预防妇科癌症:土耳其的子宫颈癌筛查:世界的榜样。

IF 2.2 4区 医学 Q2 OBSTETRICS & GYNECOLOGY Current Opinion in Obstetrics & Gynecology Pub Date : 2024-12-09 DOI:10.1097/GCO.0000000000000998
Utku Akgör, Bilal Esat Temiz, Murat Gultekin
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引用次数: 0

摘要

审查目的:本审查审查了土耳其的宫颈癌筛查计划,强调其从基于细胞学的方法向更有效的基于hpv的策略的演变。鉴于全球正在努力通过改进筛查做法来减少宫颈癌发病率,此次审查是及时的,它使土耳其的方案成为面临类似公共卫生挑战的其他国家的潜在模式。最近发现:土耳其宫颈癌筛查的最新进展包括在全国范围内采用HPV DNA检测、集中实验室系统和创新管理软件。该方案显著提高了筛查覆盖率和早期检出率,特别是在服务不足的社区。然而,在培训卫生保健工作者、提高对HPV疫苗接种的认识以及将自我抽样方法纳入筛查过程等领域仍然存在挑战。摘要:土耳其的经验表明,组织良好的以人乳头状病毒为基础的宫颈癌筛查方案可以克服重大的文化和后勤障碍,改善公共卫生成果。未来的工作应集中在完善分诊策略,探索新的分子检测,扩大自采样的使用,以进一步提高全球宫颈癌预防工作的有效性。
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Prevention of gynecological cancers: cervical cancer screening in Turkey: a role model for the world.

Purpose of review: This review examines Turkey's cervical cancer screening programme, highlighting its evolution from a cytology-based approach to a more effective HPV-based strategy. The review is timely given the global push to reduce cervical cancer incidence through improved screening practices, and it positions Turkey's programme as a potential model for other countries facing similar public health challenges.

Recent findings: Recent advances in cervical cancer screening in Turkey include the nationwide introduction of HPV DNA testing, centralized laboratory systems and innovative management software. The programme has significantly improved screening coverage and early detection rates, particularly in underserved communities. However, challenges remain in areas such as training healthcare workers, raising awareness of HPV vaccination, and integrating self-sampling methods into the screening process.

Summary: The Turkish experience demonstrates that a well organized HPV-based cervical cancer screening programme can overcome significant cultural and logistical barriers and lead to improved public health outcomes. Future efforts should focus on refining triage strategies, exploring new molecular tests, and expanding the use of self-sampling to further improve the effectiveness of cervical cancer prevention efforts worldwide.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
104
审稿时长
6-12 weeks
期刊介绍: ​​​​​​​Current Opinion in Obstetrics and Gynecology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including reproductive endocrinology, gynecologic cancer and fertility– every issue also contains annotated references detailing the merits of the most important papers.
期刊最新文献
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