DSIH, MONDAY, OCTOBER 11, 2021 Be the first to reactBe the first to react

Each year in France, cervical cancer affects nearly 3,000 women and causes approximately 1,100 deaths.[1]. In order to reduce the impact of this cancer, a combination of screening organized for women aged 25 to 65 and vaccination against human papillomavirus (HPV) for all young people is offered. The col-HPV Commission of the CNGOF (French National College of Gynecologists and Obstetricians) is launching a free innovative application in mid-October on the management of HPV test results in the primary screening for cervical cancer.

The importance of early detection

Cancers of the cervix are mainly caused by viruses of the human papillomavirus family that are transmitted sexually. In about 90% of cases, the HPV infection resolves on its own within two years. It can also cause lesions in the cervix which can eventually progress to cancer.

The CNGOF is delighted that France has taken a set of strong measures to fight against cervical cancer. Indeed, screening is now part of a nationally organized program. In addition, in July 2019, the High Authority for Health (HAS) published new recommendations on primary screening which is based, for women aged 25 to 30 on a smear, and for those over 30, on the HPV test to be repeated every five years.

HPV screening can detect an average of 30% more high-grade lesions compared to cytological examination. Early detection reduces the incidence of cancer by 70%.

The “HPV results management” app

For the CNGOF, these new practices, sometimes complex, are shaking up habits. They “remain only partially put[es] implementation and educational support for professionals and women is now essential ”.

To encourage screening, the Dr Joseph Monsonego, president of the col-HPV Commission of the CNGOF, launches, in mid-October, “HPV screening management”, developed by 360 medics, a start-up specializing in e-health. This innovative and free application manages the results of the HPV test for the primary screening of cervical cancer. It incorporates the French recommendations of the HAS and the National Cancer Institute according to the age and situation of individuals. The application is available on the 360 ​​medics platform.

New reflexes and decision support

By supporting the professional in the adoption of new management reflexes, the tool should “reduce the overconsumption of examinations and treatments, and the unnecessary worries that these new strategies risk generating. But in no way does it claim to replace human experience and clinical sense, ”says Dr.r Monsonego. Indeed, the app is intended to be a simple decision support tool and participate in the digital transition of medical training. Thus, it allows an assessment of the risk according to the profile of the patients and the establishment of scores. In addition, expert advice or international guidance is provided as needed.

[1] https://www.e-cancer.fr/Comprendre-prevenir-depister/Se-faire-depister/Depistage-du-cancer-du-col-de-l-uterus/Pourquoi-se-faire-depister

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