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Prev Med. 2010 Jan-Feb;50(1-2):81-5. doi: 10.1016/j.ypmed.2009.11.005. Epub 2009 Nov 22.

Follow-up for cervical abnormalities in a managed care plan, 1999-2004.

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  • 1Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Cancer Prevention and Control, Atlanta, GA 30341, USA. vdb9@cdc.gov

Abstract

OBJECTIVE:

The objective of this study was to determine the follow-up for women after receiving an abnormal Pap test before and after the updated American Society of Colposcopic and Cervical Pathology (ASCCP) guidelines for management of abnormal cytology.

METHODS:

In 1999 and 2004, women who had been enrolled in a US health care plan for at least 21 months and were between 18 and 70 years of age were included. We calculated differences in type of follow-up between the time periods before and after ASCCP guideline changes in 2002.

RESULTS:

Overall, 1.7 million women met study criteria and received at least one Pap test. Overall, 227,802 (14%) women received additional follow-up. Of these women, 73% had a repeat Pap test within 9 months as their first follow-up, 13% received colposcopy, and 7% had other events. The proportion of women receiving a repeat Pap test decreased significantly during the post-guideline time period. The odds of a woman receiving a colposcopy versus a repeat Pap test were 41% higher in the post-guideline period, after controlling for other variables.

CONCLUSIONS:

Our findings indicate that for the time period after the ASCCP guidelines changed, more colposcopies and fewer repeat Pap tests were performed as a follow-up of abnormal Pap test.

Copyright 2009 The Institute For Cancer Prevention. All rights reserved.

PMID:
19932710
[PubMed - indexed for MEDLINE]
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