logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  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.