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Titolo:
Predictors of early rescreening in the National Cervical Screening Program, Australia
Autore:
Mitchell, H; Hocking, J;
Indirizzi:
Victorian Cerv Cytol Registry, Carlton, Vic 3053, Australia Victorian CervCytol Registry Carlton Vic Australia 3053 3053, Australia Macfarlane Burnet Ctr Med Res, Fairfield, Vic, Australia Macfarlane BurnetCtr Med Res Fairfield Vic Australia ld, Vic, Australia
Titolo Testata:
AUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH
fascicolo: 4, volume: 25, anno: 2001,
pagine: 334 - 338
SICI:
1326-0200(200108)25:4<334:POERIT>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
GENERAL-PRACTITIONERS; ATTITUDES; SMEARS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Mitchell, H Victorian Cerv Cytol Registry, POB 161, Carlton, Vic 3053, Australia Victorian Cerv Cytol Registry POB 161 Carlton Vic Australia 3053
Citazione:
H. Mitchell e J. Hocking, "Predictors of early rescreening in the National Cervical Screening Program, Australia", AUS NZ J PU, 25(4), 2001, pp. 334-338

Abstract

Objective: To identify variables that predict early rescreening after a negative Pap smear report. Methods., Cohort study using the records of a statewide Cervical Cytology Registry in Victoria, Australia. The cohort comprised 31,082 women who had a negative Pap smear report during the first half of 1996 and who were rescreened within the subsequent 36 months. Early rescreening was defined as a further Pap smear within 21 months. Results. The strongest predictor of early rescreening was a recommendationat the time of issuing the negative Pap smear report by the laboratory forretesting before two years (adjusted odds ratio = 3.81, 95% confidence interval (CI) 3.58-4.05). Mention of reactive or inflammatory change as part of the negative Pap smear report was also a powerful predictor (adjusted odds ratio 1.67, 95% CI 1.50-1.85). Significant predictors associated with thewomen were young age, high socio-economic status and residence in the capital city. Significant predictors associated with the practitioner were if either the index or subsequent smear was collected by an obstetrician/gynaecologist or a hospital-based clinic, or if the practitioner collecting the index smear was a female. The population-attributable risk per cent associated with the laboratory recommendation was 27%. Conclusions. This data suggests that a multi-faceted strategy targeting pathology laboratories, practitioners and women may be needed to reduce earlyrescreening. Implications. Early rescreening is wasteful of health resources. New screening programs should be designed to avoid this problem.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 15:39:28