Evidence map›Paper›PMID 29394915›Full record

ArticleBMC cancer2018

Trend analysis of the quality indicators for the Brazilian cervical cancer screening programme by region and state from 2006 to 2013.

Ricardo Filipe Alves Costa, Adhemar Longatto-Filho, Fabiana de Lima Vazquez, Céline Pinheiro, Luiz Carlos Zeferino, José Humberto Tavares Guerreiro Fregnani

Abstract read
In one paragraph

Article in BMC cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ricardo Filipe Alves CostaGraduate Program on Oncology, Barretos Cancer Hospital, Barretos, São Paulo, 14784-400, Brazil. ricardofacosta@gmail.com.
Adhemar Longatto-FilhoMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos, São Paulo, 14784-400, Brazil.
Fabiana de Lima VazquezResearch and Teaching Institute, Barretos Cancer Hospital, Barretos, São Paulo, 14784-400, Brazil.
Céline PinheiroBarretos School of Health Sciences Dr. Paulo Prata - FACISB, Avenida Loja Maçonica Renovadora 68, N° 100, Bairro Aeroporto, Barretos, SP, 14785-002, Brazil.
Luiz Carlos ZeferinoSchool of Medical Sciences, Women's Hospital CAISM, Unicamp, Campinas, São Paulo, 13081-940, Brazil.
José Humberto Tavares Guerreiro FregnaniResearch and Teaching Institute, Barretos Cancer Hospital, Barretos, São Paulo, 14784-400, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality indicators for the Brazilian cervical cancer screening programme can provide a perspective on its effectiveness in Brazilian macro-regions and states. The aim of this study was to perform a trend analysis of the cervical cancer screening program's quality indicators, according to Brazilian regions and states, from 2006 to 2013.

methodsUsing information from approximately 62,000,000 exams obtained from the Information System of Cervical Cancer Screening (SISCOLO), joinpoint analysis was used to calculate the Annual Percentage Change (APC).

resultsThe estimated number of women in the target age group (25-64 years) who underwent Pap testing over a three-year interval was lower than that recommended by international guidelines in the North, Northeast and Midwest regions, and the trends for this indicator remained stationary over the years in all regions of Brazil. Overall, the index of positivity in Brazilian regions and states is below that preconized by the Brazilian National Cancer Institute (INCA). Additionally, the frequencies of unsatisfactory cases are in line with international guidelines but above those preconized by INCA guidelines. All positive cytological diagnoses were lower than those preconized by INCA.

conclusionsThe results show that the cervical cancer screening programme is still far from efficient because most of the quality indicators in Brazilian regions and states are outside of the parameters preconized by national and international organizations.

Indexed as

Quality Assurance, Health CareAdultBrazilEarly Detection of CancerFemaleHumansMass ScreeningMiddle AgedUterine Cervical NeoplasmsVaginal SmearsCervical cancerIndicatorsPap testScreeningTime series studiesTrends

Identifiers

PMID29394915
PMCPMC5797416

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.