The feasibility of risk-based cervical cancer screening.

The feasibility of risk-based cervical cancer screening. Research Abstract Details 

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The feasibility of risk-based cervical cancer screening. Abstract Text:

Henry C Barry,Mindy Smith,David Weismantel,Linda French,Henry C Barry,Mindy Smith,David Weismantel,Linda French,

OBJECTIVE: This study examined the feasibility of risk-based cervical cancer screening in primary care practices in Lansing, Michigan (United States). METHODS: We recruited adult women regardless of the reason for visit from March to June of 2001. Women completed a risk factor questionnaire including number of current and lifetime sexual partners, history of sexually transmitted diseases and smoking. We also explicitly extracted from the patients' medical records: Pap smear results, presence of a sexual history, and screening for sexually transmitted infections (STI). RESULTS: Of 1271 eligible women, 809 (64%) completed the questionnaire and 601 agreed to have their records reviewed. Women of minority race represented 28.6% of the sample and one-third were insured through Medicaid. The mean number of lifetime partners was 9 and average age of first intercourse was 17. Eighty-six percent of women provided complete information. Most women (83%) had at least one risk factor for cervical cancer. We found low rates of documented sexual history taking (54%) and STI testing (4%). CONCLUSION: Women seeking care from a primary care clinician will provide, if asked, sensitive information, making risk-based cervical cancer screening feasible. However, since so many women had at least one identifiable risk factor, multivariate models or alternative approaches to assessing risk need to be developed.

The feasibility of risk-based cervical cancer screening. Publishing Authors By Initials

HC Barry,M Smith,D Weismantel,L French,HC Barry,M Smith,D Weismantel,L French,

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The feasibility of risk-based cervical cancer screening. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Preventive medicine

VOLUME: 45

Page Numbers: 125-9

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ISSN: 0091-7435

DAY: 21

MONTH: 05

YEAR: 2007

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LANGUAGE: eng

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AFFILIATION: Department of Family Practice, B-104B Clinical Center, Michigan State University, East Lansing, Michigan 48824, USA. Henry.Barry@ht.msu.edu

Country: United States

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MEDLINETA: Prev Med

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