Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil

Detalhes bibliográficos
Autor(a) principal: Naud, Paulo
Data de Publicação: 2022
Outros Autores: de Matos, Jean Carlos, Hammes, Luciano, Vettorazzi, Janete
Tipo de documento: Artigo
Idioma: por
Título da fonte: Clinical and Biomedical Research
Texto Completo: https://seer.ufrgs.br/index.php/hcpa/article/view/125276
Resumo: OBJECTIVE: To compare two modalities of cervical cancer screening using Pap Smearthat were carried out in the state of Rio Grande do Sul - Southern Brazil. The first oneis a seasonal and isolated campaign that was promoted by the Brazilian Ministry ofHealth in 1998; the second one is a regular screening program promoted by the RioGrande do Sul State Department of Health from 1991 to 1996. MATERIAL AND METHODS: We carried out a retrospective study of the results of thetwo screening campaigns.RESULTS: Comparison of the Pap smear sample alterations verified from 1991 to 1996by the State Department of Health with the Pap smear sample alterations verified in1998 by the Ministry of Health allowed for the following data, respectively: CIN 1 -0.55%/0.29%; CIN 2 - 0.25%/0.15%; CIN 3 - 0.16%/0.14%; carcinoma - 0.04%/0.04%.Out of the samples collected by the State Department of Health, 58.64% were notrepresentative for squamous columnar junction (SCJ), out of which 13.74% of highgrade lesions were not representative for SCJ and 85.22% of high-grade lesions wererepresentative for ECJ (1.04% of results were ignored).CONCLUSIONS: The isolated campaign of the Brazilian Ministry of Health in the stateof Rio Grande do Sul presented poorer results when compared to the regular screeningprogram promoted by the Rio Grande do Sul State Department of Health, suggesting,thus, that isolated screening efforts do not offer results that are as good as those ofplanned and continuous screening programs. However, the regular screening programhas faults that need to be corrected, such as that in the reduced number of Pap smearsamples representative of squamous columnar junction.  
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spelling Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern BrazilAvaliação dos programas de screening para o câncer de colo uterino no Estado do Rio Grande do SulCâncer de colo uterinocitologia cervicalprogramas de screening para câncer de colo uterinoCervical cancercervical cytologycervical cancer screening programOBJECTIVE: To compare two modalities of cervical cancer screening using Pap Smearthat were carried out in the state of Rio Grande do Sul - Southern Brazil. The first oneis a seasonal and isolated campaign that was promoted by the Brazilian Ministry ofHealth in 1998; the second one is a regular screening program promoted by the RioGrande do Sul State Department of Health from 1991 to 1996. MATERIAL AND METHODS: We carried out a retrospective study of the results of thetwo screening campaigns.RESULTS: Comparison of the Pap smear sample alterations verified from 1991 to 1996by the State Department of Health with the Pap smear sample alterations verified in1998 by the Ministry of Health allowed for the following data, respectively: CIN 1 -0.55%/0.29%; CIN 2 - 0.25%/0.15%; CIN 3 - 0.16%/0.14%; carcinoma - 0.04%/0.04%.Out of the samples collected by the State Department of Health, 58.64% were notrepresentative for squamous columnar junction (SCJ), out of which 13.74% of highgrade lesions were not representative for SCJ and 85.22% of high-grade lesions wererepresentative for ECJ (1.04% of results were ignored).CONCLUSIONS: The isolated campaign of the Brazilian Ministry of Health in the stateof Rio Grande do Sul presented poorer results when compared to the regular screeningprogram promoted by the Rio Grande do Sul State Department of Health, suggesting,thus, that isolated screening efforts do not offer results that are as good as those ofplanned and continuous screening programs. However, the regular screening programhas faults that need to be corrected, such as that in the reduced number of Pap smearsamples representative of squamous columnar junction.  OBJETIVO: Comparar duas modalidades de screening de câncer de colo uterino porexame citopatológico (CP) desenvolvidas no Estado do Rio Grande do Sul: uma, sazonale isolada, promovida pelo Ministério da Saúde em 1998; outra, regular, promovida pelaSecretaria da Saúde do Estado do Rio Grande do Sul no período de 1991 a 1996.MATERIAIS E MÉTODOS: avaliou-se retrospectivamente os resultados obtidos com acoleta de exames citopatológicos de colo uterino da campanha do Ministério da Saúdee do programa regular da Secretaria da Saúde do Estado do Rio Grande do Sul.RESULTADOS: Comparando-se o percentual de alterações nos exames coletados pelaSecretaria da Saúde em 1996 com os exames coletados pelo Ministério da Saúde em1998, obteve-se, respectivamente: NIC I - 0,55% / 0,29%; NIC II - 0,25% / 0,15%; NICIII - 0,16% / 0,14%; carcinoma - 0,04% / 0,04%. Quanto aos exames coletados pelaSecretaria da Saúde no período 1991-1996, 58,64% não eram representativos da junçãoescamo-colunar (JEC). Sobre estes, somente 13,74% das lesões de alto grauencontravam-se em CPs não representativos da JEC, enquanto 85,22% das lesões dealto grau encontravam-se nos CPs representativos da JEC (1,04% dos resultadosignorados).CONCLUSÕES: A campanha sazonal do Ministério da Saúde no Rio Grande do Sulapresentou desempenho desfavorável quando comparada ao programa regular daSecretaria da Saúde, sugerindo que rastreamentos isolados tenham eficácia menorque rastreamentos planejados e contínuos. O próprio rastreamento regular possui falhasque devem ser corrigidas, como a baixa representatividade da junção escamo-colunar.HCPA/FAMED/UFRGS2022-06-21info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleAvaliado por Paresapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/125276Clinical & Biomedical Research; Vol. 20 No. 2 (2000): Revista HCPAClinical and Biomedical Research; v. 20 n. 2 (2000): Revista HCPA2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSporhttps://seer.ufrgs.br/index.php/hcpa/article/view/125276/85201http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessNaud, Paulo de Matos, Jean Carlos Hammes, Luciano Vettorazzi, Janete 2022-09-16T16:33:08Zoai:seer.ufrgs.br:article/125276Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2022-09-16T16:33:08Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.none.fl_str_mv Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil
Avaliação dos programas de screening para o câncer de colo uterino no Estado do Rio Grande do Sul
title Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil
spellingShingle Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil
Naud, Paulo
Câncer de colo uterino
citologia cervical
programas de screening para câncer de colo uterino
Cervical cancer
cervical cytology
cervical cancer screening program
title_short Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil
title_full Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil
title_fullStr Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil
title_full_unstemmed Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil
title_sort Evaluation of cervical cancer screening programs in the State of Rio Grande do Sul - Southern Brazil
author Naud, Paulo
author_facet Naud, Paulo
de Matos, Jean Carlos
Hammes, Luciano
Vettorazzi, Janete
author_role author
author2 de Matos, Jean Carlos
Hammes, Luciano
Vettorazzi, Janete
author2_role author
author
author
dc.contributor.author.fl_str_mv Naud, Paulo
de Matos, Jean Carlos
Hammes, Luciano
Vettorazzi, Janete
dc.subject.por.fl_str_mv Câncer de colo uterino
citologia cervical
programas de screening para câncer de colo uterino
Cervical cancer
cervical cytology
cervical cancer screening program
topic Câncer de colo uterino
citologia cervical
programas de screening para câncer de colo uterino
Cervical cancer
cervical cytology
cervical cancer screening program
description OBJECTIVE: To compare two modalities of cervical cancer screening using Pap Smearthat were carried out in the state of Rio Grande do Sul - Southern Brazil. The first oneis a seasonal and isolated campaign that was promoted by the Brazilian Ministry ofHealth in 1998; the second one is a regular screening program promoted by the RioGrande do Sul State Department of Health from 1991 to 1996. MATERIAL AND METHODS: We carried out a retrospective study of the results of thetwo screening campaigns.RESULTS: Comparison of the Pap smear sample alterations verified from 1991 to 1996by the State Department of Health with the Pap smear sample alterations verified in1998 by the Ministry of Health allowed for the following data, respectively: CIN 1 -0.55%/0.29%; CIN 2 - 0.25%/0.15%; CIN 3 - 0.16%/0.14%; carcinoma - 0.04%/0.04%.Out of the samples collected by the State Department of Health, 58.64% were notrepresentative for squamous columnar junction (SCJ), out of which 13.74% of highgrade lesions were not representative for SCJ and 85.22% of high-grade lesions wererepresentative for ECJ (1.04% of results were ignored).CONCLUSIONS: The isolated campaign of the Brazilian Ministry of Health in the stateof Rio Grande do Sul presented poorer results when compared to the regular screeningprogram promoted by the Rio Grande do Sul State Department of Health, suggesting,thus, that isolated screening efforts do not offer results that are as good as those ofplanned and continuous screening programs. However, the regular screening programhas faults that need to be corrected, such as that in the reduced number of Pap smearsamples representative of squamous columnar junction.  
publishDate 2022
dc.date.none.fl_str_mv 2022-06-21
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
Avaliado por Pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/125276
url https://seer.ufrgs.br/index.php/hcpa/article/view/125276
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://seer.ufrgs.br/index.php/hcpa/article/view/125276/85201
dc.rights.driver.fl_str_mv http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv HCPA/FAMED/UFRGS
publisher.none.fl_str_mv HCPA/FAMED/UFRGS
dc.source.none.fl_str_mv Clinical & Biomedical Research; Vol. 20 No. 2 (2000): Revista HCPA
Clinical and Biomedical Research; v. 20 n. 2 (2000): Revista HCPA
2357-9730
reponame:Clinical and Biomedical Research
instname:Universidade Federal do Rio Grande do Sul (UFRGS)
instacron:UFRGS
instname_str Universidade Federal do Rio Grande do Sul (UFRGS)
instacron_str UFRGS
institution UFRGS
reponame_str Clinical and Biomedical Research
collection Clinical and Biomedical Research
repository.name.fl_str_mv Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)
repository.mail.fl_str_mv ||cbr@hcpa.edu.br
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