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Adherence to National Guidelines on Cervical Screening: A Population-Based Evaluation from a Statewide Registry.
Castle, Philip E; Kinney, Walter K; Chen, Lu; Kim, Jane J; Jenison, Steven; Rossi, Giovanna; Kang, Huining; Cuzick, Jack; Wheeler, Cosette M.
Afiliação
  • Castle PE; Albert Einstein College of Medicine, Bronx, NY, USA.
  • Kinney WK; National Institutes of Health, National Cancer Institute, Division of Cancer Prevention and Division of Cancer Epidemiology and Genetics, Rockville, MD, USA.
  • Chen L; Sacramento, CA, USA.
  • Kim JJ; University of New Mexico Comprehensive Cancer Center, Biostatistics Shared Resource, Albuquerque, NM, USA.
  • Jenison S; Harvard T.H. Chan, School of Public Health, Boston, MA, USA.
  • Rossi G; University of New Mexico, School of Medicine, Albuquerque, NM, USA.
  • Kang H; Collective Action Strategies, Albuquerque, NM, USA.
  • Cuzick J; University of New Mexico Comprehensive Cancer Center, Biostatistics Shared Resource, Albuquerque, NM, USA.
  • Wheeler CM; Queen Mary University of London, Wolfson Institute of Preventive Medicine, London, UK.
J Natl Cancer Inst ; 2021 Aug 31.
Article em En | MEDLINE | ID: mdl-34463763
In 2012, national recommendations for cervical-cancer screening of women aged 30-64 years were quinquennial human papillomavirus and cytology co-testing or triennial cytology. Data from a state-wide surveillance program in New Mexico demonstrated 65.2% (95% confidence interval [95%CI]= 64.6%% to 65.7%) of women screened in 2019 had negative co-test within the last 3 years. Percentages of women screened in 2013, 2016, and 2019 with a prior negative co-test more than 5 and up to 7 years ago were 2.6% (95% CI = 2.2% to 2.9%), 2.1% (95% CI = 1.9% to 2.2%), and 6.5% (95% CI = 6.2% to 6.8%), respectively (2-sided P trend<.001). Percentages of women screened in 2013, 2016, and 2019 with a prior negative cytology more than 5 and up to 7 years ago were 3.8% (95% CI = 3.7% to 3.9%), 9.0% (95% CI = 8.7% to 9.3%), and 14.9% (95% CI = 14.4% to 15.4%), respectively (2-sided P trend<.001). Thus, in 2019, only 12.7% (95% CI = 12.4% to 13.1%) of the 30,215 women aged 30-64 years underwent co-testing and 27.7% (95% CI = 27.1% to 28.3%) of the 18,733 underwent cytology at the recommended interval. The observed under- and over-screening could result in increases in cervical-cancer incidence and harms and costs, respectively.

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2021 Tipo de documento: Article