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Abstract
A structured and systematized early detection program for cervical cancer should ensure education, prevention, early diagnosis, and adequate treatment. Cervical cancer is a social and economic problem that impacts the woman, as well as her family and community. This study was conducted during 2005 and 2006 by means of an alliance with the Universidad de Caldas, Department and Territorial Health Office of Caldas. The study had a descriptive, evaluative and retrospective design. Four strategically located municipalities of Caldas were selected for education and follow-up. The staff of each hospital filled out a database that guided the process, which was designed by the researchers. Women between the ages of 26 and 45 were the most common cases. The hours the staff dedicated to the program were high, in comparison to the number of cervical smears performed. There were problems regarding the colposcopy records, lost cervical smear records, all of which affect the program´s patients. The reports on invasive cancer were obtained only by means of cervical smears; no biopsies were reported, despite this being the best test for confirming the diagnosis. The patients follow-ups were not continuous. A lack of specificity in nursing functions was also seen, since cervical smears are usually performed by nursing assistants, when the norm states that a trained physician or chief nurse should perform the procedure. A weakness in education to the community was seen.
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References
Medina M. Atlas de Mortalidad por Cáncer. Colombia, 1990. Instituto Nacional de Cancerología. División de Epidemiología. Santa Fe de Bogotá, 1994. Citado en: Gutiérrez D., Bueno M., Rubiano J., Trujillo D. Guías de Práctica Clínica basadas en la evidencia. ISS – ASCOFAME. p. 3. Disponible en:http://ncd.bvsalud.org/lildbi/docsonline/3/5/053-Colombia-Cacu-ASCOFAME.pdf
Colombia Médica; 1995; 26: 106-113.ISSN: 1657-9534. Reproducción autorizada por: Corporación Editora Médica del Valle, Universidad del Valle, Cali, Colombia. Disponible en: http://www.monografias.com/trabajos904/colposcopia-diagnostico-neoplasia/colposcopia-diagnostico-neoplasia.shtml
Santos J, Reyero MP, Naviero JC. Evaluación diagnóstica de la citología, la colposcopia y la biopsia en mujeres con sospecha de lesiones precursoral de neoplasia cervical intraepitelial. Progresos de obstetricia y ginecología: revista oficial de la Sociedad española de ginecología y obstetricia; Vol. 47, Nº. 4; 2004, p. 155-161. ISSN: 0304-5013, Disponible en: http://dialnet.unirioja.es/servlet/articulo?codigo=891861
Colombia Médica; 1995; 26: 106-113. ISSN: 1657-9534. Reproducción autorizada por: Corporación Editora Médica del Valle, Universidad del Valle, Cali, Colombia. Disponible en: http://www.monografias.com/trabajos904/colposcopia-diagnostico-neoplasia/colposcopia-diagnostico-neoplasia.shtml
Rubiano J, Trujillo D. Tamizaje en cáncer ginecológico. Guías de práctica clínica basadas en la evidencia. ISS. Cali. p. 10. Disponible en: http://ncd.bvsalud.org/lildbi/docsonline/3/5/053-Colombia-Cacu-ASCOFAME.pdf
Dexeus S, Cararach M, Dexeus D. Tratamiento y seguimiento de las lesiones preinvasoras. 3 ED 2002. Disponible en: http://www.aepcc.org/download/congresos/xviii/ponencias/GR_S5-5.pdf
Organización Panamericana de la Salud. Planificación de programas apropiados para la prevención del cáncer cervicouterino, Washington Disponible en: www.path.org. Organización Panamericana de la Salud, Oficina Regional de la Organización Mundial de la Salud, Washington, D.C.; 2003.
Castañeda MS. El cáncer cervical como problema de salud pública en mujeres mexicanas y su relación con el papiloma virus. Tesis doctoral, Universidad Autónoma de Barcelona. Disponible en: http://www.tesisenxarxa.net/TESIS_UAB/AVAILABLE/TDX-1125105-175123//msci1de1.pdf
Indicadores de Gestión. Disponible en: http://www.aiteco.com/web/index.php?option=com_content&task=view&id=85&Itemid=99
Organización Mundial de la Salud. Directrices sobre política y gestión. Disponible en: http://www.who.int/entity/cancer/media/en/423.pdf
Norma legal. Disponible en: http://www.fecolsog.org/areagremial/interno2/normativalegalart12. php
MSP y BS, OPS/OMS, USAID, UNPFA. Manual nacional de normas y procedimientos para la prevención y control del cáncer de cuello uterino. Asunción: El Ministerio; 2006.
Holowaty P, Miller AB, Rohan T, et al. Natural history of dysplasia of the uterine cervix. Journal of the National Cancer Institute 9 1(3): 252-258 (February 1999). Disponible en: http://ncd.bvsalud.org/lildbi/docsonline/1/3/031-Planificacion_de_programas_prevencion.pdf
Adami HO, Bergstrom R, et al. Strategies for global control of cervical cancer. International Journal of Cancer, 60: l-26 (January 1995). Disponible en: http://ncd.bvsalud.org/lildbi/docsonline/1/3/031-planificacion_de_programas_prevencion.pdf
Robles S, White F, Peruga A. Trends in cervical cancer mortality in the Americas. Bulletin of PAHO 30(4): 290-301 (December 1996). Disponible en: http://ncd.bvsalud.org/lildbi/docsonline/1/3/031-planificacion_de_programas_prevencion.pdf
Masood, S. A plea for a worldwide volunteer cervical cancer education and awareness program. A proposal from the International Academy of Cytology Committee on Cancer Detection for Medically Underserved Women. Journal of Clinical Cytology and Cytopathology 43(4): 539-543 (July-August 1999). Disponible en: http://ncd.bvsalud.org/lildbi/docsonline/1/3/031-planificacion_de_programas_prevencion.pdf
Lazcano-Ponce EC, Castro R, Allen B, et al. Barriers to early detection of cervical-uterine cancer in Mexico. Journal of Womens Health 8(3): 399408 (April 1999). Disponible en: http://ncd.bvsalud.org/lildbi/docsonline/1/3/031-planificacion_de_programas_prevencion.pdf
Nasiell K, Roger V, Nasiell M. Behavior of mild cervical dysplasia during long-term follow-up. Obstetrics and Gynecology 67(5): 665-669 (May 1986). Disponible en: http://ncd.bvsalud.org/lildbi/docsonline/1/3/031-planificacion_de_programas_prevencion.pdf
