dysplasia. HIV-positive women treated with excision for precancerous lesions of the cervix were significantly more likely than their HIV-negative counterparts to undergo incomplete excision, experience persistent cervical disease after treatment, and be lost to follow-up.
. Cervical cancer screening efforts must be scaled up for women with HIV. Treatment and surveillance guidelines for cervical intraepithelial neoplasia in HIV-positive women may need to be revised and new interventions developed to reduce incomplete treatment and patient default.

Loading

Article metrics loading...

/content/m_samj/100/1/EJC67126
2010-01-01
2016-12-08
This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error