Abnormal cervical cytology risk factors in the Western Black Sea Region and the importance of health insurance
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Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Batı Karadeniz bölgesinde anormal servikal sitoloji prevelansının değerlendirilmesi ve sosyo-demografik risk faktörleri ile anormal sitoloji varlığının ilişkisinin araştırılması. Gereç ve Yöntem: Ocak 2011-Aralık 2012 tarihleri arasında patoloji bölümüne gönderilen ve Bethesda Sistemi 2001 versiyonuna göre tanı alan toplam 11,539 servikal smear örneğine ait raporlar hastane kayıtlarından ve patoloji raporlarından retrospektif olarak incelendi. Aynı hasta için yinelenen smearler, yetersiz smear sonuçları, bilinen jinekolojik malignitesi olan hastalar, histerektomize hastaların smear sonuçları ile sosyo-demografik verilerine ulaşılamayan hastalar değerlendirilme dışı bırakıldı. Çalışma kriterlerini karşılayan 7,740 olgunun sonuçları değerlendirildi. Bulgular: Toplam sitolojik anormallik prevelansı %1.8, önemi belirlenemeyen atipik skuamöz hücreler (ASC-US), yüksek dereceli skuamöz intraepitelyal lezyon ekarte edilemeyen atipik skuamöz hücreler (ASC-H), düşük dereceli skuamöz intraepitelyal lezyon (LSIL), yüksek dereceli skuamöz intraepitelyal lezyon (HSIL) ve atipik glandüler hücre (AGC) prevelansları sırası ile %1.16, %0.11, %0.29, %0.15 ve %0.03 olarak bulundu. Sitolojik olarak belirlenen servikal invaziv kanser prevelansı %0.025 tespit edildi. İleri yaş, düşük eğitim düzeyi (ilkokul ve altı) ve sağlık sigortasına sahip olmamanın preinvaziv ve invaziv lezyon riskini arttırdığı, lise mezunu olma ve daha önce smear testi yaptırmış olmanın ise preinvaziv ve invaziv lezyon riskini azalttığı tespit edildi. Sonuç: Bu çalışmada, Türkiye’nin Batı Karadeniz bölgesinde anormal smear sonucu bulguları ve birlikte olabilecek risk faktörleri belirlendi. Hastanın sağlık sigortasının olmaması, en önemli risk faktörü olarak tespit edildi.
Objective: To evaluate the prevalence of abnormal cervical cytological findings in the Western Black Sea Region and investigate an association between socio-demographic risk factors and the presence of cytological abnormalities. Material and Method: The reports of 11,539 cervical smears diagnosed according to Bethesda System 2001 version in the Pathology Department between January 2011 and December 2012 were reviewed retrospectively from the hospital records and cytopathology reports. Repeated smear results, unsatisfactory smear results, patients with known gynecologic malignancy history, smear results of patients with hysterectomy and smear results of patients whose socio-demographic information could not be obtained were excluded from the evaluation. The results of 7,740 patients who met the criteria for the study were evaluated. Results: The prevalence of cervical cytological abnormalities was 1.8 % in general. The prevalence rates for atypical squamous cells with undetermined significance (ASC-US), atypical squamous cells, cannot exclude a high-grade squamous intraepithelial lesion (ASC-H), low-grade squamous intraepithelial lesions (LSIL), high-grade squamous intraepithelial lesions (HSIL), and atypical glandular cells (AGC) were 1.16%, 0.11%, 0.29%, 0.15%, and 0.03% respectively. The prevalence of cytologically diagnosed cervical invasive neoplasia was 0.025%. Advanced age, low education level (primary school or less) and not having health insurance were found as to be risk factors for preinvasive and invasive lesions. Women who had a high school education and previously had a smear test had decreased risk for developing preinvasive and invasive lesions. Conclusion: This study shows prevalence of abnormal cervical cytology findings and associoted risk factors in the Western Black Sea Region of Turkey. The most important risk factor was identified as not having health insurance.
Objective: To evaluate the prevalence of abnormal cervical cytological findings in the Western Black Sea Region and investigate an association between socio-demographic risk factors and the presence of cytological abnormalities. Material and Method: The reports of 11,539 cervical smears diagnosed according to Bethesda System 2001 version in the Pathology Department between January 2011 and December 2012 were reviewed retrospectively from the hospital records and cytopathology reports. Repeated smear results, unsatisfactory smear results, patients with known gynecologic malignancy history, smear results of patients with hysterectomy and smear results of patients whose socio-demographic information could not be obtained were excluded from the evaluation. The results of 7,740 patients who met the criteria for the study were evaluated. Results: The prevalence of cervical cytological abnormalities was 1.8 % in general. The prevalence rates for atypical squamous cells with undetermined significance (ASC-US), atypical squamous cells, cannot exclude a high-grade squamous intraepithelial lesion (ASC-H), low-grade squamous intraepithelial lesions (LSIL), high-grade squamous intraepithelial lesions (HSIL), and atypical glandular cells (AGC) were 1.16%, 0.11%, 0.29%, 0.15%, and 0.03% respectively. The prevalence of cytologically diagnosed cervical invasive neoplasia was 0.025%. Advanced age, low education level (primary school or less) and not having health insurance were found as to be risk factors for preinvasive and invasive lesions. Women who had a high school education and previously had a smear test had decreased risk for developing preinvasive and invasive lesions. Conclusion: This study shows prevalence of abnormal cervical cytology findings and associoted risk factors in the Western Black Sea Region of Turkey. The most important risk factor was identified as not having health insurance.
Açıklama
Anahtar Kelimeler
Vajinal Yaymalar, Uterin Servikal Neoplazi, Risk Faktörleri, Sağlık Sigortası, Türkiye, Vaginal Smears, Uterine Cervical Neoplasms, Risk Factors, Health Insurance, Turkey
Kaynak
Türk Patoloji Dergisi
Turkish Journal of Pathology
Turkish Journal of Pathology
WoS Q Değeri
Scopus Q Değeri
Cilt
30
Sayı
1
