使用电子健康记录来评估遵守宫癌预防指南:一个横截面研究
Kerli Mooses1, Aleksandra Šavrova2, Maarja Pajusalu1
1Institute of Computer Science, University of Tartu, Narva mnt 18, 51009 Tartu, Estonia.
Preventive medicine
|May 3, 2024
概括
宫癌查指南显示,HPV测试使用量增加,但发现了坚持问题,特别是在年轻女性. 改善指导方针的后续工作对于降低子宫癌率至关重要.
科学领域:
- 妇科 妇科 妇科 妇科
- 公共卫生 公共卫生
- 在瘤学瘤学.
背景情况:
- 有效的宫癌查和及时治疗对于管理疾病的连续性至关重要.
- 这些指导方针旨在标准化和优化宫癌检测和治疗实践.
研究的目的:
- 评估最新的宫癌检测指南对查实践的影响.
- 评估在护理连续过程中遵守后续建议的情况.
主要方法:
- 对 50,702 名妇女的爱沙尼亚电子健康记录和索赔数据的分析.
- 在两个指导期 (2012-2014年 vs. 2016-2019年) 之间,每年帕普检测,HPV检测和结肠镜检查率的比较.
- 根据后续测试时间,将女性分类为坚持者,不足测试者或过度测试者.
主要成果:
- 向HPV检测的转变增加,而帕普检测的使用减少 (p < 0.01).
- 根据年龄和子宫病理学,遵循指南的程度有所不同,ASC-US (21-29y:25.7%;30-59y:21.9%) 的测试显著不足.
- 显著比例的年轻女性 (21-29岁) 接受了与指南不一致的HPV测试 (55.2%57.1%).
结论:
- 发现了在遵守指导方针方面的缺陷,特别是在30岁以下的女性中.
- 研究结果表明,可以提高宫癌护理质量的领域.
- 加强坚持可以有助于减少宫癌的发病率和死亡率.
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