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Towards the elimination of cervical cancer in low-income and lower-middle-income countries: modelled evaluation of the effectiveness and cost-effectiveness of point-of-care HPV self-collected screening and treatment in Papua New Guinea.

Diep Thi Ngoc NguyenKate T SimmsAdam KeaneGlen MolaJohn Walpe BolngaJoseph KukPamela J TolimanSteven G BadmanMarion SavilleJohn KaldorAndrew VallelyKaren Canfell
Published in: BMJ global health (2022)
Self-collected HPV S&T was effective and cost-effective in the high-burden, low-resource setting of PNG, and, if scaled-up rapidly, could prevent over 20 000 deaths over the next 50 years. VIA screening was not effective or cost-effective. These findings support, at a country level, WHO updated cervical screening guidelines and indicate that similar approaches could be appropriate for other low-resource settings.
Keyphrases
  • high grade
  • randomized controlled trial
  • physical activity
  • clinical practice
  • risk factors
  • combination therapy