OBJECTIVE: It was the aim of this study to determine the screening history of all invasive cervical carcinomas between 2004 and 2009 in one of the Federal States of Germany. STUDY DESIGN: The pooled data sets of all in-state laboratories, corrected and supplemented by data of the State Cancer Registry, were used. The screening histories of all patients, their age and tumor types were collated and analyzed. RESULTS: Of 617 patients with invasive carcinoma of the cervix, 373 (60%) had not had a cervical smear within the past 5 years. In 188 patients (31%), an incomplete screening history was found, whereas only 9% of women had participated regularly. In non-participants, late tumor stages (stage T1B and higher) were predominant and found in 86%. In contrast, in the group with regular screening histories more than half of all cases (54%) were microinvasive carcinomas (stage T1A) with excellent prognosis. Lack of follow-up or refusal of treatment by patients played a minor yet significant role. CONCLUSIONS: Non-participation is still by far the most common reason for persistent cases of cervical carcinoma in the German screening program.
OBJECTIVE: It was the aim of this study to determine the screening history of all invasive cervical carcinomas between 2004 and 2009 in one of the Federal States of Germany. STUDY DESIGN: The pooled data sets of all in-state laboratories, corrected and supplemented by data of the State Cancer Registry, were used. The screening histories of all patients, their age and tumor types were collated and analyzed. RESULTS: Of 617 patients with invasive carcinoma of the cervix, 373 (60%) had not had a cervical smear within the past 5 years. In 188 patients (31%), an incomplete screening history was found, whereas only 9% of women had participated regularly. In non-participants, late tumor stages (stage T1B and higher) were predominant and found in 86%. In contrast, in the group with regular screening histories more than half of all cases (54%) were microinvasive carcinomas (stage T1A) with excellent prognosis. Lack of follow-up or refusal of treatment by patients played a minor yet significant role. CONCLUSIONS: Non-participation is still by far the most common reason for persistent cases of cervical carcinoma in the German screening program.
Authors: Linda A Liang; Sylke R Zeissig; Gunther Schauberger; Sophie Merzweiler; Kathrin Radde; Sabine Fischbeck; Hans Ikenberg; Maria Blettner; Stefanie J Klug Journal: BMC Womens Health Date: 2022-07-09 Impact factor: 2.742
Authors: Rebecca Landy; Christopher Mathews; Michael Robertson; Charles L Wiggins; Yolanda J McDonald; Daniel W Goldberg; Isabel C Scarinci; Jack Cuzick; Peter D Sasieni; Cosette M Wheeler Journal: Gynecol Oncol Date: 2020-09-22 Impact factor: 5.482