To assess the feasibility and yields of screening for breast and cervical cancer in an urban public hospital emergency department.
Women who presented to the ED of a large, urban public hospital during the study period with nonurgent conditions were eligible for a Papanicolaou test (Pap smear) and a clinical breast examination (CBE) if they were 18 years of age or older, and for a mammogram if they were 40 years of age or older, provided they had not had the screening examination within the past year.
The Pap smear and CBE were performed by a nurse, and mammography was scheduled for a later date.
Women with gynecologic complaints were excluded.
On the basis of screening history, medical status, and age, 1,850 (32%) of the 5,830 women seen in the ER during the 23-month study period were eligible for both mammography and CBE, and 2,361 (41%) were eligible for Pap smears.
Of these women, 116 (6%) completed mammography and CBE, and 644 (27%) received Pap smears.
Among screened women, 10 (9%) and 20 (3%), respectively, had results that were suspicious or positive for breast or cervical cancer.
Follow-up rates were low : 20% for breast screening and 50% for Pap smears.
Among those receiving follow-up, 1 woman was found to have breast cancer and 8 were found to have cervical neoplasia.
ED cancer screening was feasible and yielded a high rate of cancer detection. (...)
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Col utérus, Programme sanitaire, Campagne de masse, Dépistage, Milieu hospitalier, Service hospitalier, Urgence, Diagnostic, Evaluation, Faisabilité, Homme, Etats Unis, Amérique du Nord, Amérique, Glande mammaire pathologie, Appareil génital femelle pathologie, Col utérus pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Uterine cervix, Sanitary program, Mass campaign, Medical screening, Hospital environment, Hospital ward, Emergency, Diagnosis, Evaluation, Feasibility, Human, United States, North America, America, Mammary gland diseases, Female genital diseases, Uterine cervix diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0016386
Code Inist : 002B20C02. Création : 21/05/1997.