2014
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Salud Pública de México
Christyn M Beal et al., « Cost analysis of different cervical cancer screening strategies in Mexico », Salud Pública de México, ID : 10670/1.0bkep6
"Objective . To compare the costs and number of unde - tected cases of four cervical cancer screening strategies (CCSS) in Mexico. Materials and methods . We estimated the costs and outcomes of the following CCSS: a) conven - tional Papanicolaou smear (Pap) alone; b) high-risk human papilloma virus testing (HR-HPV) as primary screening with Pap as reflex triage; c) HR-HPV as primary screening with HPV-16/18 typing, liquid-based cytology (LBC) and immunostaining for p16/Ki67 testing as reflex triage, and d) co-testing with HR-HPV and LBC with HPV-16/18 typing and immunostaining for p16/Ki67 as reflex triage. The out - come of interest was high-grade cervical lesions or cervical cancer. Results . HR-HPV testing, HPV typing, LBC testing and immunostaining is the best alternative because it is the least expensive option with an acceptable number of missed cases."