Pathways to diagnosis of cervical cancer: screening history, delay in follow up, and smear reading

Show simple item record Priest, PC en Sadler, Lynn en Peters, J en Crengle, Suzanne en Bethwaite, P en Medley, G en Jackson, Rodney en 2012-03-31T01:03:44Z en 2006 en
dc.identifier.citation BJOG 114(4):398-407 Apr 2007 en
dc.identifier.issn 1470-0328 en
dc.identifier.uri en
dc.description.abstract Background The aim of this study was to determine the most important ways to reduce incidence of and mortality from cervical cancer by a nationally co-ordinated screening programme. Design Descriptive study. Setting The New Zealand National Cervical Screening Programme: a nationally organised and co-ordinated programme. Sample Women aged younger than 80 years with histologically proven primary invasive cervical cancer, including microinvasive disease, diagnosed between 1 January 2000 and 30 September 2002. Consent for access to medical records was gained for 371 of 445 eligible women (83%). A total of 359 (81%) of eligible women or their next of kin consented to interview. Methods Data on events prior to diagnosis were obtained from routine sources, interview, medical record review and slide reread. Main outcome measures Frequency of screening in the 7 years prior to diagnosis, time from abnormal smear or symptoms to appropriate diagnostic confirmation, proportion of negative smears upgraded to high grade on reread. Results Half of the 371 participants (83% of 445 eligible women) had not had a screening smear in the 3 years prior to diagnosis, and 80% were defined as inadequately screened. A maximum of 17% of women overall or within any defined subgroup experienced delays in follow up of abnormal smears or bleeding. Only 11% of women overall had had a high-grade smear, which was originally read as negative. Conclusions The most important factor in women’s pathways to a diagnosis of cervical cancer was inadequate screening. While delays in diagnosis could be reduced and laboratory performance improved, priority must be given to improving uptake and frequency of screening. en
dc.publisher RCOG; The Authors en
dc.relation.ispartofseries BJOG: An International Journal of Obstetrics and Gynaecology en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from en
dc.rights.uri en
dc.title Pathways to diagnosis of cervical cancer: screening history, delay in follow up, and smear reading en
dc.type Journal Article en
dc.identifier.doi 10.1111/j.1471-0528.2006.01207.x en
pubs.issue 4 en
pubs.begin-page 398 en
pubs.volume 114 en
dc.rights.holder Copyright: RCOG; The Authors en
dc.identifier.pmid 17166215 en
pubs.end-page 407 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 70751 en Medical and Health Sciences en Population Health en Epidemiology & Biostatistics en School of Medicine en Obstetrics and Gynaecology en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 17166215 en

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