Browsing by Author "Arroyo, R"

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    Follow-up care of women with an abnormal cytology in a low-resource setting
    (ELSEVIER SCI LTD, 2003) Gage, JC; Ferreccio, C; Gonzales, M; Arroyo, R; Huivin, M; Robles, SC
    Study purpose: We ascertained the follow-up care after an abnormal cytology (Papanicolaou) screening in the San Martin region of Peru and assessed the status of women who had not received adequate care. Basic procedures: We identified women with an abnormal cytology and assessed their medical records, laboratory registries, death certificates and interviewed them at home. Re-screening, diagnosis and treatment were offered. Main findings: Only 46 (25%) of the 183 women identified received appropriate follow-up care. At re-screening 31 (34%) had a normal result, 9 (10%) were diagnosed with CIN1 and 50 (56%) had CIN2 or worse. Principal conclusions: In this setting, follow-up care after an abnormal cytology was very poor and could explain the lack of impact of cervical cancer screening Women with an abnormal cytology constitute a high-risk group that should be a priority for health services. (C) 2003 International Society for Preventive Oncology. Published by Elsevier Ltd. All rights reserved.