STUDY PURPOSE: We ascertained the follow-up care after an abnormal cytology (Papanicolaou) screening in the San Marti;n region of Perú and assessed the status of women who had not received adequate care. BASIC PROCEDURES: We identified women with an abnormal cytology and assessed their medical records, laboratory registries, death certificates and interviewed them at home. Re-screening, diagnosis and treatment were offered. MAIN FINDINGS: Only 46 (25%) of the 183 women identified received appropriate follow-up care. At re-screening 31 (34%) had a normal result, 9 (10%) were diagnosed with CIN1 and 50 (56%) had CIN2 or worse. PRINCIPAL CONCLUSIONS: In this setting, follow-up care after an abnormal cytology was very poor and could explain the lack of impact of cervical cancer screening. Women with an abnormal cytology constitute a high-risk group that should be a priority for health services.
STUDY PURPOSE: We ascertained the follow-up care after an abnormal cytology (Papanicolaou) screening in the San Marti;n region of Perú and assessed the status of women who had not received adequate care. BASIC PROCEDURES: We identified women with an abnormal cytology and assessed their medical records, laboratory registries, death certificates and interviewed them at home. Re-screening, diagnosis and treatment were offered. MAIN FINDINGS: Only 46 (25%) of the 183 women identified received appropriate follow-up care. At re-screening 31 (34%) had a normal result, 9 (10%) were diagnosed with CIN1 and 50 (56%) had CIN2 or worse. PRINCIPAL CONCLUSIONS: In this setting, follow-up care after an abnormal cytology was very poor and could explain the lack of impact of cervical cancer screening. Women with an abnormal cytology constitute a high-risk group that should be a priority for health services.
Authors: Proma Paul; Jennifer L Winkler; Rosario M Bartolini; Mary E Penny; Trinh Thu Huong; Le Thi Nga; Edward Kumakech; Emmanuel Mugisha; Jose Jeronimo Journal: Oncologist Date: 2013-11-11
Authors: Julia C Gage; Ana Cecilia Rodriguez; Mark Schiffman; Sydney Adadevoh; Manuel J Alvarez Larraondo; Bandit Chumworathayi; Sandra Vargas Lejarza; Luis Villegas Araya; Francisco Garcia; Scott R Budihas; Rodney Long; Hormuzd A Katki; Rolando Herrero; Robert D Burk; Jose Jeronimo Journal: Int J Gynecol Cancer Date: 2009-05 Impact factor: 3.437
Authors: Jean Damascène Makuza; Sabin Nsanzimana; Marie Aimee Muhimpundu; Lydia Eleanor Pace; Joseph Ntaganira; David James Riedel Journal: Pan Afr Med J Date: 2015-09-11