New Evidence on the Impact of Cervical Cancer Screening and Treatment Using HPV DNA Tests, Visual Inspection or Cytology
In the meantime, recognizing that HPV testing is currently not feasible or affordable for many low-resource settings and that Pap screening is difficult to implement, the ACCP recommends that countries, areas, or institutions seeking to initiate or strengthen cervical cancer screening programs consider introducing or expanding VIA plus cryotherapy programs.
The ACCP continues to support expansion of VIA plus cryotherapy because:
- As noted above, many studies have shown VIA to be effective in accurately identifying cervical precancers, and two key studies have shown VIA-based programs to be associated with a measurable reduction in cervical cancer precursors, cervical cancer and/or cervical cancer mortality.
- VIA plus cryotherapy offers the potential for reaching many women, using local doctors, nurses, midwives, and paramedical personnel in primary care settings. Even though the sensitivity of VIA is lower than HPV testing, high VIA plus treatment coverage could result in significant program impact compared to doing nothing or to limited Pap or HPV testing (currently the most common situations in the developing world).
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