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.
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 fo 664).
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.
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.
Mots-clés Pascal : Tumeur maligne, Col utérus, Dépistage, Epidémiologie, Homme, Femelle, Connecticut, Etats Unis, Amérique du Nord, Amérique, Prévention, Appareil génital femelle pathologie
Mots-clés Pascal anglais : Malignant tumor, Uterine cervix, Medical screening, Epidemiology, Human, Female, Connecticut, United States, North America, America, Prevention, Female genital diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0349000
Code Inist : 002B20C01. Création : 01/03/1996.