Pap smear screening in a health maintenance organization: 1986-1990
| Autor: | John J. LaFerla, Sharon J. Rolnick, Takashi Okagaki, Eric Trygstad, Diane Wehrle |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Epidemiology Minnesota Uterine Cervical Neoplasms Age Distribution Carcinoma Medicine Humans Mass Screening Aged Cervical cancer Gynecology Vaginal Smears Pap smear screening business.industry Obstetrics Incidence (epidemiology) Medical record Incidence Public Health Environmental and Occupational Health Health services research Urban Health Cancer Health Maintenance Organizations Middle Aged medicine.disease Cytopathology Female Health Services Research business Papanicolaou Test |
| Zdroj: | Preventive medicine. 25(2) |
| ISSN: | 0091-7435 |
| Popis: | Background.To assess Pap smear utilization and compliance with screening recommendations, a study was conducted in a large midwestern HMO where cost is not a barrier to care. The purpose of the study was to examine rates of screening by age, identify the proportion of abnormal cytologic findings, and determine screening incidence for women with a diagnosis of cervical cancer.Method.Computerized records on screening frequency over a 5-year interval were examined for 23,649 consecutively enrolled women ages 18–70. In addition, medical records were examined for patients with a cervical cancer diagnosis (n= 32).Results.Eighty-five percent of the women had at least one Pap smear within the 5-year duration. Nearly half (47%) obtained four to five tests, 30% obtained two or three tests, and 14% were screened only once during the 5 years. Percentages were similar across all age groups. Cytopathology reports indicated 95% of tests as normal, 4% as low-grade squamous intraepithelial lesions (SIL) |
| Databáze: | OpenAIRE |
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