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A population study of screening history and diagnostic outcomes of women with invasive cervical cancer.
- Source :
-
Cancer medicine [Cancer Med] 2021 Jun; Vol. 10 (12), pp. 4127-4137. Date of Electronic Publication: 2021 May 21. - Publication Year :
- 2021
-
Abstract
- Background: Despite advances to prevent and detect cervical cancer, national targets for screening have not been met in the United States. Previous studies suggested that approximately half of women who developed cervical cancer were not adequately screened. This study aimed to provide an updated examination of women's screening and diagnostic practices five years prior to an invasive cervical cancer diagnosis.<br />Methods: The study included women age 21 years and older diagnosed with invasive cervical cancer in 2013-2016 from three population-based state cancer registries in the United States. Medical records abstraction identified screening history and diagnostic follow-up. A mailed survey provided sociodemographic data. Screening was a Pap or human papillomavirus (HPV) test between 6 months and 5 years before diagnosis. Adequate follow-up was defined per management guidelines.<br />Results: Of the 376 women, 60% (n = 228) had not been screened. Among women who received an abnormal screening result (n = 122), 67% (n = 82) had adequate follow-up. Predictors of: (a) being screened were younger age, having a higher income, and having insurance; (b) adequate follow-up were having a higher income, and (c) stage 1 cervical cancer were being screened and younger age.<br />Conclusion: Unlike other cancer patterns of care studies, this study uses data obtained from medical records supplemented with self-report information to understand a woman's path to diagnosis, her follow-up care, and the stage of her cervical cancer diagnosis. This study provides findings that could be used to reach more unscreened or under screened women and to continue lowering cervical cancer incidence in the United States.<br /> (© 2021 The Authors. Cancer Medicine published by John Wiley & Sons Ltd. This article has been contributed to by US Government employees and their work is in the public domain in the USA.)
- Subjects :
- Adult
Aftercare statistics & numerical data
Age Factors
Aged
Cancer Survivors
Female
Health Records, Personal
Humans
Income
Insurance, Health statistics & numerical data
Louisiana
Michigan
Middle Aged
Neoplasm Staging
New Jersey
Papanicolaou Test statistics & numerical data
Papillomavirus Infections diagnosis
Registries
Time Factors
Uterine Cervical Neoplasms ethnology
Uterine Cervical Neoplasms pathology
Uterine Cervical Neoplasms prevention & control
Young Adult
Early Detection of Cancer statistics & numerical data
Uterine Cervical Neoplasms diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 2045-7634
- Volume :
- 10
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- Cancer medicine
- Publication Type :
- Academic Journal
- Accession number :
- 34018674
- Full Text :
- https://doi.org/10.1002/cam4.3951