Evidence map›Paper›PMID 31622526›Full record

ArticleTropical medicine & international health : TM & IH2019

Acceptability and safety of thermal ablation for the treatment of precancerous cervical lesions in Honduras.

Manuel Sandoval, Rose Slavkovsky, Pooja Bansil, Jose Jeronimo, Jeanette Lim, Jacqueline Figueroa, Silvia de Sanjose

Open access · hybridAbstract read
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

7 authors at 4 institutions in 3 countries.

Manuel SandovalAsociación Hondureña de Planificación de Familia, Tegucigalpa, Honduras.
Rose SlavkovskyPATH, Seattle, WA, USA.
Pooja BansilPATH, Seattle, WA, USA.
Jose JeronimoConsulting Damascus, MD, USA.
Jeanette LimPATH, Seattle, WA, USA.
Jacqueline FigueroaSecretaría de Salud de Honduras, Tegucigalpa, Honduras.
Silvia de SanjosePATH, Seattle, WA, USA.
Program for Appropriate Technology in Health · USDamascus University · SYHonduras Foundation for Agricultural Research · HNUniversidad Metropolitana de Honduras · HN

Funding

Bill & Melinda Gates Foundation OPP1053342
6 · The paper itself

Abstract

objectiveTo evaluate the acceptability and safety of thermal ablation (TA) for the treatment of precancerous cervical lesions in women in Honduras.

methodsHuman papillomavirus (HPV) and visual inspection with acetic acid (VIA) screen-positive eligible women received TA. After treatment, women rated the level of pain experienced during treatment using the Wong-Baker FACES® pain-rating scale from 0 to 10. Short-term safety outcomes that could require medical attention were assessed one month after treatment.

resultsA total of 319 women received TA treatment. The average pain rating was 2.5 (95% CI: 2.3-2.8), and 85% rated their pain levels as less than 6. No significant differences in low (below 6) or high (6 and above) pain were found by age or number of biopsies performed, but there was a significant difference by the number of TA applications (P < 0.01). When asked if they would recommend this treatment, all women said they would. At the one-month follow-up visit, the most common reported discomforts were bleeding (10%) and cramping (8.4%); 11 women reported severe lower abdominal pain, and none required medical attention.

conclusionsTA is safe and acceptable to patients as a treatment option for precancerous cervical lesions in low-resource settings.

Indexed as

Patient SatisfactionAdolescentAdultCatheter AblationFemaleHondurasHumansMiddle AgedPain MeasurementPapillomaviridaePapillomavirus InfectionsPrecancerous ConditionsTreatment OutcomeUterine Cervical NeoplasmsYoung Adultablation thermiquecancer cervicalcervical cancerdouleurHondurashuman papillomaviruspainsafetysécuritéthermal ablationVPH

Identifiers

PMID31622526
PMCPMC6916631
OpenAlexW2981180452

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.