Historical Analysis of the Brazilian Cervical Cancer Screening Program from 2006 to 2013: A Time for Reflection

Costa, Ricardo Filipe Alves; Longatto‐Filho, Adhemar; Pinheiro, Céline; Zeferino, Luíz Carlos; Fregnani, José Humberto

doi:10.1371/journal.pone.0138945

Cited by 49 publications

(87 citation statements)

References 22 publications

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“…11 The deficit in the production of cytopathologic tests in Brazil has been discussed in other local and national studies. [15][16][17] According to the 2013 PNS, self-reported coverage of Pap smear for women aged 25-69 reached 78.8%. 18 However, the odds of women undergoing a Pap smear was three-fold higher among those covered by private health insurance in comparison to those who depended exclusively on SUS.…”

Section: Discussionmentioning

confidence: 99%

Avaliação da produção de procedimentos da linha de cuidado do câncer do colo do útero no Sistema Único de Saúde do Brasil em 2015*

Ribeiro¹,

Silva²

2018

Epidemiologia e Serviços de Saúde

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Section: Discussionmentioning

confidence: 99%

Avaliação da produção de procedimentos da linha de cuidado do câncer do colo do útero no Sistema Único de Saúde do Brasil em 2015*

Ribeiro¹,

Silva²

2018

Epidemiologia e Serviços de Saúde

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“…This can be explained by the fact that, in developed countries, screening is better organized, and therefore successful in reducing the incidence of cervical cancer and mortality rates [20].…”

Section: Discussionmentioning

confidence: 99%

Impact of Implementing 100% Rapid Review as a Quality Control Tool in Cervical Cytology

et al. 2018

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Objective: We aimed to evaluate the impact of implementing 100% rapid review (100% RR) as a quality control tool in cervical smear cytology. Design: A cross-sectional study was conducted in which cytology findings, false-negative results, and quality indicators were evaluated. The variables were analyzed in 2004, the year in which 100% RR was implemented, and again in 2013, i.e., 10 years on. Results: Detection of atypical squamous cells of undetermined significance (ASC-US) increased from 0.90% in 2004 to 2.47% in 2013 by routine screening. Detection of atypical squamous cells, cannot exclude a high-grade squamous intraepithelial lesion (ASC-H) increased from 13.33% in 2004 to 36.27% in 2013 by 100% RR. Detection of high-grade squamous intraepithelial lesion (HSIL) increased from 0.64% in 2004 to 4.29% in 2013 by routine screening, and increased from 0% in 2004 to 19.61% in 2013 by 100% RR. There was a significant increase (p = 0.00001) in the identification of false-negative results of ASC-US, low-grade squamous intraepithelial lesion, ASC-H, HSIL, and atypical glandular cells. All quality indicators had increased in 2013 when compared to 2004 results. Conclusions: Ten years after the implementation of the 100% RR method, improvements were found in the detection of atypia and precursor lesions and in quality indicators.

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“…Therefore, we only worked with population coverage estimates and our population of women participating in the organized screening consists of those registered at our Prevention Institute. The results herein discussed represent an obvious consequence of the work commenced in BCH many years ago (1994), using bikes, small busses, and (currently) large trucks (mobile units), and a serious commitment to quality in all steps of the screening process [14,15] . Despite the historical origin of the Prevention Institute, the results since 2012 show a constant baseline of a very high rate of in situ carcinoma (in situ clinical stage) among patients with cervical carcinomas that reflects, in part, the work focused in maintaining the commitment of subjects to the screening program [16] .…”

Section: Discussionmentioning

confidence: 97%

Organized Cervical Cancer Screening Program in Barretos, Brazil: Experience in 18 Municipalities of São Paulo State

Possati-Resende

Vazquez²,

Biot³

et al. 2017

Acta Cytologica

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Objectives: The aim of this report is to demonstrate the Barretos Cancer Hospital initiative of organizational, laboratorial, and human resources training in the implementation of an organized cervical screening program in low-resource settings. Methods: We developed a computational program to report all epidemiological, clinical, and laboratorial findings, and to trace all necessary information to recruit women for regular screening or for referral for complementary exams after liquid-based Pap test analyses. Results: All Pap tests were collected in liquid medium and in 2014 more than 160,000 tests were analyzed and 2,900 colposcopy examinations were performed. From 2012 to 2015, the percentage of exams collected increased from 54.6% in 2012 to 62.4% in 2013, 68.4% in 2014, and 71% in 2015. Per 1,000 Pap tests, 0.4 cases of invasive cancer were diagnosed; for in situ carcinoma, 1.9 cases were identified. More importantly, between 2011 and 2015, 89.4% of all carcinomas were detected at clinical stage 0 or I (in situ carcinoma), and only 5% at stages III and IV. Conclusions: Since the organized system was implemented, 98% of women have attended their recall for colposcopy. So far, we have not reached the target of 70% of women for this proposal, as recommended by the international standards.

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Historical Analysis of the Brazilian Cervical Cancer Screening Program from 2006 to 2013: A Time for Reflection

Cited by 49 publications

References 22 publications

Avaliação da produção de procedimentos da linha de cuidado do câncer do colo do útero no Sistema Único de Saúde do Brasil em 2015*

Avaliação da produção de procedimentos da linha de cuidado do câncer do colo do útero no Sistema Único de Saúde do Brasil em 2015*

Impact of Implementing 100% Rapid Review as a Quality Control Tool in Cervical Cytology

Organized Cervical Cancer Screening Program in Barretos, Brazil: Experience in 18 Municipalities of São Paulo State

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