1. Quality of follow-up of women with high grade squamous intra-epithelial lesion (HGSIL) cervical smears: results from a population-based organised screening programme
- Author
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Jean-Pierre Carbillet, Arielle Marquant, Pascal Genin, Frédéric Mauny, Elisabeth Monnet, Département de santé publique, Centre Hospitalier Régional Universitaire [Besançon] ( CHRU Besançon ), Centre Alexis Vautrin ( CAV ), Laboratoire Chrono-environnement ( LCE ), Université Bourgogne Franche-Comté ( UBFC ) -Centre National de la Recherche Scientifique ( CNRS ) -Université de Franche-Comté ( UFC ), Centre Hospitalier Régional Universitaire de Besançon (CHRU Besançon), Centre Alexis Vautrin (CAV), Laboratoire Chrono-environnement - CNRS - UBFC (UMR 6249) (LCE), Centre National de la Recherche Scientifique (CNRS)-Université de Franche-Comté (UFC), and Université Bourgogne Franche-Comté [COMUE] (UBFC)-Université Bourgogne Franche-Comté [COMUE] (UBFC)
- Subjects
Clinical audit ,MESH : Cervical Intraepithelial Neoplasia ,Screening programme ,0302 clinical medicine ,Medicine ,MESH : Female ,030212 general & internal medicine ,Colposcopy ,Intraepithelial neoplasia ,MESH: Middle Aged ,medicine.diagnostic_test ,Obstetrics ,MESH : Colposcopy ,Obstetrics and Gynecology ,[ SDV.SPEE ] Life Sciences [q-bio]/Santé publique et épidémiologie ,MESH : Adult ,Middle Aged ,MESH: Patient Compliance ,Cervical smears ,3. Good health ,030220 oncology & carcinogenesis ,MESH : Vaginal Smears ,MESH: Colposcopy ,Female ,medicine.symptom ,Papanicolaou Test ,Adult ,medicine.medical_specialty ,MESH: Vaginal Smears ,Population based ,MESH : Patient Compliance ,Lesion ,03 medical and health sciences ,Abnormal PAP Smear ,Humans ,MESH : Middle Aged ,Gynecology ,Vaginal Smears ,MESH: Humans ,business.industry ,MESH : Humans ,MESH: Adult ,Uterine Cervical Dysplasia ,Reproductive Medicine ,Patient Compliance ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,business ,MESH: Cervical Intraepithelial Neoplasia ,MESH: Female - Abstract
International audience; OBJECTIVE: After a HGSIL cervical smear, to appraise the diagnostic and treatment modalities by comparing with national recommendations. STUDY DESIGN: A clinical audit concerning 444 women with a HGSIL cervical smear, within the first 3 years of the programme. RESULTS: Among the 413 women followed-up (98%), the colposcopy rate reached 71% at 3 months and 81% at 1 year. It was lower for women who had a history of other abnormal Pap smears than for those with no gynaecological symptoms or past history (66% versus 87%, P = 0.02), it was higher when the cytology report showed a CIN III than when a CIN II was reported (84% versus 78%, P = 9 x 10(-4). After the colposcopy, 23 women (7%) were lost to follow-up. Among the 76 women without a colposcopy, 17 (22%) did not have any histological examinations during their follow-up. CONCLUSION: Measures to improve women's follow-up compliance and ensure appropriate physician behaviours are necessary to achieve better quality in this screening programme.
- Published
- 2002