Page 115 - Screening for Cervical Cancer: Systematic Evidence Review
P. 115

Appendix C.  Evidence Tables



               Evidence Table 1A.  Screening Among Older Women (cont'd)

                                 Screening    Outcomes &                                          Quality
                 Participants    Program        Measures             Relevant Results         Considerations
               N = 2,561      Annual         Primary        Timing of abnormal smears after   Denom=2
               women with     screening      outcome = “new  prior normal                     Attrition=2
               normal baseline  during an    cytologic      1 year later     78/2561 (3.0%)   Indications=2
               smears         average of 4   abnormality”   2 years later   32/2346 (1.4%)    Interval=1
                              years of study  Defined as    Total              110 abnormals   Age=0
               Mean age: 66   participation    ASCUS,                                         Relevance=2
               Nonwhite:                     AGCUS, LSIL,                                      Final Diagnosis   Standard=1
               ~ 10%                         or HSIL                       NL    LSIL    HSIL   Endo*  UKN   Score=10
                                                            Cytology
                                             OUTCOME        ASCUS   66         2         1        1        4   Grade=Fair
                                                            AGCUS   20        2         ---      ---       1
                                             RATE           LSIL          8         2        ---      ---        2
                                                            HSIL        ---       ---         1       ---       ---
                                             Secondary      Total        94        6         2        1         7
                                             outcome        * Endometrial hyperplasia without atypia
                                             Results of
                                             evaluation for
                                             abnormal Pap



















































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