A Scoping Literature Review on Evidence-Based Strategies to Increase Cervical Cancer Screening.

A Scoping Literature Review on Evidence-Based Strategies to Increase Cervical Cancer Screening.
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DOI:
10.1177/21501319231220994
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发表时间:
2023-01
影响因子:
3.6
通讯作者:
Carney, Patricia A.
Carney, Patricia A.
中科院分区:
其他
文献类型:
--
作者:
Bonuck, Kathryn J.;Angier, Heather;McCrimmon, Sara;Holderness, Heather;Erroba, Jeremy;Huguet, Nathalie;DeVoe, Jennifer E.;Carney, Patricia A.

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以前对增加宫颈癌筛查策略的审查已有10多年的历史,美国仍然没有达到2030年健康人群宫颈癌筛查的目标,并且指南在2018年进行了修订,因此需要对现有文献进行更新审查。我们使用电子数据库PubMed、Scopus和奥维德Medline(包括2012年至2021年的出版日期)进行了范围审查,以回答以下问题:“自2012年美国预防服务工作组宫颈癌筛查指南发布以来,在美国初级保健环境中实施的哪些策略在提高宫颈癌筛查率方面最为成功?”我们将调查结果映射到预先指定的实施策略类别。在初步确定399篇文章后,我们排除了350篇重复或不符合审查标准的文章,留下49篇进行全面审查。我们在全文审查期间排除了其中37篇,并从参考文献列表的手动检索中识别出另外2篇文章,共14项研究进行了摘要。11篇文章报告了导致宫颈癌筛查增加的策略,3篇没有。诊所工作流程重新设计策略在提高宫颈癌筛查率方面表现出最大的希望,患者教育策略的结果好坏参半,质量管理策略无效。这些研究结果表明,临床工作流程重组和患者教育策略可以增加基层医疗机构的宫颈癌筛查。结果是特别重要的设置,照顾服务不足的人群,因为这些设置可能需要额外的实施策略,以减少宫颈癌筛查的差距。
Previous reviews of strategies to increase cervical cancer screening are more than 10 years old, the U.S. continues to fall short of the Healthy People 2030 cervical cancer screening goal, and guidelines were revised in 2018, therefore an updated review of the existing literature is needed. We conducted a scoping review using electronic databases PubMed, Scopus, and Ovid Medline that included publication dates between 2012 and 2021 to answer the question, “Which strategies implemented in U.S. primary care settings have been most successful in increasing rates of cervical cancer screening since the 2012 US Preventative Services Task Force cervical cancer screening guidelines were published?” We mapped findings to pre-specified implementation strategy categories. After initially identifying 399 articles, we excluded 350 due to duplicates or not meeting review criteria, leaving 49 articles for full review. We excluded 37 of these during full-text review and identified 2 additional articles from the manual search of reference lists for a total of 14 studies for abstraction. Eleven articles reported on strategies resulting in increased cervical cancer screening, and 3 did not. Clinic workflow re-design strategies showed the greatest promise in improving cervical cancer screening rates, education strategies for patients had mixed results, and quality management strategies were not effective. These findings suggest clinical workflow re-structures and patient education strategies can increase cervical cancer screening in primary care settings. Results are particularly important in settings that care for underserved populations, as these settings may need additional implementation strategies to decrease cervical cancer screening disparities.
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