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https://hdl.handle.net/2440/105282
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Type: | Journal article |
Title: | Time to clinical investigation for Indigenous and non-Indigenous Queensland women after a high grade abnormal Pap smear, 2000-2009 |
Author: | Whop, L.J. Baade, P.D. Brotherton, J.M. Canfell, K. Cunningham, J. Gertig, D. Lokuge, K. Garvey, G. Moore, S.P. Diaz, A. O'Connell, D.L. Valery, P. Roder, D.M. Condon, J.R. |
Citation: | Medical Journal of Australia, 2017; 206(2):73-77 |
Publisher: | Australasian Medical Publishing Company |
Issue Date: | 2017 |
ISSN: | 0025-729X 1326-5377 |
Statement of Responsibility: | Lisa J Whop, Peter D Baade, Julia ML Brotherton, Karen Canfell, Joan Cunningham, Dorota Gertig, Kamalini Lokuge, Gail Garvey, Suzanne P Moore, Abbey Diaz, Dianne L O’Connell, Patricia Valery, David M Roder, John R Condon |
Abstract: | To investigate time to follow-up (clinical investigation) for Indigenous and non-Indigenous women in Queensland after a high grade abnormality (HGA) being detected by Pap smear.Population-based retrospective cohort analysis of linked data from the Queensland Pap Smear Register (PSR), the Queensland Hospital Admitted Patient Data Collection, and the Queensland Cancer Registry. 34 980 women aged 20-68 years (including 1592 Indigenous women) with their first HGA Pap smear result recorded on the PSR (index smear) during 2000-2009 were included and followed to the end of 2010.Time from the index smear to clinical investigation (histology test or cancer diagnosis date), censored at 12 months.The proportion of women who had a clinical investigation within 2 months of a HGA finding was lower for Indigenous (34.1%; 95% CI, 31.8-36.4%) than for non-Indigenous women (46.5%; 95% CI, 46.0-47.0%; unadjusted incidence rate ratio [IRR], 0.65; 95% CI, 0.60-0.71). This difference remained after adjusting for place of residence, area-level disadvantage, and age group (adjusted IRR, 0.74; 95% CI, 0.68-0.81). However, Indigenous women who had not been followed up within 2 months were subsequently more likely to have a clinical investigation than non-Indigenous women (adjusted IRR for 2-4 month interval, 1.21; 95% CI, 1.08-1.36); by 6 months, a similar proportion of Indigenous (62.2%; 95% CI, 59.8-64.6%) and non-Indigenous women (62.8%; 95% CI, 62.2-63.3%) had been followed up.Prompt follow-up after a HGA Pap smear finding needs to improve for Indigenous women. Nevertheless, slow follow-up is a smaller contributor to their higher cervical cancer incidence and mortality than their lower participation in cervical screening. |
Keywords: | Humans Mass Screening Aftercare Incidence Retrospective Studies Time Factors Adult Aged Middle Aged Delivery of Health Care Queensland Uterine Cervical Neoplasms Female Papanicolaou Test Native Hawaiian or Other Pacific Islander |
Rights: | © 2017 AMPCo Pty Ltd. Produced with Elsevier B.V. All rights reserved. |
DOI: | 10.5694/mja16.00255 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/1045591 http://purl.org/au-research/grants/nhmrc/1055587 http://purl.org/au-research/grants/nhmrc/1058244 http://purl.org/au-research/grants/nhmrc/1083090 http://purl.org/au-research/grants/nhmrc/1082989 |
Published version: | http://dx.doi.org/10.5694/mja16.00255 |
Appears in Collections: | Aurora harvest 3 Public Health publications |
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