Introduction/Background Presently, a few organizational patterns of screening against cervical cancer (CC) coexist in Russia. These include organized screening under a federal governmental program, opportunistic screening on visiting a gynecologist, obligatory annual medical checkup of working class people with inclusion of Pap-test for women and some regional programs.The objectives of this observational study were: (1) to evaluate shortcomings and faults of the screening chain (attendance to a primary screening, screening test performance, management of abnormal results of cervical cytology, follow up after treatment etc.) and a gynecologic care which lead to invasive CC development or late diagnosis in Tatarstan (Russian Federation); (2) to evaluate the effectiveness and limitations of different organizational patterns of CC screening.
Methodology Ninety consecutive patients with newly diagnosed invasive CC in the Tatarstan Cancer Center (Kazan, Russia) were carefully interviewed on their anamnesis morbi, previous screening history, history of attendance to governmental or private gynecologic care, history of their Pap-smears and other details. Medical records from primary hospitals and Pap-smear results for five years prior to the CC diagnosis were evaluated, where possible. Histology and stage of diseases were also analyzed.
Results Within 3 years before CC diagnosis only 14 (15.5%) patients had not visit no gynecologist no medical check-up with inclusion of gynecologic examination.
Conclusion Non-attendance to CC screening is not a main cause of cervical cancer occurrence in Russia. Faults in the management of abnormal results of Pap-test are the common causes of CC development and late diagnosis. Organized screening offered by the federal governmental program is a best way of CC screening organization in Russia. A well organized service (within the healthcare system) aimed on managing patients with abnormal results of Pap-smear, their subsequent treatment and follow up is needed.
Disclosure Nothing to disclose
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