Open AccessCervical Cancer Epidemiology, Prevention and Screening among Women Living with HIV in the Americas region: A Systematic Review Protocol
Author(s) -
María Caicedo-Martínez,
Camila Ordóñez-Reyes,
Ginna Fernández-Deaza,
Raúl Murillo,
Maeve B. Mello,
Bernardo Nuche-Berenguer
Publication year - 2020
Publication title -
universitas medica
Language(s) - English
Resource type - Journals
eISSN - 2011-0839
pISSN - 0041-9095
DOI - 10.11144/javeriana.umed61-4.ccep
Subject(s) - cervical cancer , systematic review , grey literature , protocol (science) , medicine , epidemiology , population , family medicine , public health , medline , data extraction , cancer , environmental health , gerontology , gynecology , alternative medicine , political science , pathology , law
Background: Women living with HIV (WLHIV) are more prone to persistent infection with high-risk Human Papillomavirus (HR-HPV) and development of cervical pre-cancer and cancer. Health systems should integrate HPV and HIV services considering particularities of WLHIV when offering comprehensive cervical cancer services. Objectives: To synthesize existing knowledge on cervical cancer epidemiology, as well as access to screening and prevention among women living with HIV in the Americas Region. Methods: Nine PICO questions will orient a systematic review of published literature in Medline and LILACS; supplemented with cross-referencing and search of grey literature in Trip and Google-Scholar. The protocol will follow PRISMA-P standards. Two reviewers will screen titles and abstracts independently; disagreements will be solved by consensus. Verification of eligibility based on full-text reading will be carried out. Studies finally included will be assessed for risk of bias based on standard tools by type of study. Data extraction tables will be built for every PICO question and reported in a structured format. A meta-analysis will be performed depending upon the results. Discussion: This systematic review anticipates finding valuable information for policy makers and public health actors as it aims to provide new data on a special population from the Americas region.