Freitas R A P, Carvasan G A F, Morais S S, Zeferino L C
Department of Obstetrics and Gynecology, School of Medical Sciences, State University of Campinas, Cidade Universitária Zeferino Vaz, Campinas, São Paulo, Brazil.
Eur J Gynaecol Oncol. 2008;29(5):479-82.
The study aimed to analyze the Pap smears carried out for cervical cancer screening according to Ministry of Health guidelines. All smear tests carried out within the public health system in Campinas in 2003 were analyzed. All tests that did not conform to the guidelines were considered excessive. The guidelines recommend screening once every three years for all women aged 25 to 59 after they have received two negative smears. This study showed that the majority of women initiated screening prior to 25 years of age and the periodicity was predominantly annual, followed by biannual tests. In conclusion, 63.4% of tests were excessive. The screening coverage was 14.76%, but if all the tests had been performed as recommended, the final coverage over three years could have reached 65.4%. Thus it is possible to increase the coverage with the available resources since the screening works like an organized program.
该研究旨在根据卫生部指南分析为宫颈癌筛查所做的巴氏涂片检查。对2003年在坎皮纳斯公共卫生系统内进行的所有涂片检查进行了分析。所有不符合指南的检查都被视为过度检查。指南建议，所有25至59岁的女性在两次涂片检查结果为阴性后，每三年进行一次筛查。本研究表明，大多数女性在25岁之前就开始了筛查，检查周期主要为每年一次，其次是每两年一次。总之，63.4%的检查是过度的。筛查覆盖率为14.76%，但如果所有检查都按照建议进行，三年的最终覆盖率本可达到65.4%。因此，由于筛查就像一个有组织的项目一样运作，利用现有资源提高覆盖率是可能的。
