Cervical cancer screening among low-income women: results of a national screening program, 1991–1995
Obstetrics and GynecologyPublished 1 November 1998
Henry Lawson
Citations100
SJR quartileQ1
SJR score1.97
SNIP2.22
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TL;DR
Observed results emphasize the duality of cervical neoplasia—CIN in younger women and invasive cancer in older women, pointing to the importance of reaching both younger and older women for cervical cancer screening.
Abstract
Observed results emphasize the duality of cervical neoplasia-CIN in younger women and invasive cancer in older women. This finding points to the importance of reaching both younger and older women for cervical cancer screening.
Keywords
Medicine
Clinical Obstetrics & GynecologyNATURAL HISTORY OF CERVICAL INTRAEPITHELIAL NEOPLASIA
1,375 Citations1967Ralph M. Richart
JAMAInterim Guidelines for Management of Abnormal Cervical Cytology
542 Citations1994Robert J. Kurman
In recent years it has become evident that the cost and morbidity associated with the detection and treatment of low-grade cervical lesions have escalated, probably increasing the likelihood of women developing cervical cancer.
American Journal of Public HealthHas the use of cervical, breast, and colorectal cancer screening increased in the United States?
352 Citations1995Laura M. Anderson, Daniel May
Use of mammography doubled between 1987 and 1992 while Pap smear use changed very little, and use of the three colorectal cancer screening modalities increased but levels remained low.
Journal of Public Health Management and PracticeThe National Breast and Cervical Cancer Early Detection Program
160 Citations1996Rosemarie Henson, Stephen Wyatt +1 more
Diagnostic CytopathologyAtypical squamous cells of undetermined significance: Interlaboratory comparison and quality assurance monitors
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Interlaboratory comparison and quality assurance methods for evaluating the rate and outcome of ASCUS serve to validate laboratory criteria and consequent clinical follow‐up and the ratio ASCUS/SIL may serve as a useful laboratory monitor.
American Journal of Obstetrics and GynecologyPrevalence of cervical intraepithelial neoplasia in sexually active teenagers and young adults
107 Citations1984Shahla Behmard Sadeghi, Edmond W. Hsieh +1 more
American Journal of RoentgenologyThe National Breast and Cervical Cancer Early Detection Program: report on the first 4 years of mammography provided to medically underserved women.
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A large nationwide breast cancer early detection program conducted through hundreds of diverse facilities has provided results that are probably the best available characterization of the current state of breast cancer screening practices as they actually occur in the 1990s in the United States.
The LancetWOMEN WITH POSITIVE CERVICAL SMEARS BUT WITHOUT SURGICAL INTERVENTION
95 Citations1978L J Kinlen, A. I. Spriggs
By a collaborative effort among British cytopathologists, 101 women were identified who had had unsuspected "positive" cervical smears but who, after at least 2 years, had still escaped biopsy through refusal, default, or failure to trace.
CA A Cancer Journal for CliniciansThe current status of the Papanicolaou smear
94 Citations1995Hugh M. Shingleton, R. Patrick +2 more
Important issues related to the Pap smear, including cytologic nomenclature, accuracy, regulatory procedures, and screening guidelines, are still being evaluated and debated.
The LancetDOES MILD ATYPIA ON A CERVICAL SMEAR WARRANT FURTHER INVESTIGATION?
94 Citations1986Ernest M. Walker
The poor correlation between mildly atypical cervical cytology and histology suggests that the practice of relying on cytology alone for the surveillance of women who have already had an atypicals smear should be discouraged.
PubMedEpidemiology of cervical cancer.
72 Citations1996Rolando Herrero
The descriptive epidemiology of invasive cervical cancer is presented, with particular emphasis on the situation in the United States, based on the latest data from the National Cancer Institute's Surveillance, Epidemiology, and End Results Program (up to 1992).
American Journal of Obstetrics and GynecologyPrevalence of cervical intraepithelial neoplasia in sexually active teenagers and young adults
68 Citations1984Shahla Behmard Sadeghi, Edmond W. Hsieh +1 more
One of the largest nationally reported cases of carcinoma in situ in the teenage population of the United States is based on 1 year's computerized data from Cancer Screening Services and indicates that teenagers of any "permissive society" should be considered as "high risk" and included in screening programs.
BMJAre patients with abnormal cervical smears adequately managed?
62 Citations1984Mark Elwood, R. E. Cotton +4 more
Adequate follow up of patients with abnormal cervical cytology is not being achieved and improvements in the records systems and some changes in procedure should be made to reduce this problem.
Acta Obstetricia Et Gynecologica ScandinavicaScreening for Cancer of the Uterine Cervix in Iceland 1965–1978
58 Citations1982G. Jóhannesson, G Geirsson +2 more
The mortality rates among the unscreened population are more than ten‐fold greater than among the screened population, and the greater part of the fall in mortality is attributed to the mass screening programme.
International Journal of CancerMass screening for cervical cancer in øtfold county of norway 1959‐77
50 Citations1987Knut Magnus, Frøydis Langmark +1 more
In 1959, the Norwegian Cancer Society started a research project in Østfold county to assess the effect of a mass screening program for cervical cancer, which comprised 5 screening rounds during the period 1959‐77 and lasted until December 31, 1982.
CancerEfficacy of screening for cervical squamous and adenocarcinoma. The dutch experience
49 Citations1987Mathilde E. Boon, J. C. De Graaff Guilloud +3 more
The preinvasive stages of adenocarcinoma of the cervix were underdiagnosed in the first screening, and there was no decrease in the score of invasive adenOCarcinomas in the second screening.
American Journal of Obstetrics and GynecologyAtypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesion: Diagnostic criteria and management
36 Citations1996Raymond H. Kaufman
Journal of Clinical EpidemiologyErrors in reporting cervical screening among public health clinic patients
35 Citations1991Robert Michielutte, Mark Dignan +5 more
The results suggest considerable error in overreporting cervical screening in this population and young women and single women were more likely to report incorrectly.
Preventive MedicineEffect of population screening for cancer of the uterine cervix in Nijmegen, The Netherlands
28 Citations1986Yolanda van der Graaf, Paul J. J. M. Klinkhamer +1 more
The population screening program for cervical cancer in 1976 led to a marked increase in the detected number of carcinomata in situ, and the number of invasive cancers diagnosed in women under age 35 remained relatively small in spite of the large number of cases of carcinoma in situ.
International Journal of CancerThe value of screening as an approach to cervical cancer control in iceland, 1964‐1986
27 Citations1989Kristján Sigurðsson, S. Adalsteinsson +2 more
Screening still appears to be effective in the control of squamous‐cell carcinomas of stages 1 B and over, but not of adeno‐ and adeno-squamous carcinomas, and the cervical cancer mortality rate decreased significantly during the study period.
Cancer Causes & ControlMass screening for cervical cancer in Norway: evaluation of the pilot project
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PubMed12-county program: screening of 34,318 women for cervical cancer in California, 1975-78.
19 Citations1982Schwarz Pj, Elfriede Fasal +1 more
The California Department of Health Services conducted a cervical cancer screening program in 12 counties to screen women at high risk of cervical cancer and to assure that women with abnormal results on cervical cytology testing obtained appropriate diagnostic workup and treatment.
PubMedResults of cytologic mass screening in the Federal Republic of Germany.
17 Citations1982Soost Hj, B. Bockmühl +1 more
Since July 1971, the national screening program for cancer has provided all women 30 years of age and older in the Federal Republic of Germany with the opportunity of undergoing a medical checkup for uterine and mammary cancer once a year, and morbidity and mortality from cervical carcinoma has decreased relatively slowly within the total population.
BJOG An International Journal of Obstetrics & GynaecologyIncidence and prevalence of preclinical carcinoma of cervix in a British population
17 Citations1982D M Parkin, Pamela Hodgson +1 more
The incidence and prevalence of cervical intraepithelial neoplasia in a population of women receiving cytological examinations is estimated, and the results with those from other series are compared.
PubMedProblems encountered with the Bethesda System: the University of Iowa experience.
14 Citations1991Kent Bottles, R C Reiter +4 more
Suggestions for modifying the Bethesda System include: eliminating the less than optimal response, defining what constitutes an unsatisfactory smear, eliminating the terms low-grade and high-grade squamous intraepithelial lesion, and changing the reporting of endometrial cells.
Journal of Epidemiology & Community HealthThe Cardiff Cervical Cytology Study. Prevalence and epidemiology of cervical neoplasia.
11 Citations1981P M Sweetnam, David M. Evans +2 more
Screening for cervical neoplasia is based on the belief that the various histological categories are part of a continuum, a spectrum of disease, and the existence of a common epidemiological pattern for the three histological groups is consistent with such a hypothesis.
PubMedA comparison of the efficiency of diagnosis of early cervical carcinoma by general practitioners and cytology screening programs in the Netherlands.
10 Citations1981Kirk Rs, Boon Me
The efficiency of general practitioners and cytology screening programs in the Netherlands in diagnosing neoplasia by means of cervical cytology was investigated and the general practitioners were almost twice as successful in detecting cases of cervicalNeoplasia.
The Medical Journal of AustraliaGynaecological cytology screening in South Australia: a 23‐year experience
10 Citations1988Lesley MacCormac, W. Y. C. Lew +2 more
The Cytology Laboratory at The Queen Elizabeth Hospital, Adelaide, processed 630 131 gynaecological smears from 347 389 patients between September 1, 1959 and July 31, 1982, and the ability of gynaecaological cytology screening to assist in the detection of extracervical gynaECological neoplasms is illustrated.
PubMedCost effectiveness of population screening and rescreening for cervical cancer in the Netherlands.
9 Citations1981Boon Me, de Graaff Guilloud Jc
In light of the high canvassing costs of population screening and the low detection rate of positive cases in the rescreened group, it appears overly costly to repeat population screening with two years.
International Journal of EpidemiologyEvaluation of German Cancer Screening by Cross-Sectional Data
8 Citations1984F W CHWARTZ, J G BRECHT
The evaluation of the limited cross sectional data base shows that the age-standardized risk for cervix cancer or CIS is two thirds less for women with a previous smear in the last year compared with those with a first smear.