Predictive factors for noncompliance with follow-up among women treated for cervical intraepithelial neoplasia

被引:4
作者
Bornstein, J
Bahat-Sterensus, H
机构
[1] Western Galilee Hosp, Dept Obstet & Gynecol, Colposcopy Unit, IL-22100 Nahariyya, Israel
[2] Rappaport Fac Med, Haifa, Israel
关键词
cervical intraepithelial neoplasia; colposcopy; low-grade squamous intraepithelial neoplasia; high-grade squamous intraepithelial neoplasia; follow-up; large loop excision of the transformation zone;
D O I
10.1159/000080029
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The aim of this study was to explore the magnitude and causes of noncompliance with follow-up after cervical intraepithelial neoplasia (CIN) treatment. Women who were treated by large loop excision of the transformation zone (LLETZ) for CIN between January 1994 and June 1996 were enrolled. Women who kept all their appointments were grouped as compliant. To the noncompliant group belonged those women who missed at least two follow-up appointments during the first year of follow-up. Seventy-four of 141 women (52.5%) who were treated for CIN were noncompliant. Fifty women from each group were then evaluated. Demographic, social and contraceptive parameters were found to be similar between the groups. The noncompliant group had a nonsignificant trend towards having had only elementary education, undergoing surgery in the past, additional diseases, taking chronic medications and having diseases in the family. We conclude that noncompliance with follow-up after treatment of CIN by LLETZ may be much higher than expected. Noncompliant patients do not have any significantly defined characteristics. Copyright (C) 2004 S. Karger AG, Basel.
引用
收藏
页码:202 / 206
页数:5
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