Women Living with HIV over Age of 65: Cervical Cancer Screening in a Unique and Growing Population
Joint Authors
Maguire, Karla
Duthely, Lunthita M.
Aserlind, Alexandra
Wennin, Stefan
Potter, JoNell
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-09-17
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objective.
Women living with HIV are at increased risk of human papillomavirus (HPV) infection, which can lead to cervical cancer.
New guidelines recommend indefinite screening.
The objective of this study is to describe cervical cancer screening practices and colposcopy results in a cohort of women living with HIV over age of 65 who were followed before the new guidelines.
Comorbidities, sexually transmitted infections (STIs), and other risk factors were evaluated.
Methods.
We conducted a retrospective chart review on 75 women aged 65 or older living with HIV with at least one Pap smear.
Results.
The mean age of the cohort was 66.5 and at HIV diagnosis was 56.
The majority of women were immunocompetent.
80% had serial Pap smears.
Of these, 86% of 238 were negative or ASCUS.
No women progressed to HSIL.
92% of colposcopies had negative or CIN I results.
Three women were treated successfully for high-grade dysplasia.
More than half of women had other STIs.
72% were screened for HPV; 50% were positive.
Conclusion.
The majority of women had negative and low-grade Pap smears.
Questions remain regarding the utility of continued Pap screening and the added value of HPV testing in this unique population of older women living with HIV.
American Psychological Association (APA)
Aserlind, Alexandra& Maguire, Karla& Duthely, Lunthita M.& Wennin, Stefan& Potter, JoNell. 2017. Women Living with HIV over Age of 65: Cervical Cancer Screening in a Unique and Growing Population. Infectious Diseases in Obstetrics and Gynecology،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1156821
Modern Language Association (MLA)
Aserlind, Alexandra…[et al.]. Women Living with HIV over Age of 65: Cervical Cancer Screening in a Unique and Growing Population. Infectious Diseases in Obstetrics and Gynecology No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1156821
American Medical Association (AMA)
Aserlind, Alexandra& Maguire, Karla& Duthely, Lunthita M.& Wennin, Stefan& Potter, JoNell. Women Living with HIV over Age of 65: Cervical Cancer Screening in a Unique and Growing Population. Infectious Diseases in Obstetrics and Gynecology. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1156821
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156821