Abed Z, O'Leary M, Hand K, Flannelly G, Lenehan P, Murphy J, Foley M
Dept of Obstetrics and Gynaecology, National Maternity Hospital, Dublin.
Ir Med J. 2006 May;99(5):140-2.
This study aimed to examine whether a decade of heightened publicity on issues relating to cervical screening has changed the screening profile of women presenting with cervical cancer at the National Maternity Hospital. The screening history of 100 women diagnosed with early/surgically treated cervical cancer between 1998 and 2002 was compared with a similar study conducted in 1982 /1990. The percentage of women never screened was similar - 24 %( 2002) and 23% (1990). The interval between last recorded smear and diagnosis of disease was greater than 5 years in 45.6% and 41.7% respectively. Overall 60% of women in the recent period had either failed to avail of screening or were not screened within 5 years of diagnosis compared with 64% in 1990. Multiparous women comprised 90% of the study group and 50% of those inadequately screened were attending their general practitioner on a regular basis - therefore affording a potential for opportunistic screening The current method of screening has failed in this group and has not improved in 10 years despite of increased population awareness and greater opportunities for screening than ever before and would support an argument for a National Screening Program.
本研究旨在调查，在国立妇产医院，长达十年对宫颈癌筛查相关问题的高度宣传，是否改变了宫颈癌患者的筛查情况。将1998年至2002年间确诊为早期/接受手术治疗的100名宫颈癌女性的筛查史，与1982年/1990年进行的一项类似研究进行比较。从未接受筛查的女性比例相似——2002年为24%，1990年为23%。最后一次记录涂片与疾病诊断之间的间隔分别为45.6%和41.7%，超过5年。总体而言，近期60%的女性未能进行筛查，或在诊断后5年内未接受筛查，而1990年这一比例为64%。多产女性占研究组的90%，在筛查不足的女性中，50%的人定期去看全科医生——因此有机会进行机会性筛查。目前的筛查方法在这组人群中失败了，尽管民众意识提高，且筛查机会比以往任何时候都多，但在10年里没有改善，这支持了开展全国筛查计划的观点。
