evaluación del programa de detección precoz de cáncer cervicouterino en consolación del sur assessment of cervical cancer early detection program in consolacion del sur municipality

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ID: 138232
2013
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Abstract
Introducción: la evaluación del Programa de Detección Precoz de Cáncer Cervicouterino debe realizarse con frecuencia para ir resolviendo las dificultades presentes. Objetivo: evaluar el desarrollo y la calidad del Programa de Detección Precoz de Cáncer Cervicouterino en Consolación del Sur en el período 2005-2007. Material y método: se realizó un estudio observacional, retrospectivo y transversal con componentes analíticos. Universo (N =34570 mujeres de =15 años. Marco muestral 22233 mujeres comprendidas entre 25-59 años (las contempladas en el Programa de Detección Precoz de Cáncer Cervicouterino). Se calculó la incidencia anual de lesiones, la edad de presentación de las mismas. Se evaluó la calidad del diagnóstico citológico mediante las pruebas de rendimiento. Se utilizaron los estadígrafos X², concordancia Kappa de Cohen, y coeficiente de correlación de Pearson. Resultados: la cobertura continúa baja, con variaciones en las diferentes áreas de salud del municipio. Sin embargo, el diagnóstico citológico está dentro de rangos internacionales con una sensibilidad de más del 60 % y una eficacia global de más del 70 %. La incidencia anual de lesiones de bajo grado se duplica al final del período, pero las de alto grado se mantienen estables. Los carcinomas invasores aunque escasos continúan presentándose. Conclusiones: el Programa de Detección Precoz de Cáncer Cervicouterino en Consolación del Sur muestra logros, pero aún hay deficiencias tanto en la atención primaria de salud, como en la secundaria.
Introduction: the assessment of Cervical Cancer Early Detection Program should be carried out frequently to solve current difficulties. Objective: to assess the development and quality of Cervical Cancer Early Detection Program in Consolacion del Sur during 2005-2007. Material and Method: an observational, retrospective and cross-sectional study with analytical components was conducted. The target group involved (N=34570 women from = 15 years old). The sampling frame was comprised of 22233 women from 25-59 years old (included into Cervical Cancer Early Detection Program). Annual incidence of lesions and the age of onset were calculated. Quality of cytological diagnosis was also assessed by means of performance tests. Chi-squared distribution (?²), Cohen’s kappa concordance analysis and Pearson’s correlation coefficient were used. Results: low-continuous coverage with variations in the different health areas of the municipality was observed, despite the fact that cytological diagnosis is inserted into the international standards with a sensitivity of more than 60% and a global efficacy of more than 70%, the annual incidence of low-degree lesions doubled at the end of the period, but those having high-degree were stable. Invasive carcinomas were present, though scarcely. Conclusion: Cervical Cancer Early Detection Program showed achievements in Consolacion del Sur, but deficiencies in both Primary and Secondary Health Care are still present.
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Authors ;Maricel Ramírez Valle;José Guillermo Sanabria Negrín;Víctor Enríque Salgueiro Medina
Journal Frontiers in endocrinology
Year 2013
DOI
DOI not found
URL
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942013000100005
Keywords
health care cytodiagnosis national health programsmedicinemedicine (general)

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