Evaluation of follow-up colposcopy procedures after abnormal cervical screening result across a statewide study in Mississippi.

IF 2.2 4区医学 Q3 ONCOLOGY

Cancer Causes & Control Pub Date : 2024-11-01 Epub Date: 2024-08-17 DOI:10.1007/s10552-024-01905-0

Sydney Reaves, Katherine C Hall, Mary W Stewart, Nicolas Wentzensen, Christina Ferrell, Carolann Risley, Jimmie Wells, Rhonda Rives, Fajada Bobo, Jon Daniels, Kathy Farrington, Jody C Morgan, Megan A Clarke

{"title":"Evaluation of follow-up colposcopy procedures after abnormal cervical screening result across a statewide study in Mississippi.","authors":"Sydney Reaves, Katherine C Hall, Mary W Stewart, Nicolas Wentzensen, Christina Ferrell, Carolann Risley, Jimmie Wells, Rhonda Rives, Fajada Bobo, Jon Daniels, Kathy Farrington, Jody C Morgan, Megan A Clarke","doi":"10.1007/s10552-024-01905-0","DOIUrl":null,"url":null,"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.","PeriodicalId":9432,"journal":{"name":"Cancer Causes & Control","volume":" ","pages":"1487-1496"},"PeriodicalIF":2.2000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11561063/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cancer Causes & Control","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10552-024-01905-0","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/17 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}

引用次数: 0

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 Image

查看原文本刊更多论文

在密西西比州的一项全州研究中，对宫颈筛查结果异常后的阴道镜随访程序进行评估。

目的：宫颈筛查用于检测和治疗宫颈癌前病变，以预防侵袭性癌症。然而，成功的预防还需要对筛查结果异常者进行充分的随访和治疗。该研究旨在调查人口统计学、临床特征以及筛查结果异常后需要进行阴道镜检查者的随访情况：STRIDES（Studying Risk to Improve DisparitiES）队列包括在密西西比卫生部或密西西比大学诊所接受宫颈癌筛查和管理的个人。通过电子健康记录评估随访情况、人口统计学和临床数据，必要时对筛查异常后确定需要进行阴道镜检查的患者进行导航：在需要进行阴道镜检查的 1458 人中，43.0% 的人在 4 个月内进行了检查，16.4% 的人推迟了检查，39.5% 的人没有阴道镜检查随访记录，随访的重要预测因素是年龄和细胞学诊断。与结论中的人相比，30 岁以上的人更有可能接受阴道镜检查：尽管密西西比州的宫颈癌筛查率很高，但仍有很大一部分人没有接受适当的下一步干预。不过，令人鼓舞的是，高风险人群更有可能接受阴道镜检查。无论如何，继续了解未完成随访的根本原因对于及时采取有针对性的二级干预措施以减轻宫颈癌负担、提高人们的认识和改善健康状况至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Cancer Causes & Control 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.90

自引率

4.30%

发文量

130

审稿时长

6.6 months

期刊介绍： Cancer Causes & Control is an international refereed journal that both reports and stimulates new avenues of investigation into the causes, control, and subsequent prevention of cancer. By drawing together related information published currently in a diverse range of biological and medical journals, it has a multidisciplinary and multinational approach. The scope of the journal includes: variation in cancer distribution within and between populations; factors associated with cancer risk; preventive and therapeutic interventions on a population scale; economic, demographic, and health-policy implications of cancer; and related methodological issues. The emphasis is on speed of publication. The journal will normally publish within 30 to 60 days of acceptance of manuscripts. Cancer Causes & Control publishes Original Articles, Reviews, Commentaries, Opinions, Short Communications and Letters to the Editor which will have direct relevance to researchers and practitioners working in epidemiology, medical statistics, cancer biology, health education, medical economics and related fields. The journal also contains significant information for government agencies concerned with cancer research, control and policy.