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EPV086/#567 Cervical cancer: who is most affected by noncompliant screening
  1. D Wong1,
  2. C-I Liao2,
  3. A Francoeur1,
  4. A Milki3,
  5. E Thayer4,
  6. A Moon5,
  7. A Chan6 and
  8. J Chan7
  1. 1University of California Los Angeles, Obstetrics and Gynecology, Los Angeles, USA
  2. 2Kaohsiung Veterans General Hospital, Obstetrics and Gynecology, Kaohsiung City, Taiwan
  3. 3George Washington University School of Medicine and Health Sciences, Obstetrics and Gynecology, Washington DC, USA
  4. 4University of Massachusetts Medical School, Obstetrics and Gynecology, Worcester, USA
  5. 5Stanford University School of Medicine, Obstetrics and Gynecology, Division of Gynecologic Oncology, Stanford, USA
  6. 6Palo Alto Medical Foundation Research Intitute, Obstetrics and Gynecology, Palo Alto, USA
  7. 7California Pacific Medical Center, Obstetrics and Gynecology, San Francisco, USA


Objectives Our objective is to determine demographic and clinical factors associated with noncompliant cervical cancer screening (5 or more years) in the US.

Methods Pap smear rates were evaluated using the Behavioral Risk Factor Surveillance System (BRFSS). SEER*Stat 8.3.8 and Joinpoint regression program were used to calculate incidence trends.

Results From 2001–2016, the overall rate of noncompliant care increased from 6.7% to 19.5% (p<0.001). Based on age, noncompliance was greatest in the 60–64 year old age group (22.8%). Adjusted by race, Whites had the highest rate of noncompliance at 26.7% in 2016. The intersection of Whites in the 60–64 year old age group had the highest rate of noncompliance at 23.9%. We evaluated trends in noncompliant cervical cancer screening over the last 16 years and show that 25–29 year old Blacks had the greatest trend in the increase of noncompliant care at 14.6% annually (p=0.004). In a projected model, nearly 50% of this highest risk subgroup will have noncompliant care in 15 years.

Conclusions Increasing numbers of women are being screened at time intervals noncompliant to national guidelines. Although Whites are the most noncompliant, Blacks have the greatest trend in the increase of noncompliance.

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