Evidence map›Paper›PMID 37817563›Full record

ArticleActa obstetricia et gynecologica Scandinavica2024

Cervical cancer in Region Skåne, Sweden 2017-2020 after the implementation of primary HPV screening: A quality assurance audit.

Caroline Hellsten, Anna Holmberg, Jennica Astrom, Ola Forslund, Christer Borgfeldt

Open access · diamondAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

5 authors at 1 institution in 1 country.

Caroline HellstenDepartment of Obstetrics and Gynecology, Skåne University Hospital, Department of Clinical Science Lund, Lund University, Lund, Sweden.ORCID 0000-0003-4206-7337
Anna HolmbergDepartment of Obstetrics and Gynecology, Skåne University Hospital, Department of Clinical Science Lund, Lund University, Lund, Sweden.
Jennica AstromDepartment of Obstetrics and Gynecology, Skåne University Hospital, Department of Clinical Science Lund, Lund University, Lund, Sweden.
Ola ForslundDepartment of Laboratory Medicine, Lund University, Lund, Sweden.ORCID 0000-0001-6293-7286
Christer BorgfeldtDepartment of Obstetrics and Gynecology, Skåne University Hospital, Department of Clinical Science Lund, Lund University, Lund, Sweden.
Lund University · SE

Funding

South Swedish regional funds
6 · The paper itself

Abstract

introductionPrimary human papilloma virus (HPV) screening to detect cervical cancer and dysplastic lesions was implemented in Region Skåne 2017 for women aged 30-70. The aim of this study was to characterize the screening history of women diagnosed with cervical cancer to evaluate the performance of the screening program, as well as to assess the cancer treatments given and shortcomings in the follow-up of women with cervical dysplasia. MATERIAL AND

methodsWe performed a quality assurance audit. The data was collected from the National Cervical Cancer Prevention Registry, Region Skåne Labmedicin database and the Melior Journal system in 2017-2020.

resultsWe identified 247 women diagnosed with invasive cervical cancer in Region Skåne in 2017-2020. Of these, 35 (14.2%) had a screening history over at least two screening rounds before diagnosis. There were 25 (10.1%) women diagnosed with cervical cancer in between screening intervals, i.e., interval cancer. The most common screening history in women with cervical cancer was irregular screening (143, 57.9%), followed by women being above screening age (44, 17.8%). HPV was detected in 96% of the cases, either in cervical cytology or in the tumor tissue. The screening program detected the disease in 96 (38.9%) of the patients, 149 (60.3%) were diagnosed through symptoms and two (0.80%) as a result of incidental findings.

conclusionsThe most powerful tool in the prevention of cervical cancer is screening program attendance. Prolongation with HPV screening among elderly women will also reduce the incidence of cervical cancer. Today, such cancers are usually discovered when symptoms appear.

Indexed as

Papillomavirus InfectionsUterine Cervical DysplasiaUterine Cervical NeoplasmsAgedEarly Detection of CancerFemaleHumansMaleMass ScreeningPapillomaviridaeSwedenVaginal Smearsauditcervical cancercervical dysplasiaHPVscreening

Identifiers

PMID37817563
PMCPMC10755128
OpenAlexW4387516057

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.