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Critical Evaluation of Pap Test Adherence to Routine Screening in Amazonas State, Brazil
Rosana Lima de Oliveira1, Emanuelle Cristina de Andrade Valente1, João Guilherme de Souza Gadelha1
1Undergraduate students at Faculdade de Ciências Farmacêuticas da Universidade Federal do Amazonas, Manaus, Brazil.
Introduction:
This study critically evaluates adherence to Pap test screening practices in cytology-based cervical cancer screening in the state of Amazonas over a 10-year period.
Materials And Methods:
A retrospective analysis was conducted of the results of cytological screening examinations (Pap test) in Amazonas State from 2013 to 2023. For this purpose, Brazilian public databases Cervical Cancer Information System (SISCOLO) and Cancer Information System (SISCAN) (from the Department of Information and IT of the Unified Health System [DATASUS]) were consulted.
Results:
There was a decrease in the number of Pap tests performed during the period from 2019 to 2021, likely related to the COVID-19 pandemic. This was followed by a subsequent increase in the post-pandemic period. Notably, in municipalities with fewer than 10,000 annual Pap examinations there was a decrease in the average number of tests when comparing the years 2016-2018 to 2013-2015, and an even greater decrease during the pandemic.
Conclusions:
There is considerable variation in utilization of the cytological Pap test across different municipalities. This lack of uniformity throughout the state likely compromises the capacity to detect early stage cervical intraepithelial lesions.
