Department of Obstetrics/Gynecology, Wright State University, Dayton, OH, USA.
J Low Genit Tract Dis. 2013 Jul;17(3):298-302. doi: 10.1097/LGT.0b013e31826b683e.
This study aimed to determine population characteristics that correlate to suboptimal follow-up after an abnormal cervical cytology result.
Nonpregnant women, ages 21 to 65 years, with newly diagnosed abnormal cervical cytology result between January 2009 and January 2012 at an urban clinic were eligible for inclusion in this retrospective chart review. Cervical cytology data and demographic characteristics such as age, ethnicity, employment, marital and smoking status, health insurance and number of pregnancies were abstracted from electronic medical record. A log-linear model was used to determine which factors influenced patient compliance.
Of the total of 206 women, 78 (37.9%) had optimal follow-up and 128 (62.1%) had suboptimal follow-up. The 3 variables that were statistically significant in influencing patient follow-up after adjusted analyses included severity of cytology result (p = .0013), ethnicity (p = .02), and employment status (p = .0159). The risk ratio for optimal follow-up for those with severe cytology result was 1.81; for the non-whites, 1.77; and for the employed, 1.53.
Ethnicity, severity of cervical cytology result, and employment status play an important role in patient follow-up after an abnormal cervical cytology result. Detecting trends in our patient population that influence adherence to follow-up will help health care providers formulate strategies that target this problem.
本研究旨在确定与异常宫颈细胞学结果随访不充分相关的人群特征。
2009 年 1 月至 2012 年 1 月期间，在一家城区诊所新诊断出异常宫颈细胞学结果的年龄在 21 至 65 岁之间的非妊娠女性符合本回顾性图表研究的纳入标准。从电子病历中提取宫颈细胞学数据和人口统计学特征，如年龄、种族、就业、婚姻和吸烟状况、医疗保险和妊娠次数。使用对数线性模型确定哪些因素影响患者的依从性。
在总共 206 名女性中，78 名（37.9%）有充分的随访，128 名（62.1%）有随访不充分。在调整分析后，有 3 个变量对患者随访有统计学意义，包括细胞学结果的严重程度（p =.0013）、种族（p =.02）和就业状况（p =.0159）。细胞学结果严重的患者充分随访的风险比为 1.81；非白人患者为 1.77；就业患者为 1.53。
种族、宫颈细胞学结果的严重程度和就业状况在异常宫颈细胞学结果后的患者随访中起着重要作用。检测影响我们患者人群对随访依从性的趋势将有助于医疗保健提供者制定针对这一问题的策略。
