MANAGEMENT OF WOMEN WITH ATYPIAS IN THE CERVICAL CYTOPATHOLOGICAL TEST IN PRIMARY HEALTH CARE
DOI:
https://doi.org/10.5380/ce.v25i0.66862Keywords:
Uterine Cervical Neoplasms, Mass Screening, Primary Health Care, Papanicolaou Test, Women’s Health.Abstract
Objective: to identify the conduct of health professionals in managing women with atypias in
the cervical cytopathological test who received care in primary healthcare units.
Methods: documentary and retrospective study carried out with 175 women who had atypias
in their cervical cytopathological tests between 2006 and 2014 in a municipality in the state of
São Paulo, Brazil, with descriptive analysis of collected data.
Results: 157 (90%) women went back to the unit to check the test result. Among those with
atypias, 103 (86%) were properly managed, but 85 (83%) repeated the test within a period
shorter than the advocated one. In the group of women who needed a colposcopy, 30 (79%)
were properly managed.
Conclusion: the management of women with atypias was adequate, but the low positivity rate,
the lack of patient records, and the inadequate time to repeat the cervical cytopathological
test indicated an opportunistic screening program, which may lead to low coverage of the
target population, high late detection rate, and overscreening.
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