Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil

OBJECTIVE: To compare two modalities of cervical cancer screening using Pap Smearthat were carried out in the state of Rio Grande do Sul - Southern Brazil. The first oneis a seasonal and isolated campaign that was promoted by the Brazilian Ministry ofHealth in 1998; the second one is a regular scree...

ver descrição completa

Detalhes bibliográficos
Autores: Naud, Paulo, de Matos, Jean Carlos, Hammes, Luciano, Vettorazzi, Janete
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2022
País:Brasil
Recursos:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositório:Clinical and Biomedical Research
Idioma:português
OAI Identifier:oai:seer.ufrgs.br:article/125276
Acesso em linha:https://seer.ufrgs.br/index.php/hcpa/article/view/125276
Access Level:Acceso aberto
Palavra-chave:Câncer de colo uterino
citologia cervical
programas de screening para câncer de colo uterino
Cervical cancer
cervical cytology
cervical cancer screening program
Descrição
Resumo:OBJECTIVE: To compare two modalities of cervical cancer screening using Pap Smearthat were carried out in the state of Rio Grande do Sul - Southern Brazil. The first oneis a seasonal and isolated campaign that was promoted by the Brazilian Ministry ofHealth in 1998; the second one is a regular screening program promoted by the RioGrande do Sul State Department of Health from 1991 to 1996. MATERIAL AND METHODS: We carried out a retrospective study of the results of thetwo screening campaigns.RESULTS: Comparison of the Pap smear sample alterations verified from 1991 to 1996by the State Department of Health with the Pap smear sample alterations verified in1998 by the Ministry of Health allowed for the following data, respectively: CIN 1 -0.55%/0.29%; CIN 2 - 0.25%/0.15%; CIN 3 - 0.16%/0.14%; carcinoma - 0.04%/0.04%.Out of the samples collected by the State Department of Health, 58.64% were notrepresentative for squamous columnar junction (SCJ), out of which 13.74% of highgrade lesions were not representative for SCJ and 85.22% of high-grade lesions wererepresentative for ECJ (1.04% of results were ignored).CONCLUSIONS: The isolated campaign of the Brazilian Ministry of Health in the stateof Rio Grande do Sul presented poorer results when compared to the regular screeningprogram promoted by the Rio Grande do Sul State Department of Health, suggesting,thus, that isolated screening efforts do not offer results that are as good as those ofplanned and continuous screening programs. However, the regular screening programhas faults that need to be corrected, such as that in the reduced number of Pap smearsamples representative of squamous columnar junction.