Journal article
Use of mobile telemedicine for cervical cancer screening
Journal of telemedicine and telecare, v 17(4)
2011
PMID: 21551217
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Visual inspection of the cervix with application of 4% acetic acid (VIA) is an inexpensive alternative to cytology-based screening in areas where resources are limited, such as in many developing countries. We have examined the diagnostic agreement between off-site (remote) expert diagnosis using photographs of the cervix (photographic inspection with acetic acid, PIA) and in-person VIA. The images for remote evaluation were taken with a mobile phone and transmitted by MMS. The study population consisted of 95 HIV-positive women in Gaborone, Botswana. An expert gynaecologist made a definitive positive or negative reading on the PIA results of 64 out of the 95 women whose PIA images were also read by the nurse midwives. The remaining 31 PIA images were deemed insufficient in quality for a reading by the expert gynaecologist. The positive nurse PIA readings were concordant with the positive expert PIA readings in 82% of cases, and the negative PIA readings between the two groups were fully concordant in 89% of cases. These results suggest that mobile telemedicine may be useful to improve access of women in remote areas to cervical cancer screening utilizing the VIA 'see-and-treat' method.
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Details
- Title
- Use of mobile telemedicine for cervical cancer screening
- Creators
- Kelly E Quinley - Department of Dermatology, University of Pennsylvania, 2 Maloney Building, 3600 Spruce Street, Philadelphia PA 19104, USA. carrie.kovarik@uphs.upenn.eduRachel H GormleySarah J RatcliffeTing ShihZsofia SzepAnn SteinerDoreen Ramogola-MasireCarrie L Kovarik
- Publication Details
- Journal of telemedicine and telecare, v 17(4)
- Publisher
- England
- Grant note
- P30 AI045008 / NIAID NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Infectious Diseases (and HIV Medicine)
- Web of Science ID
- WOS:000292121400008
- Scopus ID
- 2-s2.0-79957788793
- Other Identifier
- 991014877851104721
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- Collaboration types
- International collaboration
- Web of Science research areas
- Health Care Sciences & Services