Revista de salud publica (Bogota, Colombia) · 2010
[Following-up females having an abnormal Pap smear in Colombia].
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wiesner Carolina, Cendales Ricardo, Murillo Raúl, Piñeros Marion, Tovar Sandra
Аннотация
OBJECTIVE: Evaluating the opportunity and access to diagnosis and treatment for females having had an abnormal Pap smear (high-grade epithelial lesion and cervical cancer) in Colombia from June 2005 to June 2006.
MATERIALS AND METHODS: This was a retrospective appraisal using a semi-closed survey of females having had an abnormal Pap smear with high squamous intraepithelial lesions or cervical cancer living in four Colombian departments. These areas were conveniently selected according to their different mortality rates. A descriptive analysis was made and the departments differences compared.
RESULTS: It was found that 27 % of females having high-grade squamous intraepithelial lesion or cervical cancer had no access to any of the diagnostic or therapeutic services. Health service administration problems and clinical and cultural ones affecting the females in the study could explain such results.
DISCUSSION: Follow-up care after abnormal cytology was very poor and could explain the lack of cervical cancer screening impact in Colombia and in most Latin-American countries.
MATERIALS AND METHODS: This was a retrospective appraisal using a semi-closed survey of females having had an abnormal Pap smear with high squamous intraepithelial lesions or cervical cancer living in four Colombian departments. These areas were conveniently selected according to their different mortality rates. A descriptive analysis was made and the departments differences compared.
RESULTS: It was found that 27 % of females having high-grade squamous intraepithelial lesion or cervical cancer had no access to any of the diagnostic or therapeutic services. Health service administration problems and clinical and cultural ones affecting the females in the study could explain such results.
DISCUSSION: Follow-up care after abnormal cytology was very poor and could explain the lack of cervical cancer screening impact in Colombia and in most Latin-American countries.
Предметные рубрики MeSH
AdenocarcinomaAdultAgedBiopsyCervix UteriColombiaColposcopyCultureEarly DiagnosisFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHealth SurveysHumansInsurance CoverageMass ScreeningMiddle AgedNeoplasms, Squamous CellPapanicolaou TestPatient Acceptance of Health CarePrecancerous ConditionsRetrospective StudiesSampling StudiesUterine Cervical DiseasesUterine Cervical NeoplasmsVaginal SmearsUterine Cervical Dysplasia