Comparison of two different strategies for early diagnosis of cervical neoplasia in the North of Italy: Hospital-based and outpatient clinic-based screening

S. FRanceschi, G. Gorga, E. Bidoli, R. Talamini, G. Manfrin

Research output: Contribution to journalArticle

Abstract

In Italy, there is not a common programmed population-based screening for cervical cancer. So, two different 'opportunistic' strategies were compared in an area of the North of Italy. According to the first, 2201 women aged 25-70, admitted to Rovereto Hospital between May 1985 and May 1986 with conditions other than malignancies, were questioned on their previous screening practice. A Pap smear was offered to subjects that had not had one in the last twenty months. According to the second strategy (by far the most widespread screening strategy in Italy), 386 women attending the local outpatient clinic in the same period were similarly investigated. Inpatients turned out top be a group at higher risk of cervical cancer than outpatients, as regards age (mean age 49.3 and 34.5 respectively), proportion of never-screened subjects (28% and 16% respectively), number of previous Pap smears and time elapsed since the last one. In the 462 inpatients, it was possible to arrange a Pap smear during their stay in hospital. In comparison with the 362 Pap smears taken from outpatient women, a higher number of cervical intraepithelial neoplasias (CIN) was found (3 versus 0). Two additional inpatients showed microinvasive cervical carcinomas. Hospital admission seems to offer a better opportunity than gynecology outpatient clinic to reach women outside their reproductive age, likely to have had none or very few Pap smears in the past.

Original languageEnglish
Pages (from-to)145-153
Number of pages9
JournalCervix and the Lower Female Genital Tract
Volume7
Issue number2
Publication statusPublished - 1989

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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