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Evaluation of cervical screening in rural North India
Author(s) -
Bhatla Neerja,
Gulati Arti,
Mathur Sandeep R.,
Rani Sangita,
Anand Krishnan,
Muwonge Richard,
Sankaranarayanan Rengaswamy
Publication year - 2009
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2008.12.010
Subject(s) - ascus (bryozoa) , medicine , cervical intraepithelial neoplasia , gynecology , cytology , cervix , obstetrics , population , cervical cancer , pathology , cancer , botany , ascospore , spore , biology , environmental health
Objective To assess the accuracy of cervical screening with visual inspection and cytology testing, and the cure rate of cervical intraepithelial neoplasia (CIN) after treatment, in a rural population in North India. Methods A cross‐sectional study evaluated the detection rates of CIN 2 and CIN 3 lesions by cytology testing and by visual inspection of the cervix following the application of 5% acetic acid (VIA) or Lugol's iodine (VILI). It also evaluated the cure rates following treatment of CIN. Results Of 5050 women approached in 17 villages, 3000 (59.4%) participated (range, 41%–91%). Of these, 14.2% were positive by VIA, 15.6% by VILI, and 5.4% by cytology testing at ASCUS threshold, and 37 women were diagnosed as having CIN 1 and 20 as having CIN 2 or CIN 3. Detection rates of CIN 2 or 3 using VIA, VILI, and cytologic findings of ASCUS and LSIL were 3.7, 3.3, 4.5, and 4.2 per 1000 women, respectively, and 91.4% of the treated women were cured. Conclusion Both VIA and VILI were found to be accurate screening tests and the cure rates for CIN were satisfactory.