Le SIDA au Ghana (serveur d'exploration)

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Options in human papillomavirus (HPV) detection for cervical cancer screening: comparison between full genotyping and a rapid qualitative HPV-DNA assay in Ghana.

Identifieur interne : 000224 ( PubMed/Corpus ); précédent : 000223; suivant : 000225

Options in human papillomavirus (HPV) detection for cervical cancer screening: comparison between full genotyping and a rapid qualitative HPV-DNA assay in Ghana.

Auteurs : Dorcas Obiri-Yeboah ; Yaw Adu-Sarkodie ; Florencia Djigma ; Kafui Akakpo ; Ebenezer Aniakwa-Bonsu ; Daniel Amoako-Sakyi ; Simpore Jacques ; Philippe Mayaud

Source :

RBID : pubmed:28270915

Abstract

Modern cervical cancer screening increasingly relies on the use of molecular techniques detecting high-risk oncogenic human papillomavirus (hr-HPV). A major challenge for developing countries like Ghana has been the unavailability and costs of HPV DNA-based testing. This study compares the performance of careHPV, a semi-rapid and affordable qualitative detection assay for 14 hr-HPV genotypes, with HPV genotyping, for the detection of cytological cervical squamous intraepithelial lesions (SIL).

DOI: 10.1186/s40661-017-0041-1
PubMed: 28270915

Links to Exploration step

pubmed:28270915

Le document en format XML

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<nlm:affiliation>Department of Microbiology and Immunology, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.</nlm:affiliation>
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<nlm:affiliation>Department of Pathology, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.</nlm:affiliation>
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<name sortKey="Aniakwa Bonsu, Ebenezer" sort="Aniakwa Bonsu, Ebenezer" uniqKey="Aniakwa Bonsu E" first="Ebenezer" last="Aniakwa-Bonsu">Ebenezer Aniakwa-Bonsu</name>
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<nlm:affiliation>Department of Microbiology and Immunology, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.</nlm:affiliation>
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<name sortKey="Mayaud, Philippe" sort="Mayaud, Philippe" uniqKey="Mayaud P" first="Philippe" last="Mayaud">Philippe Mayaud</name>
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<div type="abstract" xml:lang="en">Modern cervical cancer screening increasingly relies on the use of molecular techniques detecting high-risk oncogenic human papillomavirus (hr-HPV). A major challenge for developing countries like Ghana has been the unavailability and costs of HPV DNA-based testing. This study compares the performance of careHPV, a semi-rapid and affordable qualitative detection assay for 14 hr-HPV genotypes, with HPV genotyping, for the detection of cytological cervical squamous intraepithelial lesions (SIL).</div>
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<Month>03</Month>
<Day>08</Day>
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<DateRevised>
<Year>2017</Year>
<Month>08</Month>
<Day>16</Day>
</DateRevised>
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<ISSN IssnType="Print">2053-6844</ISSN>
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<Volume>4</Volume>
<PubDate>
<Year>2017</Year>
</PubDate>
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<Title>Gynecologic oncology research and practice</Title>
<ISOAbbreviation>Gynecol Oncol Res Pract</ISOAbbreviation>
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<ArticleTitle>Options in human papillomavirus (HPV) detection for cervical cancer screening: comparison between full genotyping and a rapid qualitative HPV-DNA assay in Ghana.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Modern cervical cancer screening increasingly relies on the use of molecular techniques detecting high-risk oncogenic human papillomavirus (hr-HPV). A major challenge for developing countries like Ghana has been the unavailability and costs of HPV DNA-based testing. This study compares the performance of careHPV, a semi-rapid and affordable qualitative detection assay for 14 hr-HPV genotypes, with HPV genotyping, for the detection of cytological cervical squamous intraepithelial lesions (SIL).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A study comparing between frequency matched HIV-1 seropositive and HIV-seronegative women was conducted in the Cape Coast Teaching Hospital, Ghana. A systematic sampling method was used to select women attending clinics in the hospital. Cervical samples were tested for HPV by careHPV and Anyplex-II HPV28 genotyping assay, and by conventional cytology.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 175 paired results (94 from HIV-1 seropositive and 81 from HIV-seronegative women) were analyzed based on the ability of both tests to detect the 14 hr-HPV types included in the careHPV assay. The inter-assay concordance was 94.3% (95%CI: 89.7-97.2%, kappa = 0.88), similar by HIV serostatus. The careHPV assay was equally sensitive among HIV-1 seropositive and seronegative women (97.3% vs. 95.7%, p = 0.50) and slightly more specific among HIV-seronegative women (85.0% vs. 93.1%, p = 0.10). careHPV had good sensitivity (87.5%) but low specificity (52.1%) for the detection of low SIL or greater lesions, but its performance was superior to genotyping (87.5 and 38.8%, respectively). Reproducibility of careHPV, tested on 97 samples by the same individual was 82.5% (95%CI: 73.4-89.4%).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The performance characteristics of careHPV compared to genotyping suggest that this simpler and cheaper HPV detection assay could offer a suitable alternative for HPV screening in Ghana.</AbstractText>
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<LastName>Obiri-Yeboah</LastName>
<ForeName>Dorcas</ForeName>
<Initials>D</Initials>
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<Affiliation>Department of Microbiology and Immunology, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.</Affiliation>
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<Affiliation>Department of Clinical Microbiology, School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.</Affiliation>
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<Identifier Source="GRID">grid.218069.4</Identifier>
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<LastName>Mayaud</LastName>
<ForeName>Philippe</ForeName>
<Initials>P</Initials>
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<Identifier Source="GRID">grid.8991.9</Identifier>
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<Language>eng</Language>
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<Keyword MajorTopicYN="N">HIV</Keyword>
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