Timeliness of Cervical Cancer Diagnosis and Initiation of Treatment in the National Breast and Cervical Cancer Early Detection Program

Details

• Alternative Title:
  J Womens Health (Larchmt)
• Personal Author:
  Benard, Vicki B. ; Howe, William ; Royalty, Janet ; Helsel, William ; Kammerer, William ; Richardson, Lisa C.
• Description:
  Objectives
  
  To examine time intervals from cervical cancer screening to diagnosis and treatment initiation among low-income and uninsured women in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) during two consecutive time periods.
  
  Methods
  
  We analyzed NBCCEDP data for women with abnormal Pap tests (n = 100,167), from which 1,417 invasive cervical cancers were diagnosed. We examined two time intervals for this study: diagnostic interval (time from abnormal Pap test to the date of definitive diagnosis) and treatment initiation interval (time from definitive diagnosis to treatment initiation) for two time periods: 1996–2002 and 2003–2009. We compared median time intervals for diagnostic and treatment initiation using the Kruskal-Wallis test. Adjusted proportions (predicted marginals) were calculated using logistic regression to examine diagnosis and treatment within program benchmarks (≤ 60 days).
  
  Results
  
  Median diagnostic intervals decreased overall by 6 days (54 vs. 48 days, p < 0.001). This decrease in the median diagnostic interval was noted for all variables examined. The median treatment initiation intervals remained stable over the two time periods.
  
  Conclusions
  
  Women screened by the NBCCEDP receive diagnostic follow-up and initiate treatment within preestablished program guidelines.
  
  
• Subjects:
  Adolescent Aged Breast Neoplasms Early Detection Of Cancer Female Humans Logistic Models Mass Screening Medically Uninsured Middle Aged Physical Examination Population Surveillance Poverty Program Evaluation Residence Characteristics Socioeconomic Factors Statistics, Nonparametric Time Factors Uterine Cervical Neoplasms Vaginal Smears Young Adult

  More +
• Source:
  J Womens Health (Larchmt). 21(7):776-782
• Pubmed ID:
  22506920
• Pubmed Central ID:
  PMC4545597
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHS/United States
• Place as Subject:
  United States
• Volume:
  21
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:fe7fd2be4a450bae0d326fbad1048f3a5c6ae2944b748f2d81d9c0b52a7817b2
• Download URL:
  https://stacks.cdc.gov/view/cdc/33900/cdc_33900_DS1.pdf
• File Type:
  [PDF - 602.96 KB ]