Cervical Cancer Burden and Opportunities for Prevention in a Safety-Net Healthcare System.

ABSTRACT:

Background

The high prevalence of cervical cancer at safety-net health systems requires careful analysis to best inform prevention and quality improvement efforts. We characterized cervical cancer burden and identified opportunities for prevention in a U.S. safety-net system.

Methods

We reviewed tumor registry and electronic health record (EHR) data of women with invasive cervical cancer with ages 18+, diagnosed between 2010 and 2015, in a large, integrated urban safety-net. We developed an algorithm to: (i) classify whether women had been engaged in care (≥1 clinical encounter between 6 months and 5 years before cancer diagnosis); and (ii) identify missed opportunities (no screening, no follow-up, failure of a test to detect cancer, and treatment failure) and associated fac

SUBMITTER: Pruitt SL 

PROVIDER: S-EPMC6314678 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature