The Cervical Cancer Prevention Project ECHO (CCP) was developed to address high rates of cervical cancer in low-resource areas of Texas. These ECHO sessions bring together advance practice providers and physicians from underserved regions in Texas to discuss clinical guidelines and best practices for cervical cancer prevention.
Cervical Cancer Prevention, the first Project ECHO program at MD Anderson, started as a partnership with MD Anderson, The University of Texas Medical Branch (UTMB), The University of Texas Health Science Center-Houston (UTHSC-H), The University of Texas School of Public Health (UTSPH) in Brownsville and Su Clinica Familiar, which is a Federally Qualified Health Center (FQHC) in the Rio Grande Valley. The program has grown to include faculty from the UT-RGV School of Medicine and participants from Northeast Texas, Bastrop, Alvin and Laredo.
There are almost 570,000 new cases of cervical cancer and more than 300,000 related deaths annually worldwide. More than 85% of cases occur in low- and middle-income countries, where cervical cancer is the 1st or 2nd leading cause of cancer death among women. It is now known that virtually all cases of cervical cancer are caused by persistent infection with high-risk types of the human papillomavirus (HPV). Preventive vaccines are commercially available and are recommended for girls and boys between the ages of 11 and 12 before the onset of sexual activity yet, only 49% of adolescents in the U.S. have completed the vaccine series thus, secondary prevention via cervical cancer screening, diagnosis, and treatment will remain necessary for the foreseeable future.
In the United States, cervical cancer incidence and mortality rates have decreased by approximately 70% over the last 40 years due to implementation of screening programs based on Papanicolaou (Pap) and more recently human papillomavirus (HPV) testing. However, medically underserved areas in the United States and globally have been unable to achieve this same success in reducing the burden of cervical cancer due to a lack of effective, high-coverage screening programs, limited public education, and a shortage of locally available trained personnel to perform the diagnostic procedures and treatments recommended for patients with abnormal screening tests.
This program, initiated in 2014, is funded by the Cancer Prevention Research Institute of Texas (CPRIT), the Prevent Cancer Foundation and the Raul Tijerina Foundation.. This program started as a collaboration between UTMB, UTHSC Houston, UTSPH Brownsville and Su Clinica Familiar, a FQHC in the border region of South Texas. Today this program includes the UT-RGV School of Medicine, Gateway Community Health Center in Laredo, UTHSC at Tyler, Genesis Prime Care and East Texas Community Health Centers, UT-Dell School of Medicine and affiliated CommUnity Care, Inc in Bastrop and Stephen F. Austin Community Health Network in Alvin, Texas. The goal of this program is to continue to expand training and mentoring to medically underserved areas in Texas.
- Learn more about the Project ECHO movement for Oncology
- Opinion piece about Cervical Cancer Prevention by our summer student, Kathryn Boom
- Access the American Society of Clinical Oncology (ASCO) Secondary Prevention of Cervical Cancer Resource-Stratified Guidelines
- Contact Melissa Lopez Varon for past presentations.
Instructions to submit new cases:
- Request the template for cases
- Fill out the template
- Send to email@example.com by Wednesday before the ECHO session
Continuing Education Credit
Instructions to obtain CME credit for attendance at the ECHO session:
- Review the following document for CME credit: CME Information/CME Disclosure Summary
- Contact Melissa Lopez Varon (firstname.lastname@example.org) to get the CME evaluation links
- Complete the survey
Note: The CME survey link becomes active at the end of the clinic and expires at 10 a.m. the following Thursday
Instructions to obtain CNE credit for attendance at the ECHO session:
- Contact Melissa Lopez Varon (email@example.com) to get the CNE evaluation link for the week
- ECHO Clinic: Recurring on the second and fourth Friday of each month from 7:30-8:30 a.m. Central Time
ECHO Cervical Cancer Contacts
Ellen Baker - Director, Project ECHO
Melissa Lopez Varon - Partner Liaison, Project ECHO