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Cross‐sectional study to assess the need to commence opportunistic screening of women for cervical cancer presenting with sexually transmitted disease in Western India
Author(s) -
Rupani Mihir P.,
Pawar Ajay B.,
Bansal Raj Kumar,
Dalal Malati,
Vachhani Ashvin,
Parikh Khushali D.
Publication year - 2017
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.12626
Subject(s) - medicine , cervical cancer , syphilis , logistic regression , obstetrics , outpatient clinic , gynecology , pill , cross sectional study , vaginal discharge , sexually transmitted disease , disease , cancer , family medicine , human immunodeficiency virus (hiv) , pathology , pharmacology
This study examines the prevalence of suspected cervical cancer (established through the use of visual inspection with Lugol's Iodine – VILI ) among outpatients attending Surat Municipal Institute of Medical Education & Research Hospital, India. A cross‐sectional study was conducted on 356 patients; 178 with an established sexually transmitted disease ( STD ) and 178 patients without. Patients with positive results were investigated with cervical biopsy; out of 356 patients, 21.91% patients with STD and 12.35% patients without STD tested positive for VILI respectively ( p = .017). The factors found to be significantly associated with a positive VILI test were STD , marital status, oral contraceptive pill use, a complaint of PV bleeding, white discharge on speculum examination ( PS ) and cervical erosion on PS . On applying multiple logistic regression, STD , age of patient in years, parity, OC pill use, a complaint of PV bleeding and cervical erosion on PS were found to be significant predictors of VILI positivity among the patients. STD patients are 2.5 times more likely to test positive for VILI than patients without STD . In Indian populations comparable to ours, opportunistic screening should be considered in gynaecology outpatient clinics for women presenting with complaints related to STD s.