Time Differences From Abnormal Cervical Cancer Screening to Colposcopy Between Insurance Statuses

Area of Science:

• Gynecology
• Public Health
• Health Disparities

Background:

• Cervical cancer screening and follow-up are vital for prevention.
• Socioeconomic and systemic factors influence patient care pathways.
• Disparities in access to timely diagnostic procedures exist.

Purpose of the Study:

• To compare the time from abnormal cervical cancer screening to colposcopy.
• To analyze differences between resident and faculty practices.
• To investigate the impact of insurance status on diagnostic intervals.

Main Methods:

• Retrospective cohort study of patients aged 21-65 undergoing colposcopy.
• Comparison of patient demographics and clinical factors.
• Statistical analysis of intervals using Wilcoxon rank sum test and multivariable regression.

Main Results:

• Publicly insured patients in resident practices had longer median intervals (79.5 vs 34 days).
• Adjusted analysis showed a 95% longer interval for resident practice patients.
• No significant differences in high-risk human papillomavirus or smoking rates were observed.

Conclusions:

• Resident practice patients, often publicly insured, face significant delays in colposcopy.
• These delays highlight potential health disparities in cervical cancer follow-up.
• Targeted interventions are needed to improve timely care for vulnerable populations.