Rodríguez-Salés Vanesa, Roura Esther, Ibáñez Raquel, Peris Mercè, Bosch F Xavier, Coma E Ermengol
Unidad de Infecciones y Cáncer (UNIC), Programa de Investigación en Epidemiología del Cáncer, Institut Català d'Oncologia-IDIBELL, Barcelona, España.
Unidad de Infecciones y Cáncer (UNIC), Programa de Investigación en Epidemiología del Cáncer, Institut Català d'Oncologia-IDIBELL, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España.
Gac Sanit. 2014 Jan-Feb;28(1):7-13. doi: 10.1016/j.gaceta.2013.05.009. Epub 2013 Aug 3.
To estimate cervical cytology coverage for the period 2008-2011 by age groups and health regions from data recorded in the medical records of women attending centers within the Catalan national health system.
The data used to estimate coverage were obtained from the primary care information system. This information was anonymous and included age, center, date, and the results of cytological smears for a total of 2,292,564 women aged 15 years or more.
A total of 758,690 smears were performed in 595,868 women. Among women aged 25-65 years, the estimated coverage was 32.4% of the assigned population and was 40.8% in the population attended. Geographical variation was observed, with higher coverage among health regions closer to Barcelona. Abnormal Pap smears increased slightly from 2008 to 2011 (from 3% to 3.5%, respectively, p <0.001). In women with a negative first smear, the mean interval until the second smear was 2.4 years, but only 50% of women with a negative first smear in 2008 attended a second round during the study period.
Cervical screening coverage in the National Health Service of Catalonia includes one in three women. Second round participation was poor. Existing computer systems in primary care centers can ensure monitoring of population-based screening programs for cervical cancer. These systems could be used to plan an organized screening program to ensure wider coverage and better follow-up.
根据加泰罗尼亚国家卫生系统内各中心就诊女性病历记录的数据，按年龄组和健康区域估算2008 - 2011年宫颈细胞学检查的覆盖率。
用于估算覆盖率的数据来自初级保健信息系统。该信息为匿名信息，包括年龄、中心、日期以及总共2292564名15岁及以上女性的细胞学涂片结果。
共对595868名女性进行了758690次涂片检查。在25 - 65岁的女性中，估算的覆盖率为指定人群的32.4%，在就诊人群中为40.8%。观察到地理差异，距离巴塞罗那较近的健康区域覆盖率更高。2008年至2011年期间，巴氏涂片异常率略有上升（分别从3%升至3.5%，p<0.001）。首次涂片结果为阴性的女性，直到第二次涂片的平均间隔时间为2.4年，但在2008年首次涂片结果为阴性的女性中，只有50%在研究期间参加了第二轮检查。
加泰罗尼亚国家卫生服务系统中的宫颈筛查覆盖率为三分之一女性。第二轮参与情况较差。初级保健中心现有的计算机系统可确保对基于人群的宫颈癌筛查项目进行监测。这些系统可用于规划有组织的筛查项目，以确保更广泛的覆盖范围和更好的随访。
