Cervical Cancer Screening of Adolescents and Young Women: Further Evidence Shows a Lack of Clinical Value

• Published in: Journal of pediatric & adolescent gynecology 2021-02, Vol.34 (1), p.6-11
• Main Authors: Campaner, Adriana Bittencourt, Fernandes, Gustavo Leme
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Aged; Brazil - epidemiology; Cervical intraepithelial neoplasia; Cervical Intraepithelial Neoplasia - diagnosis; Cervical Intraepithelial Neoplasia - epidemiology; Cytological techniques; Early detection of cancer; Early Detection of Cancer - methods; Early Detection of Cancer - statistics & numerical data; Female; Humans; Mass Screening - adverse effects; Mass Screening - statistics & numerical data; Middle Aged; Papillomavirus Infections - epidemiology; Prevalence; Retrospective Studies; Uterine cervical neoplasms; Uterine Cervical Neoplasms - epidemiology; Uterine Cervical Neoplasms - prevention & control; Vaginal Smears - statistics & numerical data; Young Adult
• ISSN: 1083-3188; 1873-4332
• DOI: 10.1016/j.jpag.2020.10.006

To assess the prevalence of cytological abnormalities among young people from a large population in the city of São Paulo (Brazil). Retrospective, observational analysis of data from the institution's data processing center. A private laboratory in São Paulo (Brazil). Comparison of 3 different groups (ie, adolescent women [aged ≤19 years], young adult women [aged between 20 and 24 years], and adult women [aged 25 years and older]). Assessment of results from all cervical-vaginal smears collected for cytology between January 2010 and December 2015. Comparative analysis of cytological abnormalities in the 3 different groups. A total of 1,026,671 satisfactory cytology tests were performed. The proportion of cytological abnormalities was found to decrease with age (P