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The screening histories of women with invasive cervical cancer, Connecticut

Author

Listed:
  • Janerich, D.T.
  • Hadjimichael, O.
  • Schwartz, P.E.
  • Lowell, D.M.
  • Meigs, J.W.
  • Merino, M.J.
  • Flannery, J.T.
  • Polednak, A.P.

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.

Suggested Citation

  • Janerich, D.T. & Hadjimichael, O. & Schwartz, P.E. & Lowell, D.M. & Meigs, J.W. & Merino, M.J. & Flannery, J.T. & Polednak, A.P., 1995. "The screening histories of women with invasive cervical cancer, Connecticut," American Journal of Public Health, American Public Health Association, vol. 85(6), pages 791-794+761.
    • Handle: RePEc:aph:ajpbhl:1995:85:6:791-794+761_0
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    Cited by:

    1. Vincenzo Restivo & Claudio Costantino & Antonello Marras & Giuseppe Napoli & Sabrina Scelfo & Tiziana Scuderi & Alessandra Casuccio & Achille Cernigliaro & Angela Giusti & Stefania Spila Alegiani, 2018. "Pap Testing in a High-Income Country with Suboptimal Compliance Levels: A Survey on Acceptance Factors among Sicilian Women," IJERPH, MDPI, vol. 15(9), pages 1-10, August.
    2. Mi Ah Han & Kui Son Choi & Hoo-Yeon Lee & Jae Kwan Jun & Kyu Won Jung & Sokbom Kang & Eun-Cheol Park, 2012. "Performance of Papanicolaou Testing and Detection of Cervical Carcinoma In Situ in Participants of Organized Cervical Cancer Screening in South Korea," PLOS ONE, Public Library of Science, vol. 7(4), pages 1-8, April.

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