A population study of screening history and diagnostic outcomes of women with invasive cervical cancer
Abstract Background Despite advances to prevent and detect cervical cancer, national targets for screening have not been met in the United States. Previous studies suggested that approximately half of women who developed cervical cancer were not adequately screened. This study aimed to provide an up...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-06-01
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| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.3951 |
| _version_ | 1829485952861470720 |
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| author | Vicki B. Benard J. Elizabeth Jackson April Greek Virginia Senkomago Warner K. Huh Cheryll C. Thomas Lisa C. Richardson |
| author_facet | Vicki B. Benard J. Elizabeth Jackson April Greek Virginia Senkomago Warner K. Huh Cheryll C. Thomas Lisa C. Richardson |
| author_sort | Vicki B. Benard |
| collection | DOAJ |
| description | Abstract Background Despite advances to prevent and detect cervical cancer, national targets for screening have not been met in the United States. Previous studies suggested that approximately half of women who developed cervical cancer were not adequately screened. This study aimed to provide an updated examination of women's screening and diagnostic practices five years prior to an invasive cervical cancer diagnosis. Methods The study included women age 21 years and older diagnosed with invasive cervical cancer in 2013–2016 from three population‐based state cancer registries in the United States. Medical records abstraction identified screening history and diagnostic follow‐up. A mailed survey provided sociodemographic data. Screening was a Pap or human papillomavirus (HPV) test between 6 months and 5 years before diagnosis. Adequate follow‐up was defined per management guidelines. Results Of the 376 women, 60% (n = 228) had not been screened. Among women who received an abnormal screening result (n = 122), 67% (n = 82) had adequate follow‐up. Predictors of: (a) being screened were younger age, having a higher income, and having insurance; (b) adequate follow‐up were having a higher income, and (c) stage 1 cervical cancer were being screened and younger age. Conclusion Unlike other cancer patterns of care studies, this study uses data obtained from medical records supplemented with self‐report information to understand a woman's path to diagnosis, her follow‐up care, and the stage of her cervical cancer diagnosis. This study provides findings that could be used to reach more unscreened or under screened women and to continue lowering cervical cancer incidence in the United States. |
| first_indexed | 2024-12-14T22:55:31Z |
| format | Article |
| id | doaj.art-a7ad424b0a10422588d4d97af304057a |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2024-12-14T22:55:31Z |
| publishDate | 2021-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-a7ad424b0a10422588d4d97af304057a2022-12-21T22:44:36ZengWileyCancer Medicine2045-76342021-06-0110124127413710.1002/cam4.3951A population study of screening history and diagnostic outcomes of women with invasive cervical cancerVicki B. Benard0J. Elizabeth Jackson1April Greek2Virginia Senkomago3Warner K. Huh4Cheryll C. Thomas5Lisa C. Richardson6Division of Cancer Prevention and Control Centers for Disease Control and Prevention Atlanta Georgia USABattelle Seattle Washington USABattelle Seattle Washington USADivision of Cancer Prevention and Control Centers for Disease Control and Prevention Atlanta Georgia USAUniversity of Alabama at Birmingham Birmingham Alabama USADivision of Cancer Prevention and Control Centers for Disease Control and Prevention Atlanta Georgia USADivision of Cancer Prevention and Control Centers for Disease Control and Prevention Atlanta Georgia USAAbstract Background Despite advances to prevent and detect cervical cancer, national targets for screening have not been met in the United States. Previous studies suggested that approximately half of women who developed cervical cancer were not adequately screened. This study aimed to provide an updated examination of women's screening and diagnostic practices five years prior to an invasive cervical cancer diagnosis. Methods The study included women age 21 years and older diagnosed with invasive cervical cancer in 2013–2016 from three population‐based state cancer registries in the United States. Medical records abstraction identified screening history and diagnostic follow‐up. A mailed survey provided sociodemographic data. Screening was a Pap or human papillomavirus (HPV) test between 6 months and 5 years before diagnosis. Adequate follow‐up was defined per management guidelines. Results Of the 376 women, 60% (n = 228) had not been screened. Among women who received an abnormal screening result (n = 122), 67% (n = 82) had adequate follow‐up. Predictors of: (a) being screened were younger age, having a higher income, and having insurance; (b) adequate follow‐up were having a higher income, and (c) stage 1 cervical cancer were being screened and younger age. Conclusion Unlike other cancer patterns of care studies, this study uses data obtained from medical records supplemented with self‐report information to understand a woman's path to diagnosis, her follow‐up care, and the stage of her cervical cancer diagnosis. This study provides findings that could be used to reach more unscreened or under screened women and to continue lowering cervical cancer incidence in the United States.https://doi.org/10.1002/cam4.3951cancer registriescervical cancer screeningcervical cancer survivors |
| spellingShingle | Vicki B. Benard J. Elizabeth Jackson April Greek Virginia Senkomago Warner K. Huh Cheryll C. Thomas Lisa C. Richardson A population study of screening history and diagnostic outcomes of women with invasive cervical cancer Cancer Medicine cancer registries cervical cancer screening cervical cancer survivors |
| title | A population study of screening history and diagnostic outcomes of women with invasive cervical cancer |
| title_full | A population study of screening history and diagnostic outcomes of women with invasive cervical cancer |
| title_fullStr | A population study of screening history and diagnostic outcomes of women with invasive cervical cancer |
| title_full_unstemmed | A population study of screening history and diagnostic outcomes of women with invasive cervical cancer |
| title_short | A population study of screening history and diagnostic outcomes of women with invasive cervical cancer |
| title_sort | population study of screening history and diagnostic outcomes of women with invasive cervical cancer |
| topic | cancer registries cervical cancer screening cervical cancer survivors |
| url | https://doi.org/10.1002/cam4.3951 |
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