Clinical performance of digital cervicography and cytology for cervical cancer screening in HIV-infected women in Lusaka, Zambia.

Bateman AC, Parham GP, Sahasrabuddhe VV, Mwanahamuntu MH, Kapambwe S, Katundu K, Nkole T, Mulundika J, Pfaendler KS, Hicks ML, Shibemba A, Vermund SH, Stringer JS, Chibwesha CJ
J Acquir Immune Defic Syndr. 2014 67 (2): 212-5

PMID: 24977474 · PMCID: PMC4162769 · DOI:10.1097/QAI.0000000000000270

Although there is a growing literature on the clinical performance of visual inspection with acetic acid in HIV-infected women, to the best of our knowledge, none have studied visual inspection with acetic acid enhanced by digital cervicography. We estimated clinical performance of cervicography and cytology to detect cervical intraepithelial neoplasia grade 2 or worse. Sensitivity and specificity of cervicography were 84% [95% confidence interval (CI): 72 to 91) and 58% (95% CI: 52 to 64). At the high-grade squamous intraepithelial lesion or worse cutoff for cytology, sensitivity and specificity were 61% (95% CI: 48 to 72) and 58% (95% CI: 52 to 64). In our study, cervicography seems to be as good as cytology in HIV-infected women.

MeSH Terms (15)

Acetic Acid Adult Cervical Intraepithelial Neoplasia Colposcopy Cytological Techniques Female HIV Infections Humans Mass Screening Middle Aged Optical Imaging Sensitivity and Specificity Uterine Cervical Neoplasms Young Adult Zambia

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