201. Evaluation of follow-up colposcopy procedures after abnormal cervical screening result across a statewide study in Mississippi.
- Author
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Reaves, Sydney, Hall, Katherine C., Stewart, Mary W., Wentzensen, Nicolas, Ferrell, Christina, Risley, Carolann, Wells, Jimmie, Rives, Rhonda, Bobo, Fajada, Daniels, Jon, Farrington, Kathy, Morgan, Jody C., and Clarke, Megan A.
- Subjects
EARLY detection of cancer ,MEDICAL screening ,ELECTRONIC health records ,CERVICAL cancer ,CANCER invasiveness ,COLPOSCOPY - Abstract
Purpose: Cervical screening is used to detect and treat precancers to prevent invasive cancers. However, successful prevention also requires adequate follow-up and treatment of individuals with abnormal screening results. The aim was to investigate demographics, clinical characteristics, and follow-up status for individuals needing colposcopy after an abnormal screening result. Methods: The STRIDES (Studying Risk to Improve DisparitiES) cohort comprises individuals undergoing cervical cancer screening and management at a Mississippi Health Department or University of Mississippi clinic. Follow-up status, demographics, and clinical data were assessed from electronic health records and, if necessary, patient navigation on individuals identified as needing a colposcopy after an abnormal screening. Results: Of the 1,458 individuals requiring colposcopy, 43.0% had the procedure within 4 months, 16.4% had a delayed procedure, and 39.5% had no documented colposcopy follow-up, with significant predictors of follow-up identified as age and cytology diagnosis. Individuals 30 + were more likely to have follow up with a colposcopy compared to individuals < 30 years (49% and 38.7%, respectively; p <.001). Individuals with cytology diagnoses of LSIL (52.9%), ASC-H (51.4%), and HSIL (62.3%) had higher percentages of adherence to follow-up guidelines (p <.001). In total, we found that 78% of individuals had some type of follow-up, including a repeat screening visit. Conclusion: Despite high cervical cancer screening rates among Mississippians, a substantial proportion did not have adequate next-step intervention. However, it is encouraging that highest risk individuals were more likely to have a colposcopy. Regardless, continuing to understand the underlying causes for incomplete follow-up is crucial for timely secondary targeted interventions to reduce cervical cancer burden, promote awareness, and improve health outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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