Publications by authors named "A Tisler"
Background: The increased knowledge of cervical cancer (CC) risk factors and suboptimal performance of present screening programs has generated interest in shifting from a universal screening approach to one based on individual risk assessment. To inform the future development of risk-based CC screening programs, it is crucial to gain insight into the factors influencing the acceptability of such approach among screening target group women. The aim of this study was to prospectively investigate the acceptability of risk-based CC screening and to identify potential barriers.
View Article and Find Full Text PDFTransitioning to an individualized risk-based approach can significantly enhance cervical cancer screening programs. We aimed to derive and internally validate a prediction model for assessing the risk of cervical intraepithelial neoplasia grade 3 or higher (CIN3+) and cancer in women eligible for screening. This retrospective study utilized data from the Estonian electronic health records, including 517,884 women from the health insurance database and linked health registries.
View Article and Find Full Text PDFArticle Synopsis
- - Cancers are the leading cause of death for people living with HIV, but there is limited nationwide data on cancer rates among this population.
- - A study analyzed data from Estonia (2004-2021) involving 7,011 individuals with HIV, finding that HPV-associated cancers made up 21.4% of all cancer cases, with significantly higher risk ratios for both men and women living with HIV.
- - The findings highlight the urgent need for better screening, vaccination efforts, and adherence to antiretroviral therapy to address the increased risk of HPV-related cancers among people with HIV.