Preferensi dan Akurasi Skrining Kanker Serviks di Indonesia: Literature Review
Keywords:
accuracy, preference, pap smear, VIA test, HPV DNA test, akurasi, preferensi, tes IVA, tes DNA HPVAbstract
Abstract: Globocan 2020 states that the estimated cervical cancer in Indonesia is 36,633 cases, with deaths of 19.1% of the total cancer deaths in Indonesia. The high mortality rate is due to late diagnosis. Cervical cancer can be prevented by cervical cancer screening, such as pap smears, VIA tests, and HPV DNA tests. The purpose of this study is to determine the level of accuracy and preference of cervical cancer screening in Indonesia. This literature study uses secondary data with inclusion and exclusion criteria, as well as data synthesis that refers to the PICOS framework. Articles taken from ProQuest, Science Direct, SpringerLink, PubMed, and Google Scholar database. The stages of selecting articles according to the PRISMA diagram, and conducting a feasibility test using the STROBE checklist – cross sectional instrument. This literature study analyzed 7 articles. The results of the study stated that the VIA test had good sensitivity and specificity, where the sensitivity level was 96.0% with a specificity of 90.9%. The preference for cervical cancer screening in Indonesia’s women is also the VIA test, with a proportion of 66% of women doing screening. The VIA test is expected to be a recommendation for WUS in choosing an accurate screening, and can increase WUS interest in carrying out regular screening.
Abstrak: Globocan 2020 menyatakan jika estimasi kanker serviks di Indonesia 36.633 kasus, dengan kematian 19,1% dari total kematian akibat kanker di Indonesia. Angka kematian yang tinggi tersebut dikarenakan keterlambatan diagnosis. Kanker serviks dapat dicegah dengan skrining kanker serviks, seperti pap smear, tes IVA, dan tes DNA HPV. Tujuan studi ini yaitu untuk mengetahui tingkat akurasi dan preferensi skrining kanker serviks di Indonesia. Studi literatur ini mengunakan data sekunder dengan kriteria inklusi dan eksklusi, serta sintesis data yang mengacu pada PICOS framework. Artikel diambil dari database ProQuest, Science Direct, SpringerLink, PubMed, dan Google Scholar. Tahapan penyeleksian artikel sesuai diagram PRISMA, dan dilakukan uji kelayakan dengan instrumen STROBE checklist – cross sectional. Studi literatur ini menganalisis 7 artikel. Hasil dari studi menyatakan jika tes IVA mempunyai sensitivitas dan spesifisitas yang baik, dimana tingkat sensitivitas sebesar 96,0% dengan spesifisitas 90,9%. Preferensi skrining kanker serviks pada perempuan di Indonesia juga tes IVA, dengan proporsi 66% perempuan melakukan skrining. Tes IVA diharapkan menjadi rekomendasi WUS dalam memilih skrining yang akurat, dan dapat meningkatkan minat WUS dalam melaksanakan skrining yang teratur.
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