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Cervical Cancer Rates After the Transition From Annual Pap to 3-Year HPV and Pap
- Source :
- Journal of Lower Genital Tract Disease. 18:57-60
- Publication Year :
- 2014
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2014.
-
Abstract
- OBJECTIVE Kaiser Permanente Northern California (KPNC) introduced 3-year Pap and human papillomavirus DNA cotesting for cervical cancer screening in women 30 years or older in 2003 to 2004. Patient and provider willingness to extend screening intervals and the impact on annual cervical cancer incidence after interval extension are evaluated. MATERIALS AND METHODS Age-adjusted cervical cancer rates and screening intervals were calculated from KPNC Regional Laboratory databases and Northern California Cancer Registry from 2000 to 2009. RESULTS The median screening interval between negative cotests was 36 months compared to the 16 months after a negative Pap test alone before the implementation of cotesting. The age-adjusted invasive cancer rate was 6.5 per 100,000 women in 2000 and 6.3 in 2009; there was no difference in the rates of cervical cancer in women 30 years or older from 2000 to 2009 (p(trend) = .7). CONCLUSIONS Patients and providers were compliant with the extension of screening intervals with cotesting. Cervical cancer rates remained constant during the 10-year study period despite extending screening intervals after a negative cotest.
- Subjects :
- Adult
medicine.medical_specialty
Time Factors
Uterine Cervical Neoplasms
Cervical cancer screening
California
Human Papillomavirus DNA Tests
medicine
Human papillomavirus DNA
Humans
Pap test
Papillomaviridae
Early Detection of Cancer
Cervical cancer
Invasive carcinoma
medicine.diagnostic_test
Obstetrics
business.industry
Papillomavirus Infections
Obstetrics and Gynecology
General Medicine
Middle Aged
medicine.disease
Cancer registry
Hpv testing
Female
business
Cervical cancer incidence
Papanicolaou Test
Subjects
Details
- ISSN :
- 10892591
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of Lower Genital Tract Disease
- Accession number :
- edsair.doi.dedup.....b0e175cc54195214c1dce7fd77862b13