Excess cervical cancer screening smears: Any benefit? A retrospective cohort in Alsace, France

Objectives Although cervical cancer screening guidelines in France recommend a smear test every three years, many physicians order more regular screening. We aimed to assess the benefits or harms of shorter intervals between screenings, both for women and public health. Methods For a retrospective c...

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Veröffentlicht in:	Journal of medical screening 2017-06, Vol.24 (2), p.92-97
Hauptverfasser:	Thiery, Alicia, Akladios, Cherif, Fender, Muriel, Severac, François, Baldauf, Jean-Jacques
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Cervical Intraepithelial Neoplasia - diagnosis Early Detection of Cancer - adverse effects Early Detection of Cancer - methods Female Follow-Up Studies France Humans Incidence Mass Screening - methods Middle Aged Reproducibility of Results Retrospective Studies Uterine Cervical Neoplasms - diagnosis Vaginal Smears
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Zusammenfassung:	Objectives Although cervical cancer screening guidelines in France recommend a smear test every three years, many physicians order more regular screening. We aimed to assess the benefits or harms of shorter intervals between screenings, both for women and public health. Methods For a retrospective cohort of women aged 25–65 who had two normal smears and at least one additional smear, data were sourced from a regionally organized cervical cancer screening programme in France, with follow-up for nine years. Based on the interval between the second and third smear, two groups were formed; the first comprised overscreened women (interval
ISSN:	0969-1413 1475-5793
DOI:	10.1177/0969141316647091