{"doi":"10.1002/ijgo.13485","title":"Mapping the cervical cancer screening cascade among women living with HIV in Johannesburg, South Africa<sup>a</sup>","abstract":"OBJECTIVE: To map the cervical cancer screening cascade among women living with HIV attending a public-sector cytology screening program in Johannesburg, South Africa. METHODS: We conducted a retrospective cohort study of routinely collected clinical data captured in an electronic medical record system. Women (≥18 years) living with HIV with an abnormal Pap result between January 2013 and May 2018 were included. The proportion of women who received follow-up consistent with extant clinical guidelines, stratified by their initial Pap smear result, was examined. RESULTS: The study included 2072 women: 1384 (66.8%) with a low-risk Pap result, 681 (32.9%) with a high-risk Pap result, and 7 (0.3%) with suspected cancer. Only 174 (25.6%) women with a high-risk Pap result underwent guideline-indicated management within 18 months. Among women with a low-risk Pap result, 375 (27.1%) received follow-up within 1 year; the cumulative incidence of follow-up increased to 63.1% at 3 years. All women with suspected cancer either received a colposcopic biopsy or were referred for further treatment. CONCLUSION: Attrition among South African women living with HIV who attended cervical screening in an urban public-sector 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.","journal":"International Journal of Gynecology & Obstetrics","year":2020,"id":64400,"datarank":0.8848278389440454,"base_score":3.5553480614894135,"endowment":3.5553480614894135,"self_citation_contribution":0.5333022092234121,"citation_network_contribution":0.3515256297206332,"self_endowment_contribution":0.5333022092234121,"citer_contribution":0.3515256297206332,"corpus_percentile":77.18728243211882,"corpus_rank":2950,"citation_count":34,"citer_count":11,"citers_with_citation_signal":8,"citers_with_endowment":8,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.7842,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":341120,"name":"Masangu Mulongo","orcid":null,"position":1,"is_corresponding":false},{"id":340363,"name":"Tafadzwa Pasipamire","orcid":"0000-0003-1604-8255","position":2,"is_corresponding":false},{"id":340364,"name":"Austin M. Oberlin","orcid":"0000-0002-2053-0610","position":3,"is_corresponding":false},{"id":341121,"name":"Bridgette Goeieman","orcid":null,"position":4,"is_corresponding":false},{"id":340365,"name":"Sophie Williams","orcid":"0000-0002-5843-0295","position":5,"is_corresponding":false},{"id":340366,"name":"Mwansa Ketty Lubeya","orcid":"0000-0002-8526-3410","position":6,"is_corresponding":false},{"id":340367,"name":"Lisa Rahangdale","orcid":"0000-0002-4444-7969","position":7,"is_corresponding":false},{"id":340368,"name":"Carla J. Chibwesha","orcid":"0000-0002-0397-2994","position":8,"is_corresponding":false},{"id":340362,"name":"Eliane Rohner","orcid":"0000-0002-0554-2875","position":0,"is_corresponding":true}],"reference_count":20,"raw_metadata":null,"created_at":"2026-07-18T21:12:32.635050Z","pmid":"33188707","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}