1800/2012 - Cervical cancer screening: age limits, frequency and ideal test: Recent Based Evidence Review and comparison with the Portuguese performance indicator
Rastreio do Câncer do Colo do útero: limites etários, periodicidade e exame ideal: revisão da evidência recente e comparação com o indicador de desempenho avaliado em Portugal
Publicado
Author:
• Bárbara Castro - Castro, B. - Braga, Outro País/Another Country - USF Manuel Rocha Peixoto - <bcusf1@gmail.com>Co-author(s):
• Jaime Correia de Sousa - Correia-de-Sousa, J. - nstituto de Ciências da Vida e da Saúde (ICVS), Escola de Ciências da Saúde, Universidade do Minho e ICVS/3B´s Laboratório Associado - <jaimecsousa@ecsaude.uminho.pt>• John Yaphe - Yaphe, J - nstituto de Ciências da Vida e da Saúde (ICVS), Escola de Ciências da Saúde, Universidade do Minho e ICVS/3B´s Laboratório Associado - <yonahyaphe@hotmail.com>
• Miguel Basto Pereira - Pereira, M. - Braga, Outro País/Another Country - nstituto de Ciências da Vida e da Saúde (ICVS), Escola de Ciências da Saúde, Universidade do Minho e ICVS/3B´s Laboratório Associado - <miguelbastopereira@hotmail.com>
• Daniela Pinheiro Ribeiro - Ribeiro, DP - USF Manuel Rocha Peixoto - <danielaribeiromgf@gmail.com>
• Joana Oliveira - Oliveira, J. - USF Manuel Rocha Peixoto - < joana_fo@hotmail.com>
Thematic Area:
Políticas em SaúdeAbstract:
The objective of this review was to assess the strength of evidence of Portuguese performance indicator on Cervical Cancer screening: (1) age group of the women that should realize the screening for cervical cancer, (2) frequency of screening and, (3) the best method for screening.The following MeSH terms were searched: vaginal smears, age groups, periodicity, methods, uterine cervical cancer. Articles not reflecting the study objectives or not available in English, Portuguese or Spanish were excluded. The SORT classification was used to rate the articles selected.
We found 197 articles initially and selected 9 for inclusion in this review that met all study criteria. These included 1 systematic review, 1 randomized controlled clinical trial, 2 retrospective studies and 5 clinical guidelines. The authors also chose to include 4 clinical guidelines and two systematic reviews relevant to the Portuguese population even though they did not appear in the in initial search of the literature.
The studies suggest screening women between the ages of 21 to 25 years and 65 years of age, once every three years using conventional cytology .There is still controversy regarding the three objectives of this study (target ages, screening frequency, and screening method).
