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Abstract(s)
O Cancro do Colo do Útero é um importante problema de saúde pública não só em Portugal
como mundialmente, sendo o quarto tipo de cancro mais comum a nível mundial. Por afetar
mulheres jovens, esta é uma importante causa de perda de anos de vida e, como tal, rastrear
sinais iniciais desta doença é de extrema importância e uma das melhores formas de a prevenir.
Sabe-se que a infeção persistente do Vírus do Papiloma Humano é condição obrigatória para o
desenvolvimento deste tipo de cancro e que uma infeção ativa persistente por um HPV de altorisco provoca alterações nas células do colo do útero. Neste sentido, a pesquisa de HPV numa
fase inicial da infeção, através do Teste de HPV, evitará a evolução das alterações celulares
para carcinoma invasivo do colo do útero.
Num cenário de escassez de recursos, as tecnologias médicas devem proporcionar ganhos em
saúde consistentes, a um custo aceitável e com utilização consciente de recursos. Para que o
método de rastreio atinja os objetivos pretendidos é necessário que, por um lado, as mulheres
participem e, por outro lado, que o valor despendido seja proporcional aos ganhos em saúde
esperados.
Os objetivos do trabalho são conhecer em que medida as mulheres residentes na Região de
Saúde do Centro aceitam o Teste de HPV associado com a Auto-colheita como método de
rastreio do CCU e avaliar se a implementação deste método poderá trazer benefícios no
aumento da taxa de participação das mulheres no rastreio e, simultaneamente, benefícios
económicos.
Os resultados demonstram que o Teste de HPV associado com a Auto-colheita é uma estratégia
aceite pelas mulheres como método de rastreio do CCU e também custo-efetiva, isto é, além
de promover o aumento na taxa de participação das mulheres no rastreio do CCU, é, ao mesmo
tempo, economicamente favorável.
Cervical cancer is a public health problem, not only in Portugal but worldwide, being the fourth most common type of cancer worldwide. By affecting young women, this is an important cause of loss of life years, and as such, tracking early signs of this disease is extremely important and one of the best ways to prevent it. It is known that persistent infection of the Human Papilloma Virus is a mandatory condition to develop this type of cancer and that persistent active infection by high-risk HPV causes changes in the cells of the cervix. In this sense, HPV screening at an early stage of infection, through HPV Test, will prevent the evolution of cell changes to invasive carcinoma. In a low resources scenario, medical technologies must give consistent health gains, at an acceptable cost, and with conscious use of resources. In order for the screening method to achieve its intended objectives, on the one hand, it is necessary for women to participate and, on the other hand, the amount spent should be proportional to the expected health gains. The objectives of the study are to know the extent to which women accept the HPV test associated with self-collection as a method of screening cervical cancer, and to evaluate whether the implementation of this method can bring benefits in increasing the participation rate of women in screening and, simultaneously, economic benefits. The results demonstrate that the HPV Test associated with self-collection is a strategy accepted by women as a method of screening cervical cancer and also cost-effective, that is, in addition to promoting an increase in the participation rate of women in cervical cancer screening, is, at the same time, economically favorable.
Cervical cancer is a public health problem, not only in Portugal but worldwide, being the fourth most common type of cancer worldwide. By affecting young women, this is an important cause of loss of life years, and as such, tracking early signs of this disease is extremely important and one of the best ways to prevent it. It is known that persistent infection of the Human Papilloma Virus is a mandatory condition to develop this type of cancer and that persistent active infection by high-risk HPV causes changes in the cells of the cervix. In this sense, HPV screening at an early stage of infection, through HPV Test, will prevent the evolution of cell changes to invasive carcinoma. In a low resources scenario, medical technologies must give consistent health gains, at an acceptable cost, and with conscious use of resources. In order for the screening method to achieve its intended objectives, on the one hand, it is necessary for women to participate and, on the other hand, the amount spent should be proportional to the expected health gains. The objectives of the study are to know the extent to which women accept the HPV test associated with self-collection as a method of screening cervical cancer, and to evaluate whether the implementation of this method can bring benefits in increasing the participation rate of women in screening and, simultaneously, economic benefits. The results demonstrate that the HPV Test associated with self-collection is a strategy accepted by women as a method of screening cervical cancer and also cost-effective, that is, in addition to promoting an increase in the participation rate of women in cervical cancer screening, is, at the same time, economically favorable.
Description
Keywords
Análise Custo-Efetividade Auto-Colheita Rastreio do Cancro do Colo do Útero Taxa de Participação Teste de HPV