THE SCREENING HISTORIES OF WOMEN WITH INVASIVE CERVICAL-CANCER, CONNECTICUT
THE SCREENING HISTORIES OF WOMEN WITH INVASIVE CERVICAL-CANCER, CONNECTICUT
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DOI：
10.2105/ajph.85.6.791
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发表时间：
1995-06-01
影响因子：
12.7
通讯作者：
POLEDNAK, AP
中科院分区：
文献类型：
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作者：
JANERICH, DT;HADJIMICHAEL, O;POLEDNAK, AP
目标.一个连续系列的浸润性宫颈癌病例的每一个情况下进行了研究，由一个专家小组进行结构化的审查程序，以评估的原因，它没有被发现之前，它成为invasive. Methods。在康涅狄格州居民中，所有5年内确诊的浸润性宫颈癌病例均被确定; 72%（481/664）的患者获得了筛查史和筛查结果。250名女性（51.9%）接受了次优筛查。137名女性（28.5%）从未接受过筛查，她们的平均年龄大于其他研究人群（64.5岁vs 46.5岁）。在344名曾做过巴氏试验的妇女中，113名（32.8%）在诊断为浸润性癌症前5年或更长时间做过最后一次巴氏试验; 52名（15.1%）未进行适当随访; 33名（9.6%）最后一次涂片被误读为正常; 118名（34.3%）在最后一次巴氏试验后3年内发展为宫颈癌。医生，护士和其他护理人员需要确保妇女及时准确地进行筛查，并进行适当的随访，加大努力接触老年妇女，并改善巴氏涂片读数的质量控制。
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.