Evidence map›Paper›PMID 35092958›Full record

ArticleRevista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia2022

Analysis of the Excess of Papanicolaou Tests in Brazil from 2006 to 2015.

Ana Carolina Pereira Fischer, Eduardo Augusto Pereira Fischer, Fernanda Brião Vaz, Júlia Hoffmann

Abstract read
In one paragraph

Article in Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia, 2022. 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
–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

1 citing paper in PubMed.

  1. 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

4 authors.

Ana Carolina Pereira FischerDepartment of Medicine, Universidade Regional de Blumenau, Blumenau, SC, Brazil.ORCID 0000-0003-3640-3701
Eduardo Augusto Pereira FischerDepartment of Medicine, Universidade Federal do Paraná, Curitiba, PR, Brazil.ORCID 0000-0003-2702-1410
Fernanda Brião VazDepartment of Medicine, Universidade Regional de Blumenau, Blumenau, SC, Brazil.ORCID 0000-0002-3584-6271
Júlia HoffmannDepartment of Medicine, Universidade Regional de Blumenau, Blumenau, SC, Brazil.ORCID 0000-0001-5057-7682

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyze the quantity of cervical smears, also designated Papanicolaou tests, between 2006 and 2015 in all the Federal units of Brazil, as well as to verify the quantity of exams collected outside the recommended age range and the economic impact of such excess.

methodsThe data was collected from the Ministry of Health's database called

resultsBetween 2006 and 2015, 87,425,549 Papanicolaou tests were collected in Brazil. Of these, 20,215,052 tests were collected outside the age range recommended by the Brazilian Ministry of Health; this number corresponded to 23.12% of all exams. From such data, considering that each Pap smear collected by SUS generates a cost of BRL 7.30 to the government, according to the information in the

conclusionIn Brazil, according to the Ministry of Health's protocol about the recommended practices on collecting Pap smears, whose newest edition dates of 2016, it is recommended that Pap smears are collected in women from a specific age range, in whom the potential diagnosing advantages overcome the onus of overdiagnosis or of a lesion with great regression potential. However, such protocols have not been correctly followed, promoting more than 20 million tests in excess, and an exorbitant cost for the Brazilian public health system. It is relevant to take measures to correctly use the official protocol, reducing the patients risks, as well as the economic impact for SUS.

Indexed as

Papanicolaou TestUterine Cervical NeoplasmsBrazilFemaleHumansOverdiagnosisVaginal Smears

Identifiers

PMID35092958
PMCPMC9948124

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