Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions

Objective. Audit of women with invasive cervical cancer (CC) is critical for quality control within screening activities. We analysed the screening history in the 10 years preceding the study entry in women with and without CC during 2000-2011. Methods. 323 women with CC from six pathology departmen...

Full description

Bibliographic Details
Authors: Ibáñez, Raquel, Alejo, Maria, Combalia, Neus, Tarroch, Xavier, Autonell, Josefina, Codina, Laia, Culubret, Montserrat, Bosch José, Francesc Xavier, 1947-, Sanjosé Llongueras, Silvia de
Format: article
Status:Published version
Publication Date:2015
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/126168
Online Access:https://hdl.handle.net/2445/126168
Access Level:Open access
Keyword:Càncer de coll uterí
Papil·lomavirus
Cervix cancer
Papillomaviruses
id ES_74b3656dbf69a40416fcdce85f7299fb
oai_identifier_str oai:recercat.cat:2445/126168
network_acronym_str ES
network_name_str España
repository_id_str
spelling Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening InterventionsIbáñez, RaquelAlejo, MariaCombalia, NeusTarroch, XavierAutonell, JosefinaCodina, LaiaCulubret, MontserratBosch José, Francesc Xavier, 1947-Sanjosé Llongueras, Silvia deCàncer de coll uteríPapil·lomavirusCervix cancerPapillomavirusesObjective. Audit of women with invasive cervical cancer (CC) is critical for quality control within screening activities. We analysed the screening history in the 10 years preceding the study entry in women with and without CC during 2000-2011. Methods. 323 women with CC from six pathology departments in Catalonia (Spain) and 23,782 women with negative cytology were compared. Age, previous history of cytologies, and histological type and FIGO stage were collected from the pathology registries. Logistic regression analysis was used to estimate odds ratios (OR) and 95% confidence intervals (CI95%). Results. History of cytology was registered in 26.2% of CC cases and in 78% of the control women (P < 0.0001) and its frequency decreased with increasing age. Compared to women with squamous cell carcinoma, adenocarcinoma cases were significantly more likely to have a cytology within the 3-year interval preceding cancer diagnosis (OR = 2.6 CI 95%: 1.2-5.6) and to have normal cytology results in previous screenings (OR = 2.4 CI 95%: 1.2-4.5). FIGO II-IV cases were more common among older women (older than 60 years). Conclusions. Absence of prior screening history was extremely common among CC cases compared to controls. Organized actions to reduce underscreened women and use of highly sensitive HPV-based tests could be important to reduce CC burden.Hindawi Publishing Corporation2018201820152018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion9 p.application/pdfhttps://hdl.handle.net/2445/126168Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1155/2015/605375BioMed Research International, 2015, vol. 2015https://doi.org/10.1155/2015/605375info:eu-repo/grantAgreement/EC/FP7/603019cc by (c) Ibáñez et al., 2015http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1261682026-05-29T05:05:01Z
dc.title.none.fl_str_mv Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions
title Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions
spellingShingle Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions
Ibáñez, Raquel
Càncer de coll uterí
Papil·lomavirus
Cervix cancer
Papillomaviruses
title_short Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions
title_full Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions
title_fullStr Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions
title_full_unstemmed Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions
title_sort Underscreened Women Remain Overrepresented In The Pool Of Cervical Cancer Cases In Spain: A Need To Rethink The Screening Interventions
dc.creator.none.fl_str_mv Ibáñez, Raquel
Alejo, Maria
Combalia, Neus
Tarroch, Xavier
Autonell, Josefina
Codina, Laia
Culubret, Montserrat
Bosch José, Francesc Xavier, 1947-
Sanjosé Llongueras, Silvia de
author Ibáñez, Raquel
author_facet Ibáñez, Raquel
Alejo, Maria
Combalia, Neus
Tarroch, Xavier
Autonell, Josefina
Codina, Laia
Culubret, Montserrat
Bosch José, Francesc Xavier, 1947-
Sanjosé Llongueras, Silvia de
author_role author
author2 Alejo, Maria
Combalia, Neus
Tarroch, Xavier
Autonell, Josefina
Codina, Laia
Culubret, Montserrat
Bosch José, Francesc Xavier, 1947-
Sanjosé Llongueras, Silvia de
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Càncer de coll uterí
Papil·lomavirus
Cervix cancer
Papillomaviruses
topic Càncer de coll uterí
Papil·lomavirus
Cervix cancer
Papillomaviruses
description Objective. Audit of women with invasive cervical cancer (CC) is critical for quality control within screening activities. We analysed the screening history in the 10 years preceding the study entry in women with and without CC during 2000-2011. Methods. 323 women with CC from six pathology departments in Catalonia (Spain) and 23,782 women with negative cytology were compared. Age, previous history of cytologies, and histological type and FIGO stage were collected from the pathology registries. Logistic regression analysis was used to estimate odds ratios (OR) and 95% confidence intervals (CI95%). Results. History of cytology was registered in 26.2% of CC cases and in 78% of the control women (P < 0.0001) and its frequency decreased with increasing age. Compared to women with squamous cell carcinoma, adenocarcinoma cases were significantly more likely to have a cytology within the 3-year interval preceding cancer diagnosis (OR = 2.6 CI 95%: 1.2-5.6) and to have normal cytology results in previous screenings (OR = 2.4 CI 95%: 1.2-4.5). FIGO II-IV cases were more common among older women (older than 60 years). Conclusions. Absence of prior screening history was extremely common among CC cases compared to controls. Organized actions to reduce underscreened women and use of highly sensitive HPV-based tests could be important to reduce CC burden.
publishDate 2015
dc.date.none.fl_str_mv 2015
2018
2018
2018
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/126168
url https://hdl.handle.net/2445/126168
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1155/2015/605375
BioMed Research International, 2015, vol. 2015
https://doi.org/10.1155/2015/605375
info:eu-repo/grantAgreement/EC/FP7/603019
dc.rights.none.fl_str_mv cc by (c) Ibáñez et al., 2015
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Ibáñez et al., 2015
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 9 p.
application/pdf
dc.publisher.none.fl_str_mv Hindawi Publishing Corporation
publisher.none.fl_str_mv Hindawi Publishing Corporation
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869410926914961408
score 15,811543

Similar Items