Evidence map›Paper›PMID 31482577›Full record

ArticleInternational journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics2019

Assessment of the scale-up of cervical cancer screening in Abidjan stratified by HIV status.

Simon Boni, Boris Tchounga, Kouassi Comoe, Privat Guie, Mesmin Adié, Apollinaire Horo, Eugène Messou, Didier K Ekouévi, François Dabis, Innocent Adoubi and 1 more

Abstract read
In one paragraph

Article in International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Simon BoniProgramme PACCI site ANRS de Côte d'Ivoire, Abidjan, Côte d'Ivoire.
Boris TchoungaProgramme PACCI site ANRS de Côte d'Ivoire, Abidjan, Côte d'Ivoire.
Kouassi ComoeProgramme National de Lutte contre le Cancer, Abidjan, Côte d'Ivoire.
Privat GuieService de Gynécologie obstétrique, CHU de Treichville, Abidjan, Côte d'Ivoire.
Mesmin AdiéProgramme National de Lutte contre le Cancer, Abidjan, Côte d'Ivoire.
Apollinaire HoroService de Gynécologie obstétrique, CHU de Yopougon, Abidjan, Côte d'Ivoire.
Eugène MessouCentre de Prise en charge, de Recherche et de Formation (CePReF), Abidjan, Côte d'Ivoire.
Didier K EkouéviProgramme PACCI site ANRS de Côte d'Ivoire, Abidjan, Côte d'Ivoire.
François DabisCentre Inserm 1219 & Institut de Santé Publique d'épidémiologie et de développement, Université de Bordeaux, Bordeaux, France.
Innocent AdoubiProgramme National de Lutte contre le Cancer, Abidjan, Côte d'Ivoire.
Antoine JaquetCentre Inserm 1219 & Institut de Santé Publique d'épidémiologie et de développement, Université de Bordeaux, Bordeaux, France.

Funding

WADA (West Africa Database on Antiretroviral Therapy) CollaborationU01AI069919 · NIAID · UNIVERSITY OF BORDEAUX II · PI Didier Koumavi Ekouevi, Antoine Jaquet · 2006 to 2026
$29.9M
Eunice Kennedy Shriver National Institute of Child Health & Human DevelopmentNational Institute of Allergy and Infectious DiseasesNCI NIH HHSNIAID NIH HHS U01 AI069919
6 · The paper itself

Abstract

objectiveTo report the successes and challenges of scaling up a population-based cervical cancer (CC) screening program from HIV clinics to various healthcare facilities in Abidjan, Côte d'Ivoire.

methodA retrospective analysis of characteristics, outcomes, and follow-up of women attending an initial CC screening visit in Abidjan between January 2010 and December 2014. Data were collected via forms that were systematically completed during CC screening visits. Data from the 2014 population census were used to estimate screening coverage.

resultsAmong 16 169 women attending an initial CC screening, 1616 (10.0%) had a positive VIA test. Among 848 women eligible for immediate cryotherapy, 618 (72.9%) underwent the "see-and-treat" approach. The 1-year follow-up rate after cryotherapy was 23.1% (143/618), and was higher among women with HIV (111/362, 30.7%) than among other women (32/256, 12.5%) (P=0.001). The estimated coverage of CC screening in Abidjan was 1.2% (95% confidence interval, 0.6-3.1).

conclusionDespite successful expansion of CC screening from HIV clinics to other facilities, the estimated screening coverage of the targeted population remained low. Follow-up of positively screened and treated women is a major challenge, especially outside HIV clinics, and would benefit from an innovative information system proving unique identification and tracking systems.

Indexed as

AdultCote d'IvoireCryotherapyEarly Detection of CancerFemaleHIV InfectionsHumansMass ScreeningRetrospective StudiesUterine Cervical NeoplasmsCervical cancerCryotherapyHIVScreeningsub-Saharan AfricaVisual inspection

Identifiers

PMID31482577
PMCPMC6922051

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.