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[Recommendations for cancer prevention].[癌症预防建议]
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2
[Coverage of cervical cancer screening in Catalonia, Spain (2008-2011)].[西班牙加泰罗尼亚地区宫颈癌筛查覆盖率(2008 - 2011年)]
Gac Sanit. 2014 Jan-Feb;28(1):7-13. doi: 10.1016/j.gaceta.2013.05.009. Epub 2013 Aug 3.
3
Detection rates of precancerous and cancerous cervical lesions within one screening round of primary human papillomavirus DNA testing: prospective randomised trial in Finland.一次人乳头瘤病毒 DNA 初筛检测中对癌前和癌性宫颈病变的检出率:芬兰的一项前瞻性随机试验。
BMJ. 2012 Nov 29;345:e7789. doi: 10.1136/bmj.e7789.
4
Screening for cervical cancer: U.S. Preventive Services Task Force recommendation statement.宫颈癌筛查:美国预防服务工作组推荐声明。
Ann Intern Med. 2012 Jun 19;156(12):880-91, W312. doi: 10.7326/0003-4819-156-12-201206190-00424.
5
Prevalence and genotype distribution of human papillomavirus infection of the cervix in Spain: the CLEOPATRE study.西班牙宫颈人乳头瘤病毒感染的流行率和基因型分布:CLEOPATRE 研究。
J Med Virol. 2012 Jun;84(6):947-56. doi: 10.1002/jmv.23282.
6
Cervical cancer screening in the United States and the Netherlands: a tale of two countries.美国和荷兰的宫颈癌筛查:两国的故事。
Milbank Q. 2012 Mar;90(1):5-37. doi: 10.1111/j.1468-0009.2011.00652.x.
7
Cervical cancer risk for women undergoing concurrent testing for human papillomavirus and cervical cytology: a population-based study in routine clinical practice.在常规临床实践中同时进行人乳头瘤病毒和宫颈细胞学检测的女性宫颈癌风险:一项基于人群的研究。
Lancet Oncol. 2011 Jul;12(7):663-72. doi: 10.1016/S1470-2045(11)70145-0. Epub 2011 Jun 16.
8
Coverage and factors associated with cervical cancer screening: results from the AFRODITA study: a population-based survey in Spain.宫颈癌筛查的覆盖情况及相关因素:AFRODITA研究结果:西班牙一项基于人群的调查
J Low Genit Tract Dis. 2008 Apr;12(2):82-9. doi: 10.1097/LGT.0b013e3181599c16.
9
[Screening history in women with infiltrating uterine cancer].[浸润性子宫癌女性的筛查史]
Gac Sanit. 2006 Mar-Apr;20(2):166-7. doi: 10.1157/13087331.
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[Prevention of cervical cancer].[宫颈癌的预防]
Aten Primaria. 2005 Oct 15;36(6):328-33. doi: 10.1157/13079868.

[宫颈癌筛查:积极招募值得付出努力吗?]

[Cervical cancer screening: Is active recruitment worth the effort?].

作者信息

Morales Martínez Ángeles, Blanco Rodríguez Lorena, Morales Martínez Cristina, Tejuca Somoano Sonia

机构信息

Centro de Salud de Natahoyo, Gijón, España.

Centro de Salud de Natahoyo, Gijón, España.

出版信息

Aten Primaria. 2015 Dec;47(10):653-8. doi: 10.1016/j.aprim.2014.12.006. Epub 2015 Mar 29.

DOI:10.1016/j.aprim.2014.12.006
PMID:25824868
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6983784/
Abstract

OBJECTIVES

To determine the percentage of women who have had a Pap smear in the last 5 years, and the place where it was carried out. To detect cytological abnormalities and precursors of cervical cancer in un-screened or inadequately screened women and the prevalence of HPV-positive determinations.

DESIGN

Cross sectional study.

SETTING

Natahoyo Health Centre, Gijón (Spain).

PARTICIPANTS

Women aged 40-50 years living in the area and assigned to the Health Centre.

METHODS

The information was collected from databases, telephone and home surveys. There was active recruitment of unscreened women or inadequately screened in Primary Care as well as offering to perform cytology and HPV determination.

RESULTS

Of the 1420 women aged 40 to 50 years, 1236 (87%) had cytology in the last 5 years, and 184 women (13%) had no screening or it was inadequate. Of these 184 women, 108 (58.7%) agreed to have cytology and HPV test performed. No high-grade cervical dysplasia was diagnosed. The prevalence of HPV-positive was 8.3%.

CONCLUSIONS

In our population there is a high coverage of opportunistic screening for cervical cancer. The active recruitment of women who were not in the screening program was not useful.

摘要

目的

确定过去5年内进行过巴氏涂片检查的女性比例及其检查地点。检测未接受筛查或筛查不充分的女性中的细胞学异常及宫颈癌前病变情况,以及人乳头瘤病毒(HPV)阳性检测的患病率。

设计

横断面研究。

地点

西班牙希洪市纳塔霍约健康中心。

参与者

居住在该地区且隶属于该健康中心的40至50岁女性。

方法

通过数据库、电话及家庭调查收集信息。积极招募初级保健中未接受筛查或筛查不充分的女性,并为其提供细胞学检查及HPV检测。

结果

在1420名40至50岁的女性中,1236名(87%)在过去5年内进行了细胞学检查,184名女性(13%)未接受筛查或筛查不充分。在这184名女性中,108名(58.7%)同意进行细胞学检查及HPV检测。未诊断出高级别宫颈发育异常。HPV阳性患病率为8.3%。

结论

在我们的人群中,宫颈癌机会性筛查覆盖率较高。积极招募未参与筛查项目的女性并无效果。