Knowledge and adherence to SEGO recommendations for the prevention of cervical cancer by Spanish gynecologists in daily practice

Javier Cortés Bordoy, Jordi Xercavins, Rogelio Garrido, Pilar Miranda, José Manuel Ramón y Cajal, Julio Velasco, Demián Dexeus, Elena Álvarezy, Cristina Centeno, María Pilar Blasco Zapater, Margarita Burgues Olives, María Cáceres Sánchez, Alfonso de Castro Lezcano, M. Pilar Del Río Castrillo, Inmaculada Ibars Gubert, Hanna Mohamad Darwich Mercè Roselló, Melba Torres Córdova, Vicenta Turrado Morán, Manuela Amorós Monera, Stella Maris ArroyueloVirginia Borobio Florián, Esteve Cañas Amat, Francisco Capell Lucena, Cristina García Molina, Aldo Giugni, Cristina Mañas López, José Ramón Méndez Paredes, Xavier Planas Urruela, M. Jesús Rodríguez Domingo, Maite Rovira Puges, Pilar Torre González, José Aixala Gelonch, M. Teresa Antorn Santacana, Javier Fabregat Treguany, María Ximena Herrera, Laura Mele, José María Peroy Pérez, Jaume Tarazona Teixidó, Valentí Badía Segura, Albert Canals Mir, Montserrat Cardona Aparici, Carlos D.Caso García, Carme Castells Raurell, Manuel del Campo Rodríguez, Ramon Espelti Badia, Isabel Fernández Gómez, Jorge Leira Juanos, Fernando Losa Domínguez, Amadeu Morera Juyol, Jordi Portella Simo, Margarita Riera Blasco, Raúl Villanueva Mata, Amèlia Acera Pérez Romina Castagno, Assumpta Colomer, Teresa Farguell Grau, Isidora Hernández de la Calle, Joan Matas Dalmases, Marta Ortega Mazano, Federico Sanfeliu, Montserrat Twose Espinós, Montserrat Alcalde Royo, Anna Cristina Borell Molins, María del Mar Cadiñanos de Tejeiro, Meritxell Gispert Girbau, Verónica Márquez Expósito, Joan Meléndez Rusiñol Enric Bosch Felip, Neomicia Cruz de Clarke, Blanca Domenecha Román, Aurora Francesch Garcés, Yolanda Guillemat Font, M. José Miranda Lucas, Fernanda Pla Centelles, Neus Luisa Rodríguez Corral, Milagros Rubio del Caño, Teresa Sánchez Escofet, Elisabet Segura de la Paz, Jordi Sentís Massllorens, Eva Soto Sales, Enrique Trullén Pla, Ramón Velasco Guillén, Jorge Bermúdez Flores, Gregori Borras Compte, Eva Ciriquian Bernat, Núria Fuste, Miseriordia Guinot Gasull, Pere Lauroba Aréjula, Fernando Marín Rodríguez, Carme Novoa Clos, Josep Palaui Capdevila, Guadalupe Peñalva Radial, Alex Sanjuán Pérez, Juan José Hernándezy, Mar Ramírez, Alfonso Duque Frischkorn, Alicia Gutiérrez Alaguero, Ana Esmeralda Cano Cuetos, Ana Gómez Manrique, Ana Pérez Sánchez, Ana Román Guindo, Antonio Rabanal Rabanal

Research output: Contribution to journalArticleResearchpeer-review

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Abstract

Objective: To assess the degree of knowledge of the new recommendations of the Spanish Society of Obstetrics and Gynecology (Sociedad Española de Ginecología y Obstetricia [SEGO]) for the prevention of cervical cancer and vaccination against human papilloma virus (HPV) among Spanish gynecologists and implementation of these recommendations in daily clinical practice. Methods: A cross-sectional survey (from November 2010 to March 2011) was carried out, in which participants used an online platform to complete a questionnaire previously developed by the National Scientific Committee on knowledge of the epidemiology of HPV infection, cervical cancer screening and HPV vaccines, and activities related to these issues in daily clinical practice. Results: A total of 454 gynecologists participated in the study. The gynecologists showed good knowledge of HPV transmission, HPV disease load, mortality due to cervical cancer, demonstration of immune memory, safety and efficiency of HPV vaccines, and the spectrum of protection by the tetravalent vaccine. Knowledge of the rate of sexually-active HPV-positive women at 5 years, differences between the efficacy and efficiency of cytological screening, and safe screening intervals in women with a double negative test (cytology and HPV) was deficient. Proactive attitudes to HPV vaccination in the priority age group (<27 years) was poor, with 63% of the surveyed physicians recommending vaccination. Surprisingly, 4% recommended vaccination in women older than 45 years. Fifteen percent reported they lacked time to explain that cytological testing every 3 years was safe, and 27% considered this practice unsafe. Thirty-five percent reported that the HPV test was unavailable in his/her environment. In 12% of cases, colposcopy was used to complement cytology at the initial visit. Conclusions: Although knowledge of HPV epidemiology and vaccines was adequate, proactive attitudes to HPV vaccination in the preferential age group were scarce. Complete adherence to SEGO recommendations was found in only 38% of participants. Nationwide strategies should be designed and introduced to spread and improve the implementation of these recommendations in daily clinical practice. © 2012 SEGO.
Original languageEnglish
Pages (from-to)153-164
JournalProgresos de Obstetricia y Ginecologia
Volume55
Issue number4
DOIs
Publication statusPublished - 1 Jan 2012

Keywords

  • Cancer of the cervix
  • Human papillomavirus
  • Screening
  • SEGO recommendations

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