Evidence map›Paper›PMID 34181323›Full record

SynthesisAsian Pacific journal of cancer prevention : APJCP2021

National Data Analysis and Systematic Review for Human Resources for Cervical Cancer Screening in Japan.

Chisato Hamashima, Seiju Sasaki, Satoyo Hosono, Keika Hoshi, Takafumi Katayama, Teruhiko Terasawa

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Asian Pacific journal of cancer prevention : APJCP, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Associations Between Regional Factors and Cervical Cancer Screening Coverage in Tokyo.Asian Pacific journal of cancer prevention : APJCP · 2026
    Article
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 at 6 institutions in 2 countries.

Chisato HamashimaHealth Policy Section, Department of Nursing, Faculty of Medical Technology, Teikyo University, 2-11-1 Kaga, Itabashi-ku, Tokyo 173-1211, Japan.ORCID 0000-0003-2585-8479
Seiju SasakiCenter for Preventive Medicine, St. Luke's International Hospital, 8-1 Akashi-cho Chuo-ku, Tokyo 104-6591, Japan.ORCID 0000-0003-2514-3844
Satoyo HosonoCancer Screening Assessment Section, Division of Screening Assessment and Management, Center for Public Health Science, National Cancer Center, 5-1-1 Tsukiji Cyuo-ku, Tokyo, 104-0045, Japan.ORCID 0000-0003-2569-0127
Keika HoshiCenter for Public Health Informatics, National Institute of Public Health, 2-3-6 Minami, Wako 351-0197, Japan.ORCID 0000-0003-1912-0718
Takafumi KatayamaCollege of Nursing Art and Science, University of Hyogo Prefecture, 13-71 Kita-Ohji, Akashi 673-8588, Japan.ORCID 0000-0002-6971-3274
Teruhiko TerasawaSection of General Internal Medicine, Department of Emergency and General Internal, Medicine, Fujita Medical University School of Medicine, Toyoake, Aichi 470-1192, Japan.ORCID 0000-0002-0975-391X
Fujita Health University · JPNational Institute of Public Health · JPPrevention Group · USSt. Luke's International Hospital · JPTeikyo University · JPUniversity of Hyogo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough cervical cancer screening has been performed as a national program since 1983 in Japan, the participation rate has remained below 20%. Equity of access is a basic requirement for cancer screening. However, taking smears from the cervix has been limited to gynecologists or obstetricians in Japan and it might be a barrier for accessibility. We examined the current access and its available human resources for cervical cancer screening in Japan.

methodsWe analyzed the number of gynecologists and obstetricians among 47 prefectures based on a national survey. A systematic review was performed to clarify disparity and use of human resources in cervical cancer screening, diagnosis, and treatment for cervical cancers in Japan. Candidate literature was searched using Ovid-MEDLINE and Ichushi-Web until the end of January 2020. Then, a systematic review regarding accessibility to cervical cancer screening was performed. The results of the selected articles were summarized in the tables.

resultsAlthough the total number of all physicians in Japan increased from 1996 to 2016, the proportion of gynecologists and obstetricians has remained at approximately 5% over the last 2 decades. 43.6% of municipalities have no gynecologists and obstetricians in 2016. Through a systematic review, 4 English articles and 1 Japanese article were selected. From these 5 articles, the association between human resources and participation rates in cervical cancer screening was examined in 2 articles.

conclusionsThe human resources for taking smears for cervical cancer screening has remained insufficient with a huge disparity among municipalities in Japan. To improve accessibility for cervical cancer screening another option which may be considered could be involving general physicians as potential smear takers.

Indexed as

WorkforceData AnalysisFemaleHealth Services AccessibilityHumansJapanMass ScreeningUterine Cervical NeoplasmsVaginal Smearscancer screeningCervical cancergynecologistPap smearSmear taker

Identifiers

PMID34181323
PMCPMC8418842
OpenAlexW3176187994

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.