کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8757610 | 1596412 | 2018 | 11 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Rationale and design of the HOME trial: A pragmatic randomized controlled trial of home-based human papillomavirus (HPV) self-sampling for increasing cervical cancer screening uptake and effectiveness in a U.S. healthcare system
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کلمات کلیدی
ASC-HCIN 1hrHPVPragmatic clinical trialLSILASC-USLEEPHSILHIPAAHEDISRCTFDAASCCPAISCISACSAGSPCPAdenocarcinoma in situ - آدنوکارسینوما در محلRandomized controlled trial - آزمایش تصادفی کنترل شدهPrimary care provider - ارائه دهنده مراقبت های اولیهAmerican Cancer Society - انجمن سرطان آمریکاloop electrosurgical excision procedure - حلقه الکتروسرجری روش برشSelf-sampling - خود نمونه برداریUniversity of Washington - دانشگاه واشنگتنFood and Drug Administration - سازمان غذا و داروCervical cancer - سرطان دهانه رحمatypical squamous cells of undetermined significance - سلول های نامتعارف غیر مترقبه از اهمیت نامشخص استatypical glandular cells - سلولهای غده تیپیکHigh-grade squamous intraepithelial lesion - ضایعه داخل شکمی بزرگ در سطح مقطعLow-grade squamous intraepithelial lesion - ضایعه داخلی داخل شکمی ضخیمadverse event - عارضه جانبی یا عوارض جانبیScreening - غربالگریHealth Insurance Portability and Accountability Act - قانون قابلیت انتقال و مسئولیت بیمه سلامتHealthcare Effectiveness Data and Information Set - مجموعه اطلاعات و اثربخشی بهداشت و درمانHuman papillomavirus - ویروس پاپیلوم انسانیHigh-risk human papillomavirus - ویروس پاپیلومای با خطر بالاCarcinoma in situ - کارسینوم درجا
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
![عکس صفحه اول مقاله: Rationale and design of the HOME trial: A pragmatic randomized controlled trial of home-based human papillomavirus (HPV) self-sampling for increasing cervical cancer screening uptake and effectiveness in a U.S. healthcare system Rationale and design of the HOME trial: A pragmatic randomized controlled trial of home-based human papillomavirus (HPV) self-sampling for increasing cervical cancer screening uptake and effectiveness in a U.S. healthcare system](/preview/png/8757610.png)
چکیده انگلیسی
Women who delay or do not attend Papanicolaou (Pap) screening are at increased risk for cervical cancer. Trials in countries with organized screening programs have demonstrated that mailing high-risk (hr) human papillomavirus (HPV) self-sampling kits to under-screened women increases participation, but U.S. data are lacking. HOME is a pragmatic randomized controlled trial set within a U.S. integrated healthcare delivery system to compare two programmatic approaches for increasing cervical cancer screening uptake and effectiveness in under-screened women (â¥Â 3.4 years since last Pap) aged 30-64 years: 1) usual care (annual patient reminders and ad hoc outreach by clinics) and 2) usual care plus mailed hrHPV self-screening kits. Over 2.5 years, eligible women were identified through electronic medical record (EMR) data and randomized 1:1 to the intervention or control arm. Women in the intervention arm were mailed kits with pre-paid envelopes to return samples to the central clinical laboratory for hrHPV testing. Results were documented in the EMR to notify women's primary care providers of appropriate follow-up. Primary outcomes are detection and treatment of cervical neoplasia. Secondary outcomes are cervical cancer screening uptake, abnormal screening results, and women's experiences and attitudes towards hrHPV self-sampling and follow-up of hrHPV-positive results (measured through surveys and interviews). The trial was designed to evaluate whether a programmatic strategy incorporating hrHPV self-sampling is effective in promoting adherence to the complete screening process (including follow-up of abnormal screening results and treatment). The objective of this report is to describe the rationale and design of this pragmatic trial.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Contemporary Clinical Trials - Volume 64, January 2018, Pages 77-87
Journal: Contemporary Clinical Trials - Volume 64, January 2018, Pages 77-87
نویسندگان
Rachel L. Winer, Jasmin A. Tiro, Diana L. Miglioretti, Chris Thayer, Tara Beatty, John Lin, Hongyuan Gao, Kilian Kimbel, Diana S.M. Buist,