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Clinical audit of patients with cervical cancer in slovenia -Data analysis for the year 2003

  • M. Ursic-Vrscaj1,*,
  • S. Rakar2
  • A. Mozina2
  • I. Takac3
  • Z. Subic4
  • T. Kodric5
  • S. Smrkolj2

1Institute of Oncology, Ljubljana, Slovenia

2Department of Gynaecology and Obstetrics, University, Medical Centre, Ljubljana, Slovenia

3Gynaecology and Perinatology Service, Maribor General Hospital, Maribor, Slovenia

4Siska Health Center, Ljubljana, Slovenia

5Lenart Health Center, Lenart, Slovenia

DOI: 10.12892/ejgo200505537 Vol.26,Issue 5,September 2005 pp.537-542

Published: 10 September 2005

*Corresponding Author(s): M. Ursic-Vrscaj E-mail:

Abstract

Purpose of investigation: The data gathered in 2003 on the patients with cervical cancer who regularly attended their gynecologist were analyzed with the purpose of clinical audit.

Methods: The data on newly detected patients with cervical cancer in 2003 who regularly attended their gynecologist were gathered simultaneously at three Advisory Boards for Gynecology in Slovenia.

Results: Of 149 patients in whom, according to our data, invasive cervical cancer had been diagnosed, 92 (61.7%) patients were examined by a gynecologist in the previous five years. In the majority of these patients, cervical cancer was diagnosed in early, localized disease stage. In the periods of 13-24 and of seven to 12 months before the diagnosis of cervical cancer, almost half the patients had Pap II, and three to six months before diagnosis, 67.6% of patients had Pap II.

Conclusion: These results encourage us to proceed with clinical audits to analyze individual cervical cancer cases, including another independent reevaluation of cervical smears in the five-year period before diagnosis. A suitable calendar of refresher training courses on colposcopy, which should be obligatory for all performing this examination method, also needs to be set up.

Keywords

Clinical audit; Cervical cancer; State screening program; Premalignant cervical disease

Cite and Share

M. Ursic-Vrscaj,S. Rakar,A. Mozina,I. Takac,Z. Subic,T. Kodric,S. Smrkolj. Clinical audit of patients with cervical cancer in slovenia -Data analysis for the year 2003. European Journal of Gynaecological Oncology. 2005. 26(5);537-542.

References

[1] Van Ballegooijen M., van den Akker-van Marie E., Patnick J. et al.: "Overview of important cervical cancer screening process values in the European Union (EU) countries, and testative predictions of the corresponding effectiveness and cost-effectiveness". Eur. J Cancer, 2000, 36, 2177.

[2] Ursic Vrscaj M., Primic Zakelj M., Kirar Fazarinc I.: "Epidem1-ologija raka maternicnega vratu v Sloveniji in v svetu ter nacionalni program ZORA. Moiina A (ured.): Zgodnja detekcija raka maternic"nega vratu in kolposkopski tecaj. Prakticna kolposkopija in ambulantno zdravljenje prekanceroze, Ljubljana 2003. Zbornik predavan 」Ljubljana, Klinicni center - Ginekoloska klinika - Zdruzenje za ginekolosko onkologijo, kolposkopijo in cervikalno patologijo 2003, 92.

[3] Coleman D., Day N.E., Douglas D. et al.: "European guidelines for quality assurance in cervical cancer screening". Eur. J. Cancer, 1993 (suppl. 4), S1.

[4] Commission of the European Communities: proposal for a Council recommendation on Cancer Screening. 2003/0093 (CNS) Brussels, 5 May, 2003; and the Council Recommendation of December 2003 on cancer screening 2003/87 EC.

[5] Ursic Vrscaj M., Rakar S., Kovacic J., Kralj B, Moi.ina A.: "Pnporocilaza odkrivanje, zdravljenje in nadzor bolnic s predrakav imi spremembami maternicnega vratu". Zdravniska zbornica Slovcnije, 2000.

[6] Paraskevaidis E., Arbyn M., Sotiriadis A. et al.:'The role of HPV DNA testing in the follow-up period after treatment for CIN: a systemic review of the literature". Cancer Treat. Rev., 2004, 30 (suppl. 2), 205.

[7] Ursic Vrscaj M.: "Pomen HPV 16 in 18 pri odkrivanju zgodnJega raka maternicnega vratu (RMV)". 1995. Doktorsko delo, Medicinska fakulteta. Ljubljana.

[8] Arbyn M., Buntix F., Van Ranst M. et al.: "Yirologic versus cytologic triage of women with equivocal Pap smears: a meta-analysis of the accuracy to detect high-grade intraepithelial neoplasia". J Natl Cancer Inst., 2004, 96 (suppl. 4), 280.

[9] Ursic Vrscaj M, Mozina A., Rakar S.: "Predlogi za standarde in kazalce kakovosti pri kolposkopiji, zdravljenju in nadzoru bolnics prcdrakavimi spremembami maternicnega vratu". Mozina A (ured.): "Zgodnja detekcija raka maternicnega vratu in kolposkopski tecaj. Prakticna kolposkopija in ambulantno zdravljenje prekanceroz, Ljubljana 2003. Zbornik predavanj. Ljubljana, Klinicni center - Ginekoloska klinika - Zdruzenje za ginekolosko onkologijo, kolposkopijo in cervikalno patologijo 2003, 98.

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