{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T18:34:29Z","timestamp":1790361269212,"version":"4.1.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,11]],"date-time":"2020-12-11T00:00:00Z","timestamp":1607644800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100002002","name":"Cancer Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100002002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To map the cervical cancer screening cascade among women living with HIV attending a public\u2010sector cytology screening program in Johannesburg, South Africa.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective cohort study of routinely collected clinical data captured in an electronic medical record system. Women (\u226518\u00a0years) living with HIV with an abnormal Pap result between January 2013 and May 2018 were included. The proportion of women who received follow\u2010up consistent with extant clinical guidelines, stratified by their initial Pap smear result, was examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 2072 women: 1384 (66.8%) with a low\u2010risk Pap result, 681 (32.9%) with a high\u2010risk Pap result, and 7 (0.3%) with suspected cancer. Only 174 (25.6%) women with a high\u2010risk Pap result underwent guideline\u2010indicated management within 18\u00a0months. Among women with a low\u2010risk Pap result, 375 (27.1%) received follow\u2010up within 1\u00a0year; the cumulative incidence of follow\u2010up increased to 63.1% at 3\u00a0years. All women with suspected cancer either received a colposcopic biopsy or were referred for further treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Attrition among South African women living with HIV who attended cervical screening in an urban public\u2010sector program was high. Developing tailored interventions to address bottlenecks in the care cascade and improve cervical screening outcomes will be central to eliminating cervical cancer.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13485","type":"journal-article","created":{"date-parts":[[2020,11,14]],"date-time":"2020-11-14T17:26:29Z","timestamp":1605374789000},"page":"53-59","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Mapping the cervical cancer screening cascade among women living with HIV in Johannesburg, South Africa<sup>a<\/sup>"],"prefix":"10.1002","volume":"152","author":[{"given":"Eliane","family":"Rohner","sequence":"first","affiliation":[{"name":"Division of Global Women\u2019s Health Department of Obstetrics and Gynecology University of North Carolina at Chapel Hill Chapel Hill NC USA"},{"name":"Clinical HIV Research Unit Department of Internal Medicine University of the Witwatersrand Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masangu","family":"Mulongo","sequence":"additional","affiliation":[{"name":"Clinical HIV Research Unit Department of Internal Medicine University of the Witwatersrand Johannesburg South Africa"},{"name":"Right to Care Helen Joseph Hospital Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tafadzwa","family":"Pasipamire","sequence":"additional","affiliation":[{"name":"Clinical HIV Research Unit Department of Internal Medicine University of the Witwatersrand Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin M.","family":"Oberlin","sequence":"additional","affiliation":[{"name":"Division of Global Women\u2019s Health Department of Obstetrics and Gynecology University of North Carolina at Chapel Hill Chapel Hill NC USA"},{"name":"Clinical HIV Research Unit Department of Internal Medicine University of the Witwatersrand Johannesburg South Africa"},{"name":"Right to Care Helen Joseph Hospital Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bridgette","family":"Goeieman","sequence":"additional","affiliation":[{"name":"Right to Care Helen Joseph Hospital Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Williams","sequence":"additional","affiliation":[{"name":"Clinical HIV Research Unit Department of Internal Medicine University of the Witwatersrand Johannesburg South Africa"},{"name":"Right to Care Helen Joseph Hospital Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mwansa K.","family":"Lubeya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Zambia Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Rahangdale","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of North Carolina at Chapel Hill Chapel Hill NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla J.","family":"Chibwesha","sequence":"additional","affiliation":[{"name":"Division of Global Women\u2019s Health Department of Obstetrics and Gynecology University of North Carolina at Chapel Hill Chapel Hill NC USA"},{"name":"Clinical HIV Research Unit Department of Internal Medicine University of the Witwatersrand Johannesburg South Africa"},{"name":"Right to Care Helen Joseph Hospital Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.31937"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/91.3.226"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956462413491735"},{"key":"e_1_2_8_5_1","volume-title":"Cervical Cancer Prevention and Control Policy","author":"South African National Department of Health","year":"2017"},{"key":"e_1_2_8_6_1","first-page":"1","article-title":"Barriers to cervical cancer screening and the cervical cancer care continuum in rural guatemala: a mixed\u2010method analysis","volume":"4","author":"Austad K","year":"2018","journal-title":"J Glob Oncol"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cdp.2006.07.005"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2017-0444"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0809-z"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gore.2020.100605"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002220"},{"key":"e_1_2_8_12_1","unstructured":"UNAIDS.90\u201390\u201090 An ambitious treatment target to help end the AIDS epidemic. Published2014. Accessed 25 August 2020."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002253"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/CM9.0000000000000353"},{"key":"e_1_2_8_15_1","unstructured":"World Health Organization.A global strategy for elimination of cervical cancer. Published2020. Accessed 25 August 2020."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2010.2465"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2008.0881"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20180151"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.k4823"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0000000000000525"},{"issue":"2","key":"e_1_2_8_21_1","first-page":"119","article-title":"Look and Lletz'\u2013a Chris Hani Baragwanath Hospital experience","volume":"98","author":"Adam Y","year":"2008","journal-title":"S Afr Med J"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.13530"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-018-0702-1"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.12192"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13485","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.13485","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.13485","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T12:19:45Z","timestamp":1693829985000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.13485"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,11]]},"references-count":23,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,1]]}},"alternative-id":["10.1002\/ijgo.13485"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.13485","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,11]]},"assertion":[{"value":"2020-09-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-11-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-12-11","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}