Access to colposcopy in the State of São Paulo, Brazil

Probabilistic Linkage Study of Administrative Data

Bibliographic Data

ID5166710
AuthorsLewis Fletcher Bu (0000-0002-9009-9301, Universidade de São Paulo), Lise Cury (0000-0002-7466-9773, Fundação Oncocentro de São Paulo, Brasil), Caroline Madalena Ribeiro (0000-0003-2690-5791, Instituto Nacional de Câncer José Alencar Gomes da Silva, Brazil; Universidade do Estado do Rio de Janeiro, Brazil), Gláucia Alves E Silva (0000-0001-8734-2799, Universidade do Estado do Rio de Janeiro), José Eluf Neto (0000-0001-7504-2115, Universidade de São Paulo)
Year2022
Volume38
Issue1
Pagese00304820-e00304820
Publication date2022-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00304820
PMID35043887
OpenAlexW4205935226
SCIELO_PIDS0102-311X2022000105008
LanguageIT
Citations received1
References cited19

Cervical cancer screening is a multistage process, therefore access to both the primary test and subsequent diagnostic procedures is essential. Considering women undergoing screening on the public health system in the State of São Paulo, Brazil, we aimed to estimate the proportion of women accessing colposcopy within six months of an abnormal smear result. We retrieved records from two administrative databases, the Information System on Uterine Cervical Cancer (SISCOLO) that contains smear results and the Outpatient Information System of the Brazilian Unified National Health System (SIA/SUS) that records colposcopies. A reference cohort consisted of women, aged 25 years or older, with an abnormal smear result between May 1, 2014, and June 30, 2014. We excluded prevalent cases. We linked the reference cohort and records in the SIA/SUS extending to December 31, 2014. After excluding prevalent cases, 1,761 women with abnormal cytology results were left. A total of 700 (39.8%) women were linked to a colposcopy record within the follow-up period; this dropped to 671 (38.1%) women when follow-up was censored at six months. We could notice a slightly higher attendance in women living in the metropolitan region of São Paulo compared with residents of the rest of the state. We found no association between colposcopy attendance and age or cytology class. These results emphasize that access to colposcopy in the public health system in São Paulo is limited. This compromises the quality of screening, and the issue needs to be prioritized in service planning

Attendance · Cancer registry · Cervical cancer · Cohort · Colposcopy · Medical record · Notice · Public health · Referral · Cervical Cancer and HPV Research · Maternal and Neonatal Healthcare · Women's cancer prevention and management

Tools

Open DOIOpen Access