Health outcomes in women attending with clinical guideline PROGYNE to a primary care center for cervical cancer prevention.

Abstract

AIM\nThe objective of the current study was to analyze the health outcomes of women attending with a clinical guideline to consultations for cervical cancer (CC) prevention in a primary care center.\n\n\nMETHODS\nA cross-sectional design was used, and data were collected from March to July 2016 with a sample of 87 women in Fortaleza, Brazil.\n\n\nRESULTS\nThe following correlations were found: previous history of sexually transmitted infection (p\xa0=\u20090.025), women who used oral contraceptives (p\xa0=\u20090.035), and undergo the Papanicolaou test annually; having black skin color (p\xa0=\u20090.031) and attending to the first gynecological consultation; being single (p\xa0=\u20090.031), family history of cancer (p\xa0<\u20090.001), and undergoing the first Papanicolaou test within the first 3\u2009years of sexual activity; age up to 30\u2009years and positive colposcopy (p\xa0=\u20090.027); and being single and positive colposcopy (p\xa0=\u20090.021). CC was characterized by the presence of intraepithelial lesion detected on colposcopy (gold standard). Receiver operating characteristic curves were used to evaluate the diagnostic accuracy of visual inspection with Lugol s iodine, digital cervicography, and Papanicolaou test. The area under the curve values were as follows: digital cervicography: 0.558, p\xa0=\u20090.509; Lugol s iodine: 0.491, p\xa0=\u20090.919; and Papanicolaou test: 0.697, p\xa0=\u20090.024.\n\n\nCONCLUSION\nColposcopy in primary care provided a faster diagnosis of pre-cancerous lesions. Understanding the health outcomes of women who underwent consultations for CC prevention, as well as the screening and diagnosis methods used, is essential to the service and national health system of the less developed countries.