Prevalence of Inadequate Cervical Cancer Screening in Low-Income Older Women.

Journal of Women's Health
Helen E Cejtin, Julie B Schmidt

Abstract

Objective: At age 65 years, cervical cancer screening is not recommended in women with an adequate history of negative screening tests in the previous 10 years if they do not have other high-risk factors for cervical cancer. The purpose of this study was to assess the proportion of older low-income women at a safety net urban hospital system without other risk factors for cervical cancer who should have cervical cancer screening because of an inadequate screening history, and to evaluate if they were triaged appropriately. Materials and Methods: Medical records from 200 women 65 years and older at the Gynecology clinic of John H. Stroger Hospital of Cook County were evaluated for adequate cervical cancer screening or hysterectomy to see if they could stop screening. Charts were reviewed to see if a screen was performed, and the results of that test and associated biopsies. Data using cytology alone and the cytology/human papillomavirus cotest were compared. Chi-square test was used. Results: Of 200 women included, the median age was 68.5 years, range 65-93 years. Of these women, 81 (40.5%) did not need testing because of adequate screening or hysterectomy for benign indications. There were 119 (59.5%) women who needed to contin...Continue Reading

References

Apr 3, 2008·Cancer Epidemiology, Biomarkers & Prevention : a Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventive Oncology·Garth H RauscherJennifer A Walk
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Jun 20, 2012·Annals of Internal Medicine·Virginia A Moyer, UNKNOWN U.S. Preventive Services Task Force
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Jul 12, 2017·Menopause : the Journal of the North American Menopause Society·Taniqua A Miller, Lisa Flowers
Aug 1, 2018·Journal of Lower Genital Tract Disease·Meheret EndeshawMona Saraiya
Aug 25, 2018·JAMA : the Journal of the American Medical Association·UNKNOWN US Preventive Services Task ForceJohn B Wong

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Methods Mentioned

BETA
hysterectomy
biopsies
biopsy

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