Diagnostic Efficacy of Cervical Lesions by Cytology and Colposcopy
I. Hernández Pacheco
Departamento de Medicina, Maestría en Salud Pública [ICSa-UAEH], Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Pachuca Hidalgo, México.
J. C. Ruvalcaba Ledezma *
Departamento de Medicina, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo [UAEH], Pachuca Hidalgo, México.
M. Rivera Gómez
Departamento de Medicina, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo [UAEH], Pachuca Hidalgo, México.
J. Reynoso Vázquez
Departamento de Farmacia, Maestría en Salud Pública, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo [ICSa-UAEH], Pachuca Hidalgo, México.
L. López Pontigo
Departamento de Posgrado, Gerontología de la UAEH, México.
L. O. Aguirre Rembao
Departamento de Medicina, Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo [UAEH], Pachuca Hidalgo, México.
Sánchez Martínez Diana Verónica
Departamento de Medicina, Campus Tepeji Universidad Autónoma del Estado de Hidalgo [UAEH], Pachuca Hidalgo, México.
A. Moya Escalera
Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Hidalgo, México.
*Author to whom correspondence should be addressed.
Abstract
Cervical cancer is the third most commonly diagnosed cancer and the fourth leading cause of death in women worldwide. The highest incidence rates are found in developing countries; in Mexico, it represents one of the main causes of death in women, which is why it is a real public health problem.
Objective: To compare the diagnostic efficacy of low and high grade lesions in the cervix using colposcopy and cytology in women attending the medical services unit the of the State of Hidalgo.
Material and Methods: A retrospective, descriptive, observational epidemiological study was carried out in 243 women with complete information in the database who attended the cervical-uterine and qualitative cancer screening test from the ethnomethodology focused on the key informants' discourse.
Results: Out of 278, 243 subjects were selected for the analysis, of which 115 (47%) attended during 2012, 111 (46%) during 2013 and 17 (7%) during the months of January to May of the year 2014, with a minimum age of 19 years, a maximum age of 63, a mean of 41 and a standard deviation of 9.92 years, and in none of the cases differences were detected in general for the diagnosis of low- and high-grade injury. Currently the problem of non-unified codes for capturing information continues.
Conclusions: It is necessary to unify the information capture codes, since diversity was found in the codes used that denote information on each captured case. Currently, this problem continues regarding the information capture codes, which denotes difficulty and negative results operationally.
Keywords: Cervical cancer, colposcopy, cytology, low and high grade lesions