Timeliness and follow-up patterns of cervical cancer detection in a cohort of medically underserved California women

Farzaneh Tabnak, Hans Georg Müller, Jane Ling Wang, Weihong Zhang, Lydia P Howell

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Introduction This study examines factors associated with timely follow-up after Pap test in a program providing cervical cancer detection services to medically underserved California women. Methods Data between 01 January 1992 and 30 June 2007 were analyzed. Cox proportional hazard regression was used to identify subgroups of women with delayed time to diagnosis or treatment scheduling. The probability of being scheduled for final diagnosis and treatment was assessed using logistic regression analysis. Demographic and clinical characteristics of the women lost to follow up were examined. Results Time from screening to final diagnosis scheduling differed according to age group, race/ethnicity, and Pap test result. Race/ethnicity and age were associated with whether treatment was scheduled or not. While loss to follow up among those scheduled for final diagnosis was associated with certain patients' characteristics, no such association was found among those who were scheduled for treatment. Conclusions Patient's demographic characteristics determine the odds of being scheduled for final diagnosis and treatment as well as timeliness of follow-up from screening to final diagnosis. Findings suggest that the dual goal of reducing health disparities and cost-effective detection and treatment of precancerous disease to prevent cervical cancers cannot be achieved without consideration of racial/ ethnic differences and needs.

Original languageEnglish (US)
Pages (from-to)411-420
Number of pages10
JournalCancer Causes and Control
Volume21
Issue number3
DOIs
StatePublished - Mar 2010

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Uterine Cervical Neoplasms
Papanicolaou Test
Therapeutics
Demography
Lost to Follow-Up
Health Care Costs
Age Groups
Logistic Models
Regression Analysis

Keywords

  • Abnormal results
  • Cervical cancer
  • Follow-up
  • Pap test medically underserved

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Cite this

Timeliness and follow-up patterns of cervical cancer detection in a cohort of medically underserved California women. / Tabnak, Farzaneh; Müller, Hans Georg; Wang, Jane Ling; Zhang, Weihong; Howell, Lydia P.

In: Cancer Causes and Control, Vol. 21, No. 3, 03.2010, p. 411-420.

Research output: Contribution to journalArticle

Tabnak, Farzaneh ; Müller, Hans Georg ; Wang, Jane Ling ; Zhang, Weihong ; Howell, Lydia P. / Timeliness and follow-up patterns of cervical cancer detection in a cohort of medically underserved California women. In: Cancer Causes and Control. 2010 ; Vol. 21, No. 3. pp. 411-420.
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