scholarly journals EPV050/#255 Overuse of cervical cancer screening tests among average-risk medicaid beneficiaries

Author(s):  
J Dillon ◽  
J Wright ◽  
L Chen ◽  
M Accordino ◽  
A Melamed ◽  
...  
2021 ◽  
Vol 4 (4) ◽  
pp. e218373
Author(s):  
Jason D. Wright ◽  
Ling Chen ◽  
Ana I. Tergas ◽  
Alexander Melamed ◽  
Caryn M. St. Clair ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Diama Bhadra Vale ◽  
Talita Lourenço Menin ◽  
Joana Froes Bragança ◽  
Julio Cesar Teixeira ◽  
Lucas Almeida Cavalcante ◽  
...  

Abstract Background A Brazilian guideline on cervical cancer screening was released in 2011. The objective was to verify changes in screening indicators around this period. Methods An audit study which sample was all screening tests performed by the public health system of Campinas city from 2010 to 2016. Variables were absolute tests numbers, excess tests, intervals and results, by age. For trend analysis was used Cochran-Armitage × 2 and linear regression. Results Were carried out 62,925 tests in 2010 and 43,523 tests in 2016, a tendency at a reduction (P = 0.001). Excess tests were higher than 50% over the years, with a tendency at a reduction (P < 0.001). Tests performed on women under 25 ranged from 20.2 to 15.4% in the period (P < 0.001), while in the 25–64 years age-group, it ranged from 75.1 to 80.2% (P < 0.001). In 2010 the most frequent interval was annual (47.5%) and in 2016 biennial (34.7%). There was a tendency at a reduction in the proportion of tests performed at the first time and those with an annual interval (P < 0.001), and also a tendency at an increase in tests with intervals equal to or greater than biannual (P < 0.001). We observed a tendency at a reduction in LSIL and HSIL-CIN2 results (P = 0.04 and P = 0.001, respectively), and a tendency at an increase in HSIL-CIN3 result (P = 0.02). Conclusion The proportion of cervical cancer screening tests performed out of the recommendation showed a significant reduction in the period. This indicates a tendency to align cervical cancer screening in Campinas with the standards recommended.


2007 ◽  
Vol 197 (4) ◽  
pp. 346-355 ◽  
Author(s):  
Thomas C. Wright ◽  
L. Stewart Massad ◽  
Charles J. Dunton ◽  
Mark Spitzer ◽  
Edward J. Wilkinson ◽  
...  

2016 ◽  
Vol 20 (3) ◽  
pp. 218-223 ◽  
Author(s):  
Carla J. Chibwesha ◽  
Brigitte Frett ◽  
Katundu Katundu ◽  
Allen C. Bateman ◽  
Aaron Shibemba ◽  
...  

2006 ◽  
Vol 120 (2) ◽  
pp. 351-356 ◽  
Author(s):  
Qi Zhang ◽  
Louise Kuhn ◽  
Lynette A. Denny ◽  
Michelle De Souza ◽  
Sylvia Taylor ◽  
...  

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0239927
Author(s):  
Ayelign Mengesha Kassie ◽  
Biruk Beletew Abate ◽  
Mesfin Wudu Kassaw ◽  
Teshome Gebremeskel Aragie ◽  
Bonsa Amsalu Geleta ◽  
...  

Introduction Cervical cancer is a major public health problem, particularly in resource-limited settings. The use of vaccination and screening tests has reduced the burden of cervical cancer in developed countries. However, the situation is quite the reverse in developing countries, including Ethiopia. Hence, this study aimed to estimate the pooled impact of knowledge and attitude on the prevalence of cervical cancer screening service utilization rates among Ethiopian women. Methods Studies that examined cervical cancer screening service utilization among women in Ethiopia were searched from five international databases. Cochran’s Q chi-square and the I-squared test statistics were used to check the presence of heterogeneity among the included studies. The funnel plot and Egger’s regression tests were also used to assess the presence of publication bias. A weighted DerSimonian and Laird random-effects model was employed. Subgroup analysis was performed by the study population concerning the prevalence of cervical cancer screening service utilization rates. Sensitivity analysis was also conducted to assess the effect of a single study on the pooled estimates. Data analysis was performed using STATA™ Version 14 software. Results A total of 44 studies with 28,186 study participants were included. The estimated pooled prevalence of cervical cancer screening service utilization was 8.11% (95% CI: 7.26, 8.97). After adjustment for publication bias with the trim and fill analysis, the estimated prevalence rate appeared to be 5.47% (95% CI: 4.66, 6.28). The prevalence of cervical cancer screening service utilization was higher among HIV-positive women, 16.85%, and in studies conducted among health care workers, 10.24%, than the general population. The pooled effect of knowledge on the utilization of cervical cancer screening tests among Ethiopian women was statistically significant (AOR = 3.20, 95% CI: 1.63, 6.31). Similarly, the pooled estimated odds of utilizing cervical cancer screening tests were 6.1 times higher (AOR = 6.09, 95% CI: 1.09, 34.36) among women who had a favorable attitude towards the screening tests. Conclusion Knowledge and attitude had a significant impact on the prevalence of cervical cancer screening test utilization rates among women in Ethiopia. However, the prevalence of cervical cancer screening service utilization among Ethiopian women is very low. Hence, large-scale awareness programs and situation-based strategies need to be designed to increase the uptake of cervical cancer screening services in the country.


Sign in / Sign up

Export Citation Format

Share Document