THE SCREENING HISTORIES OF WOMEN WITH INVASIVE CERVICAL-CANCER, CONNECTICUT

被引:190
作者
JANERICH, DT
HADJIMICHAEL, O
SCHWARTZ, PE
LOWELL, DM
MEIGS, JW
MERINO, MJ
FLANNERY, JT
POLEDNAK, AP
机构
[1] FDN BLOOD RES,SCARBOROUGH,ME 04074
[2] YALE UNIV,NEW HAVEN,CT
[3] NCI,BETHESDA,MD 20892
[4] CONNECTICUT DEPT PUBL HLTH & ADDICT SERV,HARTFORD,CT
关键词
D O I
10.2105/AJPH.85.6.791
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. Each case of a continuous series of invasive cervical cancer cases was studied with a structured review procedure conducted by an expert panel to assess the reason that it was not detected before it became invasive. Methods. All cases of invasive cervical cancer diagnosed in a 5-year period among Connecticut residents were identified; a screening history and screening outcome were obtained for 72% (481 of 664). Results. Two hundred fifty women (51.9%) had suboptimal screening. One hundred thirty-seven women (28.5%) had never had a screening test, and their mean age was greater than that of the rest of the study population (64.5 years vs 46.5 years). Of the 344 women who had ever had a Pap test, 113 (32.8%) had their last Pap test 5 or more years before their diagnosis of invasive cancer; 52 (15.1%) were not followed up properly; 33 (9.6%) had their last smear misread as normal; and 118 (34.3%) developed cervical cancer within 3 years of their last Pap test. Conclusions. Physicians, nurses, and other care providers need to ensure that woman have timely and accurate screening with proper follow-up, make increased efforts to reach older women, and improve quality control of Pap smear readings.
引用
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页码:791 / 794
页数:4
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