在初级保健中评估HPV查方式:系统审查
Yahya Mostafa Waly1, Abu-Baker Sharafeldin1, Abdulrahman Al-Majmuei1
1School of Medicine, Royal College of Surgeons in Ireland, Medical University of Bahrain, Al Muharraq, Bahrain.
Frontiers in medicine
|April 24, 2025
概括
人类乳头瘤病毒 (HPV) 自取样本与临床医生收集的样本同样有效用于宫癌查. 这种患者喜欢的方法提供了可比的检测率,并可以改善未经查的人群的获取.
科学领域:
- 在瘤学瘤学.
- 病毒学 病毒学
- 公共卫生 公共卫生
背景情况:
- 子宫癌癌前病变主要与高风险的人类乳头瘤病毒 (HPV) 亚型有关.
- 通过查及早检测对于管理HPV相关疾病和减少整体疾病负担至关重要.
- HPV自取样是克服社会经济差距,降低查成本和尽量减少患者尬的策略.
研究的目的:
- 评估HPV自取样本的疗效和患者偏好,与临床医生收集的用于宫癌查的样本相比.
- 确定HPV自取样是否是一种可行的替代方案,以改善查可访问性,特别是在查不足的人群中.
主要方法:
- 在PubMed,Cochrane图书馆,Scopus和Embase进行了全面的文献搜索.
- 数据提取使用了标准化形式的研究特征,参与者人口统计和结果.
- 使用CASP检查清单和Cochrane偏差风险工具评估了研究质量和偏差风险.
主要成果:
- HPV自取样显示了相似的HPV检测率和对临床医生采集的样本的敏感性.
- 在HPV检测的有效性是类似的或优于跨研究的自我采样.
- 具体性是可比的,临床医生收集的样本在某些情况下显示出轻微的优势.
- 负和正预测值显示自取样和临床医生收集的方法之间的差异很小.
- 显著多数 (64.3%) 的参与者更喜欢自我抽样,因为增加了舒适性和隐私.
结论:
- HPV自取样是临床医生收集的样本用于宫癌查的有效和患者喜欢的替代方案.
- 该方法显示了可比的诊断准确性,并可以提高查参与度,特别是在服务不足的人群中.
- HPV自取样提供了一种具有成本效益的方法来管理与HPV相关的疾病,并减少宫癌的全球负担.
相关概念视频
01:14Assessing Body Temperature - Oral
Here are the steps to accurately measure oral temperature using an electronic thermometer:
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
Step 1:
Start by practicing proper hand hygiene to prevent the spread of microorganisms.
Step 2:
Take the thermometer out of the charging unit, switch it on, and wait for the ready sign.
Step 3:
Gently slide the probe cover until a click is heard. This simple action prevents cross-contamination and ensures the correct placement of the probe cover.
Step 4:
Instruct the patient to open their mouth and place...
01:26Assessment of the Mouth
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.