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April 1, 2009New England Journal of Medicine57 citationsOpen Access

From India to the World — A Better Way to Prevent Cervical Cancer

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MSMark SchiffmanSWSholom Wacholder

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Abstract

In this issue of the Journal, Sankaranarayanan et al.1 report the results of a randomized clinical trial of screening for cervical cancer involving more than 130,000 women in India. The authors conclusively showed that a single round of screening for human papillomavirus (HPV) dramatically reduced the incidence of advanced cervical cancer and cervical-cancer mortality within 8 years far more than a single conventional cytologic test or visual inspection of the cervix with acetic acid (VIA). The implications of the findings of this trial are immediate and global: international experts in cervical-cancer prevention should now adapt HPV testing for widespread implementation. . . .

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Schiffman et al. (2009) studied this question.

synapsesocial.com/papers/6a91310d31838a9342d2c450https://doi.org/10.1056/nejme0901167
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