The Role of Primary Health Care to Follow up Women With Cervical - PowerPoint PPT Presentation

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ROP25 Federal University of Rio Grande do Sul Faculty of Medicine Post-Graduate Program of Epidemiology The Role of Primary Health Care to Follow up Women With Cervical Cancer Precursor Lesions Wilhelms D.M., Bozzetti M.C. , Flores R. Objective

ROP25 Federal University of Rio Grande do Sul Faculty of Medicine Post-Graduate Program of Epidemiology The Role of Primary Health Care to Follow up Women With Cervical Cancer Precursor Lesions Wilhelms D.M., Bozzetti M.C. , Flores R. Objective To evaluate the screening program developed in Primary Care Services (PCS), especially regarding the follow-up of positive cases identified during screening. Methods • Historical cohort • Women attending PCS, in Southern Brazil. • Inclusion Criteria: all women who presented precursor lesions of cervical cancer in the PAP smear, between 2001 and 2007 were enrolled and followed up to 2011. • Previous cervical screening history, diagnosis/treatment, and follow-up were evaluated.
ROP25 Methods • Fase 1 – Analysis of all PAPs collected between 2001 and 2007 to select those showing precursor lesions; • Focus on screening by age, specimen adequacy (satisfactory vs unsatisfactory) and percent of abnormal exams. • Fase 2 – Screening analysis; – Diagnostic and treatment analysis; – Follow-up (to the year 2011) of women with precursor lesions Inclusion criterium – women with the following cytological results: ASC-H, HSIL or Carcinoma (Squamous/Adeno), identified between 2001 and 2007. Exclusion criterium - women with the following cytological results:HSIL or Carcinoma (Squamous/Adeno), before the year 2001.
ROP25 46018 cytologic exams • Study Sample 2001 to 2007 ASC-US LSIL HSIL ASC-H AGUS Carcinoma (Ca) 1626 (63%) 775 (30%) 119 (4.6%) 11 (0.43%) 41 (1.6%) 10 (0.38%) Studied population = 134 women 78 CIN II 36 CIN III 58% 27% 11 ASC-H 9 Ca 114 (85%) 8% 7% • Results: Previous screening (n/%) ASC-H CIN II CIN III Carcinoma NO 3(5%) 23(45%) 17(33%) 8(16%) YES 8(10%) 55(66%) 19(23%) 1(1%) ! Referred to gynecologist 10(91%) 74(95%) 33(92%) 9(100%) ! Attended Appointment 9(90%) 72(97%) 33(100%) 8(89%) ! Histology performed 9(100%) 65(90%) 32(97%) 8(100%) ! Diagnosis confirmation 4(44%) 48(74%) 31(97%) 8(100%)

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