Évaluation de la prise en charge des femmes de 50 à 74 ans après frottis du col de l’utérus répondu Ascus dans un dépistage organisé en Isère 1991–2000 : application de la conduite à tenir de l’Agence nationale d’accréditation et d’évaluation en santé

Autor: Rouault-Plantaz, C. Exbrayat, F. Poncet, J. Marron, A. Garnier, M. Ney, Le Marc'hadour F, A. Billette-de-Villemeur, A. Morens
Rok vydání: 2009
Předmět:
Zdroj: Gynécologie Obstétrique & Fertilité. 37:787-795
ISSN: 1297-9589
DOI: 10.1016/j.gyobfe.2009.04.027
Popis: OBJECTIVES The aim of this study is to compare to the guideline (1998 and 2001) the follow-up of Ascus cytological abnormalities among women aged 50-74 years who have participated at the combined breast, cervical and colorectal cancer screening programme from 1991 to 2000 in Isere, France. PATIENTS AND METHODS The follow-up of 1154 women with Ascus smear was analysed. A woman was defined according follow-up if she have made a colposcopy or biopsy less than four months after one positive smear or if she has repeated three smears: 3-7 months and 10-14 months after the positive smear and 1 year after the last negative smear. RESULTS The follow-up was according to guidelines for 28.4% of the 1154 women (150 women are unknowns), 58.6% had a follow-up with too long delay and 17.2% had an uncompleted follow-up. The follow-up did not differ before 1998. It did not differ from women age. Women who were treated by gynaecologist (548) had a better follow-up (according: 35.4%) than the women who were treated by a general practitioner (595). DISCUSSION AND CONCLUSION The follow-up of Ascus cytological abnormalities is not according to guideline. The follow-up in the screening program will be intensified.
Databáze: OpenAIRE
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