A New Brazilian Device for Cervical Cancer Screening: Acceptability and Accuracy of Self-sampling

Author:

Lichtenfels Martina1ORCID,Lorenzi Noely Paula Cristina2ORCID,Tacla Maricy3ORCID,Yokochi Kaori2ORCID,Frustockl Flávia4,Silva Camila Alves1ORCID,Silva André Luiz da5ORCID,Termini Lara6ORCID,Farias Caroline Brunetto1ORCID

Affiliation:

1. Ziel Biosciences, Porto Alegre, RS, Brazil

2. Department of Gynecology, Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brazil

3. Department of Gynecology, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil

4. Citoclin Laboratory, Porto Alegre, RS, Brazil

5. Santa Casa de Misericórdia de Porto Alegre, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil

6. Centro de Investigação Translacional em Oncologia, Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil

Abstract

Abstract Objective To evaluate the accuracy and patient acceptability toward self-sampling using a new device - SelfCervix® - for detecting HPV-DNA. Methods A total of 73 women aged 25–65 who underwent regular cervical cancer screening from March to October 2016 were included. Women performed self-sampling followed by a physician-sampling, and the samples were analyzed for HPV-DNA. After that, patients were surveyed about their acceptability of self-sampling. Results HPV-DNA detection rate of self-sampling presented high accuracy and was similar to physician-collection. Sixty-four (87.7%) patients answered the acceptability survey. Most patients (89%) considered the self-sampling comfortable, and 82.5% preferred self-sampling to physician-sampling. The reasons cited were time-saving and convenience. Fifty-one (79.7%) reported that they would recommend self-sampling. Conclusion Self-sampling using the new Brazilian device SelfCervix® is not inferior in HPV-DNA detection rate compared with physician-collection, and patients are supportive of the method. Therefore, it might be an option to reach under-screened populations in Brazil.

Subject

Obstetrics and Gynecology

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