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The screening histories of women with invasive cervical cancer, Connecticut.

Abstract

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.

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  • Authors+Show Affiliations

    ,

    Department of Medicine, University of Utah School of Medicine, Salt Lake City 84132, USA.

    , , , , , ,

    Source

    American journal of public health 85:6 1995 Jun pg 791-4

    MeSH

    Adenocarcinoma
    Carcinoma, Adenosquamous
    Carcinoma, Squamous Cell
    Female
    Humans
    Middle Aged
    Papanicolaou Test
    Uterine Cervical Neoplasms
    Vaginal Smears

    Pub Type(s)

    Journal Article
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    7762711

    Citation

    Janerich, D T., et al. "The Screening Histories of Women With Invasive Cervical Cancer, Connecticut." American Journal of Public Health, vol. 85, no. 6, 1995, pp. 791-4.
    Janerich DT, Hadjimichael O, Schwartz PE, et al. The screening histories of women with invasive cervical cancer, Connecticut. Am J Public Health. 1995;85(6):791-4.
    Janerich, D. T., Hadjimichael, O., Schwartz, P. E., Lowell, D. M., Meigs, J. W., Merino, M. J., ... Polednak, A. P. (1995). The screening histories of women with invasive cervical cancer, Connecticut. American Journal of Public Health, 85(6), pp. 791-4.
    Janerich DT, et al. The Screening Histories of Women With Invasive Cervical Cancer, Connecticut. Am J Public Health. 1995;85(6):791-4. PubMed PMID: 7762711.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The screening histories of women with invasive cervical cancer, Connecticut. AU - Janerich,D T, AU - Hadjimichael,O, AU - Schwartz,P E, AU - Lowell,D M, AU - Meigs,J W, AU - Merino,M J, AU - Flannery,J T, AU - Polednak,A P, PY - 1995/6/1/pubmed PY - 1995/6/1/medline PY - 1995/6/1/entrez SP - 791 EP - 4 JF - American journal of public health JO - Am J Public Health VL - 85 IS - 6 N2 - 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. SN - 0090-0036 UR - https://www.unboundmedicine.com/medline/citation/7762711/full_citation L2 - http://www.ajph.org/doi/full/10.2105/ajph.85.6.791?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -