临床医生和患者因子与不令人满意的帕普检测相关的回顾性分析
Vrinda Munjal1, Katherine M Schupack1, Nathaniel E Miller1
1Department of Family Medicine, Mayo Clinic, Rochester, MN, USA.
Journal of medical screening
|August 13, 2025
概括
不满意的帕普检测率为2.3%,50岁以上的患者年龄是关键因素. 专注于患者的特征,特别是年龄,可以减少重复的帕帕尼科劳 (Pap) 测试,并提高查效率.
科学领域:
- 妇科 妇科 妇科 妇科
- 主要护理是指初级护理.
- 公共卫生 公共卫生
背景情况:
- 乳腺癌 (Pap) 测试对于宫癌查至关重要.
- 不满意的巴普测试 (UPT) 结果需要重复测试,影响资源和患者满意度.
- 了解与UPT相关的因素可以指导干预措施,以提高查效率.
研究的目的:
- 评估初级保健机构中不满意的帕普检测 (UPT) 率.
- 确定UPT与临床医师特征 (性别,学位,经验) 之间的关联.
- 确定UPT与患者特征 (年龄,婚姻状况,种族/种族) 之间的关联.
主要方法:
- 在2021年7月至2023年6月期间,从21岁至65岁的女性接受的51,195次帕普检测的回顾性分析.
- 使用双变量和多变量逻辑回归分析来检查UPT关联.
- 数据包括临床医生和患者的人口统计.
主要成果:
- 整体的UPT率为2.3%.
- 女性临床医生比男性临床医生UPT率略低 (p=0.015).
- 在50岁以上的女性,已婚女性和亚洲女性中,UPT更常见 (所有女性p<0.001).
- 临床经验表明U型与UPTs的联系 (p=0.004).
结论:
- 临床人员的特点对UPT率的影响很小.
- 患者年龄,特别是50岁以上,似乎是UPTs最重要的因素.
- 转向初级人类乳头瘤病毒 (HPV) 查,为前/后更年期妇女可以减少UPTs.
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