Screening histories and contact with physicians as determinants of cervical cancer risk in Montreal, Quebec

Current Oncology

E.L. Franco⁴  A.R. Spence⁴  L. Gilbert²  J.A. Hanley⁴  P. Tousignant⁴  A. Alobaid⁵  P. Goggin¹  D. Provencher³  P. Drouin⁶ 

[1] Institut national de santé publique du Québec;McGill University Health Centre;Hôpital Notre-Dame;McGill University;King Fahad Medical City;Centre hospitalier de l’Université de Montréal

关键词: cervical cancer;    Papanicolaou test;    screening;   

DOI  :  

学科分类：肿瘤学

来源: Multimed, Inc.

【 摘 要 】

Background Cervical cancer (cca) is largely a preventable disease if women receive regular screening, which allows for the detection and treatment of preinvasive lesions before they become invasive. Having been inadequately screened is a common finding among women who develop cca. Our primary objective was to determine the Pap screening histories of women diagnosed with cca in Montreal, Quebec. Secondary objectives were to determine the characteristics of women at greatest risk of cca and to characterize the level of physician contact those women had before developing cca. Methods The Invasive Cervical Cancer Study, a populationbased case–control study, consisted of Greater Montreal residents diagnosed with histologically confirmed cca between 1998 and 2004. Respondents to the 2003 Canadian Community Health Survey and a sample of women without cca obtained from Quebec medical billing records served as controls. Results During the period of interest, 568 women were diagnosed with cca. Immigrants and women speaking neither French nor English were at greatest risk of cca. Most of the women in the case group had been screened at least once during their lifetime (84.8%–90.4%), but they were less likely to have been screened within 3 years of diagnosis. Having received care from a family physician or a medical specialist other than a gynecologist within the 5 years before diagnosis was associated with a greater risk of cca development. Conclusions Our findings provide evidence of the need for an organized population-based screening program. They also underscore the need for provider education to prevent missed opportunities for cca screening when at-risk women seek medical attention.

【 授权许可】

Unknown