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[Quality of the Early Cervical Cancer Detection Program in the State of Nuevo León]
A M Salinas-Martínez1, E Villarreal-Ríos, M E Garza-Elizondo
1Unidad Regional de Investigación Epidemiológica y en Servicios de Salud, Instituto Mexicano del Seguro Social (IMSS), México, México.
Objective:
To determine the quality of the Early Cervical Cancer Detection Program in the state of Nuevo León.
Material And Methods:
A random selection of 4791 cytologic reports were analyzed, emitted by the State Ministry of Health, the University Hospital and the Mexican Institute for Social Security early cervical cancer detection modules. Pap tests of women with hysterectomy, current pregnancy, menopause or positive result were excluded. Quality was measured with previously defined standards. Analysis included, besides univariate statistics, tests of significance for proportions and means.
Results:
The quality of the program was fairly satisfactory at the level of the State. The quality of the sampling procedure was low; 39.9% of the tests contained endocervical cells. Quality of coverage was low; 15.6% were women 25+years with first time Pap test. Quality of opportunity was high; 8.5 +/- 7 weekdays between the date of the pap smear and the interpretation date.
Conclusions:
Strategies are needed to increase the impact of the state program, such as improving the sampling procedure and the coverage quality levels.