Patients with cervical cancer: why did screening not prevent these cases?
OBJECTIVE: The objective of the study was to assess the screening history of women with cervical cancer and review normal cervical smears 5 years preceding the diagnosis. STUDY DESIGN: Cytological and histological results of 401 women treated for invasive cervical cancer between 1991 and 2008 at the...
| Publicado en: | American Journal of Obstetrics & Gynecology Vol. 205; no. 1; pp. 64.e1 - 641 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Elsevier B.V.
Jul2011
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104601781&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104601781 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00029378 AOG jtl: American Journal of Obstetrics & Gynecology issn: 00029378 maglogo: N pubinfo: dt: Jul2011 vid: 205 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 104601781 104601781 2011375835 NLM21481838 104601781 ppf: 64.e1 ppct: 1 formats: tig: atl: Patients with cervical cancer: why did screening not prevent these cases? aug: au: de Bie RP Vergers-Spooren HC Massuger LF Siebers AG Salet-van der Pol MR Vedder JE Melchers WJ Bulten J Bekkers RL affil: Department of Obstetrics and Gynecology, Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands. sug: subj: Carcinoma Epidemiology Early Detection of Cancer Statistics and Numerical Data Cervix Neoplasms Epidemiology Adult Carcinoma Diagnosis Carcinoma Prevention and Control Diagnostic Errors Statistics and Numerical Data Female Middle Age Netherlands Cervix Neoplasms Diagnosis Cervix Neoplasms Prevention and Control Cervical Smears Adult: 19-44 years Middle Aged: 45-64 years Female ab: OBJECTIVE: The objective of the study was to assess the screening history of women with cervical cancer and review normal cervical smears 5 years preceding the diagnosis. STUDY DESIGN: Cytological and histological results of 401 women treated for invasive cervical cancer between 1991 and 2008 at the Radboud University Nijmegen Medical Center were studied. Ninety-eight normal smears were reviewed. RESULTS: Of the 401 women, 269 (67%) received at least 1 invitation for the national screening program for cervical cancer (NCSP). One- third fell outside the target age of the NCSP. Seventeen percent never responded to the invitation(s). Twenty-one percent had 1 or more normal smears within 5 years preceding the diagnosis. After review, only 39% of those smears were reviewed as a normal smear. CONCLUSION: Half of the women with cervical cancer were never screened because of the limited target age range or nonattendance. Twenty-one percent had a normal smear within 5 years preceding the diagnosis, caused by interpretation and/or sampling errors. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|