Cervical cancer prevention among older women - challenges in screening, diagnostic workup, and treatment

Autor: Line Winther Gustafson, Pinar Bor, Berit Andersen, Anne Hammer, Lone Kjeld Petersen
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Pediatrics
cervical cancer screening
Uterine Cervical Neoplasms
0302 clinical medicine
older women
030212 general & internal medicine
Practice Patterns
Physicians'
human papillomavirus
RISK
Cervical cancer
Colposcopy
Aged
80 and over
postmenopausal
030219 obstetrics & reproductive medicine
medicine.diagnostic_test
Incidence (epidemiology)
Mortality rate
colposcopy
Age Factors
Obstetrics and Gynecology
General Medicine
Cervical Cancer prevention
Women's Health Services
medicine.anatomical_structure
Female
medicine.medical_specialty
high-risk HPV
cervical intraepithelial neoplasia
Cervical intraepithelial neoplasia
EXCISION
03 medical and health sciences
Uterine Cervical Neoplasms/prevention & control
medicine
Humans
Cervix
Aged
Vaginal Smears
business.industry
screening
Cervical Intraepithelial Neoplasia/prevention & control
medicine.disease
Uterine Cervical Dysplasia
INTRAEPITHELIAL NEOPLASIA
Gynecology
Cervical cancer prevention
PATTERNS
business
Cervical cancer incidence
Zdroj: Gustafson, L W, Kjeld Petersen, L, Bor, I P, Andersen, B & Hammer, A 2021, ' Cervical cancer prevention among older women-challenges in screening, diagnostic workup, and treatment ', Acta Obstetricia et Gynecologica Scandinavica (AOGS) . https://doi.org/10.1111/aogs.14162
Gustafson, L W, Petersen, L K, Bor, I P, Andersen, B & Hammer, A 2021, ' Cervical cancer prevention among older women-challenges in screening, diagnostic workup, and treatment ', Acta Obstetricia et Gynecologica Scandinavica, vol. 100, no. 8, pp. 1364-1368 . https://doi.org/10.1111/aogs.14162
Gustafson, L W, Petersen, L K, Bor, P, Andersen, B & Hammer, A 2021, ' Cervical cancer prevention among older women – challenges in screening, diagnostic workup and treatment ', Acta Obstetricia et Gynecologica Scandinavica, vol. 100, no. 8, pp. 1364-1368 . https://doi.org/10.1111/aogs.14162
DOI: 10.1111/aogs.14162
Popis: Cervical cancer incidence and mortality have declined dramatically after screening for cervical cancer was implemented. Yet, studies have reported high cervical cancer incidence and mortality rates at older age despite low HPV prevalence and incidence of precursor lesions. The underlying reason for these findings remains unclear. However, it is well known that the impact of screening depends not only on the uptake and effectiveness of screening but also on the uptake and effectiveness of diagnostic workup (ie colposcopy), treatment and follow-up. In older women, sensitivity of screening and performance of colposcopy are impaired due to age-dependent changes to the cervix. In this commentary, we aimed to discuss challenges in screening and clinical management of older women, and to identify crucial areas of particular interest for future research.
Databáze: OpenAIRE
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