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. 2023 Sep 9:49:101269.
doi: 10.1016/j.gore.2023.101269. eCollection 2023 Oct.

Factors associated with adherence to post-treatment follow-up among a cohort of women with acetic acid/Lugol's iodine positive lesions of the cervix in Cameroon: A retrospective cohort study

Simon M Manga  1   2   3 , Joseph F Nkfusai  4 , Kathleen L Nulah  1 , Florence Manjuh  1 , Joel Fokom-Domgue  1   5 , Yuanfan Ye  2
Affiliations

Factors associated with adherence to post-treatment follow-up among a cohort of women with acetic acid/Lugol's iodine positive lesions of the cervix in Cameroon: A retrospective cohort study

Simon M Manga et al. Gynecol Oncol Rep. .

Abstract

Background: Women treated for cervical precancerous lesions have up to a 30 % increased risk of developing cervical cancer compared to women in the general population. The aim of this study was to identify predictors for adherence to follow-up among women treated for precancerous lesions of the cervix in Cameroon.

Materials and methods: The study design was a retrospective cohort analysis of a five-year follow-up for women in Cameroon who were initially treated for cervical precancer lesions in 2013. Logistic regression models were used to determine factors associated with adherence to post-treatment follow-up. Statistical significance was set at p < 0.05.

Results: Of the 344 women treated in 2013, 154 (44.77 %) never returned for a single post-treatment follow-up in five years. Marital status was the only variable statistically significantly associated with 5-year post-treatment follow-up adherence. women who had ever been married were 0.36 times (0.14 0.93)); p = 0. 0.035] less likely to adhere to post-treatment follow-up compared to women who have never been married. Although age was not statistically significant, women in the age group 30-49 years had some significance and they were 60 % [aOR, 95 %CI: 0.40 (0.18 0.89); p = 0.024] less likely to adhere to post-treatment follow-up when compared to women who were<30 years.

Conclusion: Only about half of the women treated for cervical precancer in this cohort returned for post-treatment follow-up. Conducting needs assessments among these populations that are less likely to adhere to follow-up will allow us to implement and test strategies to improve adherence to follow-up.

Keywords: Acetic acid/Lugol’s solution; Cameroon; Follow-up study; HIV seropositivity; Precancerous conditions; Uterine cervical neoplasms.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Figure 1
Figure 1
Cervical precancer treatment algorithm.
Figure 2
Figure 2
Five year follow-up trend among women with cervical precancer in Cameroon.
See this image and copyright information in PMC

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References

    1. Aerssens A., Claeys P., Garcia A., Sturtewagen Y., Velasquez R., Vanden Broeck D., Vansteelandt S., Temmerman M., Cuvelier C.A. Natural history and clearance of HPV after treatment of precancerous cervical lesions. Histopathology. 2008;52(3):381–386. - PubMed
    1. Bae J.H., Kim C.J., Park T.C., Namkoong S.E., Park J.S. Persistence of human papillomavirus as a predictor for treatment failure after loop electrosurgical excision procedure. BMC Public Health. 2007;17(6):1271–1277. - PubMed
    1. Barchi F., Winter S.C., Ketshogile F.M., Ramogola-Masire D. Adherence to screening appointments in a cervical cancer clinic serving HIV-positive women in Botswana. BMC Public Health. 2019;19(1) - PMC - PubMed
    1. Coker A.L., Eggleston K.S., Meyer T.E., Luchok K., Das I.P. What predicts adherence to follow-up recommendations for abnormal Pap tests among older women? Gynecol. Oncol. 2007;105(1):74–80. doi: 10.1016/j.ygyno.2006.10.046. - DOI - PubMed
    1. Cox, J.T., Chelmow, D.P., & Moscicki, A.B. (2014). Management of Abnormal Cervical Cancer Screening. In: Mayeaux, E.J., & Cox, J.T. (Eds.), Modern Colposcopy: Textbook and Atlas, 3rd ed., Philadelphia PA, pp. 571–598.

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