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  1. Fulltext. The screening histories of women with invasive cervical cancer, Connecticut.

    Article - En anglais

    Fulltext.

    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 fo 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.

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0349000

    Code Inist : 002B20C01. Création : 01/03/1996.