Underscreened Women Remain Overrepresented in the Pool of Cervical Cancer Cases in Spain: A Need to Rethink the Screening Interventions

Raquel Ibáñez
María Alejo
Neus Combalia
Xavier Tarroch
Josefina Autonell
Laia Codina
Montserrat Culubret
Francesc Xavier Bosch
Silvia de Sanjosé

Open link

Publication date

January 2015

DOI

10.1155/2015/605375

Publisher

Hindawi Limited

ISSN

2314-6133

Journal

2314-6141

Citation count (estimate)

Abstract

Objective. Audit of women with invasive cervical cancer (CC) is critical for quality control within screening activities. We analysed the screening history in the 10 years preceding the study entry in women with and without CC during 2000–2011. Methods. 323 women with CC from six pathology departments in Catalonia (Spain) and 23,782 women with negative cytology were compared. Age, previous history of cytologies, and histological type and FIGO stage were collected from the pathology registries. Logistic regression analysis was used to estimate odds ratios (OR) and 95% confidence intervals (CI95%). Results. History of cytology was registered in 26.2% of CC cases and in 78% of the control women (P<0.0001) and its frequency decreased with incre...