Utilisation and outcomes of cervical cancer prevention services among HIV-infected women in Cape Town

 

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dc.contributor.author Batra, Priya
dc.contributor.author Kuhn, Louise
dc.contributor.author Denny, Lynette
dc.date.accessioned 2018-02-14T09:12:26Z
dc.date.available 2018-02-14T09:12:26Z
dc.date.issued 2010
dc.identifier.citation Batra, P., Kuhn, L., & Denny, L. (2010). Utilisation and outcomes of cervical cancer prevention services among HIV-infected women in Cape Town. SAMJ: South African Medical Journal, 100(1), 39-44.
dc.identifier.uri http://hdl.handle.net/11427/27570
dc.description.abstract Objective. An audit of outcomes of cervical cancer screening and prevention services for HIV-positive women in Cape Town, South Africa. Design. Retrospective review of clinic registers, patient records and pathology databases at three HIV primary health clinics and a tertiary colposcopy referral centre. Subjects. Women recently diagnosed with HIV at three primary health clinics between 2006 and 2008 (N=2 240); new patients seen for colposcopy at a tertiary referral centre between 2006 and 2009 (N=2 031). Outcome measures. 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. Results. 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. Conclusion. 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.
dc.source South African Medical Journal
dc.source.uri http://www.samj.org.za/index.php/samj
dc.title Utilisation and outcomes of cervical cancer prevention services among HIV-infected women in Cape Town
dc.type Journal Article
dc.date.updated 2016-01-20T16:15:25Z
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Obstetrics and Gynaecology en_ZA
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