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Am J Public Health. 1995 June; 85(6): 791–794.
PMCID: PMC1615485

The screening histories of women with invasive cervical cancer, Connecticut.

Abstract

OBJECTIVES. Each case of a continuous series of invasive cervical cancer cases was studied with a structured review procedure conducted by an expert panel to assess the reason that it was not detected before it became invasive. METHODS. All cases of invasive cervical cancer diagnosed in a 5-year period among Connecticut residents were identified; a screening history and screening outcome were obtained for 72% (481 of 664). RESULTS. Two hundred fifty women (51.9%) had suboptimal screening. One hundred thirty-seven women (28.5%) had never had a screening test, and their mean age was greater than that of the rest of the study population (64.5 years vs 46.5 years). Of the 344 women who had ever had a Pap test, 113 (32.8%) had their last Pap test 5 or more years before their diagnosis of invasive cancer; 52 (15.1%) were not followed up properly; 33 (9.6%) had their last smear misread as normal; and 118 (34.3%) developed cervical cancer within 3 years of their last Pap test. CONCLUSIONS. Physicians, nurses, and other care providers need to ensure that woman have timely and accurate screening with proper follow-up, make increased efforts to reach older women, and improve quality control of Pap smear readings.

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Selected References

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  • Janerich DT, Hadjimichael O, Flannery J. Strategy for elimination of invasive cervical cancer in Connecticut. Conn Med. 1985 Nov;49(11):746–753. [PubMed]
  • PETTERSSON G. Surgery in paediatrics. Acta Anaesthesiol Scand Suppl. 1961;Suppl 8:28–29. [PubMed]
  • Laskey PW, Meigs JW, Flannery JT. Uterine cervical carcinoma in Connecticut, 1935-1973: evidence for two classes of invasive disease. J Natl Cancer Inst. 1976 Nov;57(5):1037–1043. [PubMed]
  • Nasca PC, Ellish N, Caputo TA, Saboda K, Metzger B. An epidemiologic study of Pap screening histories in women with invasive carcinomas of the uterine cervix. N Y State J Med. 1991 Apr;91(4):152–156. [PubMed]
  • Bigrigg MA, Codling BW, Pearson P, Read MD, Swingler GR. Colposcopic diagnosis and treatment of cervical dysplasia at a single clinic visit. Experience of low-voltage diathermy loop in 1000 patients. Lancet. 1990 Jul 28;336(8709):229–231. [PubMed]
  • Mitchell H, Medley G, Drake M. Quality control measures for cervical cytology laboratories. Acta Cytol. 1988 May-Jun;32(3):288–292. [PubMed]
  • Mitchell H, Medley G. Cytological reporting of cervical abnormalities according to endocervical status. Br J Cancer. 1993 Mar;67(3):585–588. [PMC free article] [PubMed]
  • Solomon D. Screening for cervical cancer: prospects for the future. J Natl Cancer Inst. 1993 Jul 7;85(13):1018–1019. [PubMed]

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